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Vaccinations01:51

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Immunological Memory

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Poliomyelitis

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[Measles after MMR-vaccination].

R van Grootveld1, L M Klitsie, D C M van der Kaay

  • 1Leids Universitair Medisch Centrum, afd. Medische Microbiologie, Leiden.

Nederlands Tijdschrift Voor Geneeskunde
|April 20, 2017
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Mild symptoms like rash after the measles, mumps, and rubella (MMR) vaccine are common and mimic wild measles. Reassurance, not extensive testing, is often best for parents concerned about post-vaccination reactions.

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Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • The Dutch national vaccination program includes the measles, mumps, and rubella (MMR) vaccine for all children.
  • Live attenuated viruses in the MMR vaccine replicate minimally post-administration.
  • This replication can cause mild, transient symptoms like fever, rash, and conjunctivitis, typically 5-14 days after vaccination.

Observation:

  • A 14-month-old boy presented with a significant rash 13 days post-MMR vaccination.
  • Diagnostic tests confirmed measles, leading to parental vaccine hesitancy.
  • The timing of symptoms raised questions about vaccine reaction versus wild-type infection.

Findings:

  • Post-MMR vaccination symptoms can closely resemble wild-type measles infection.
  • The low incidence of wild-type measles suggests vaccination reaction is a likely cause.
  • Symptoms typically manifest within 14 days of receiving the MMR vaccine.

Implications:

  • Distinguishing vaccine-induced symptoms from wild-type infections is crucial for public health.
  • Extensive diagnostic procedures can cause parental distress and vaccine hesitancy.
  • Healthcare providers should prioritize parental reassurance regarding expected post-vaccination responses.