Electronic version of vaccination guide

This version of the electronic guide integrates the latest immunization planning specifications of the National Center for Disease Control and Prevention in 2024 and the nearly three years of practical experience of the vaccination departments of three domestic tertiary hospitals. Its core function is to help you skip the mixed and fragmented information on the Internet. Whether it is routine vaccination planning, vaccination taboos for special groups, or verification of vaccination rumors spread online, you can directly find official and practical references, and no longer have to struggle with conflicting popular science content.

When I was helping to maintain order at a community vaccination site last week, I met a little girl who had just entered college. She squatted next to the triage table and searched for almost 20 minutes for "Can HPV be taken at nine prices if you have allergies?" Half of the search results said "Absolutely not as long as you are allergic", and the other half said "No effect." She held the appointment code and almost cried. I directly sent her the online document of this guide and searched for "HPV vaccination taboos" "Allergy", I figured out in 2 minutes that I was just suffering from a common seasonal allergy to pollen, and was not allergic to the yeast component of the vaccine. I could definitely get vaccinated normally, and I got the first shot smoothly on the same day.

At this point, someone must ask, should we choose imported or domestically produced vaccines for the same kind of vaccine? In fact, there is no unified standard answer to this question in the industry. Most scholars in the field of public health policy research tend to "get whichever one you can get an appointment with." After all, for vaccines such as HPV and influenza, the risk of infection increases with time, you can get protection the day earlier if you get vaccinated. There is no need to wait for a specific vaccine and risk exposure for several more months; however, doctors on the front line of clinical vaccination will recommend special procedures. People with allergies or a history of adverse reactions from previous vaccinations should give priority to models with different process routes and auxiliary ingredients from previously vaccinated vaccines. There is no need to worry about domestic or imported labels. Last year, I met a girl who was allergic to aluminum hydroxide adjuvant. She got a rash every time she received the imported hepatitis B vaccine. Later, she chose the domestically produced recombinant hepatitis B vaccine without adjuvant. After the vaccination, there was no discomfort at all, and the protective effect was up to standard.

There are also many people who are obsessed with the "taboos" before and after vaccination. The most exaggerated one I have seen is a young man who did not dare to eat seafood or take a bath for a whole week after getting the flu vaccine. As a result, he still caught a cold and went to the vaccination point to ask if he was sick because of "taboos". In fact, the guidelines make it very clear that as long as there are no obvious ulcers or exudates at the vaccination site, there is no problem in taking a shower 6 hours after vaccination. If you are really worried, just don't rub the vaccination site hard. As for the so-called "cannot eat seafood and spicy food", it is completely nonsense - if you usually eat these things and have no reaction, you can eat them casually after vaccination. If you usually eat them and you are allergic and get a rash, then you should not eat them regardless of whether you are vaccinated or not. Don't blame the vaccine.

If you belong to a special group of people, such as pregnant women, immunocompromised people, and the elderly with serious underlying diseases, there is no need to panic about various opinions on the Internet. Take pregnant women as an example. WHO and domestic disease control now clearly recommend vaccination with inactivated influenza vaccine and diphtheria-tetanus pertussis vaccine during pregnancy. The antibodies produced after vaccination can be passed to the fetus through the placenta, which can protect the baby from severe influenza in the first six months after birth. My best friend, an obstetrician, specially made an appointment for the flu vaccine when she was 4 months pregnant. During the influenza pandemic last winter, her baby didn't even have a runny nose. Of course, this does not mean that all pregnant women must rush to get vaccinated. If you have a history of repeated miscarriages and are in an unstable state during pregnancy, you can first evaluate your physical condition with your obstetrician and then decide whether to vaccinate. There is no need to bear the risk of vaccination.

I deliberately did not make this version of the guide a thick PDF for people to flip through slowly, but made it a searchable online document. If you need to look up something temporarily, just search for keywords. For example, if you want to take the elderly at home to get the shingles vaccine, just search for "herpes zoster, underlying disease, age" and you will be able to see the corresponding vaccination adaptation conditions. It is much faster than calling the community to ask and flipping through dozens of pages of paper documents. The content of the recently updated 2024 Expanded Program on Immunization has also been updated simultaneously. For example, the meningococcal polysaccharide conjugate vaccine for school-age children has just been included in the free scope this year. Many parents still don’t know that they don’t have to spend money to get it. Searching for keywords can see a list of local vaccination sites, so they don’t have to waste money.

Of course, this version of the guideline is not a standard answer for everything. If you have a particularly complicated situation, such as undergoing radiotherapy and chemotherapy, taking immunosuppressants for a long time, or having a rare history of allergies, it is best to take the reference items in the guideline and communicate with your attending doctor before deciding on the vaccination plan. After all, everyone's physical condition is different, and the one that suits you is the safest. By the way, I have attached a "High Frequency Rumor Refutation Zone" at the end of the document. They are all rumors that we have been asked about 800 times, such as whether the HPV vaccine will cause infertility or the vaccine will reduce immunity. Each article is attached with a link to the official research data. Next time you encounter a relative who relays confusing science information to you, just drop this link to the document to save yourself the hassle of arguing.