Another H1N1 Vacc Question...

[HLAuburn]

My kids have both had one round of the H1N1 vaccine. The CDC recommends that kids under 10 have a booster about a month after the 1st dose.

Here are my issues...
DD 5 had the mist at the pediatrician. The ped is now not giving out any 2nd doses because of low supply. I can get her the shot at the health dept, but when I called the CDC, they say there have been no studies done on kids who have had one mist and one shot, so they just recommend the 2 rounds of the same type.
We leave for Disney next week. I'd like her to have the 2 doses before we leave, but I don't know if I should get her the shot after the mist. Does anyone have any experience with this?

Also, DD 11 months had the shot about 2 1/2 weeks ago. If I get her a 2nd dose right before we leave, it will be about 3 1/2 weeks...closer to 24 days than the recommended 28. I also read they just need to be 21 days apart. Should I go ahead and get it right before we leave?

There's such a lack of information out there, I don't think its helping the cause. Thanks in advance for any help!

 

[EMom]

I thinkt first the CDC said 3 weeks apart, then said 4 weeks apart. Now it's between 3 and 4 weeks apart. Let's get real......We'll be lucky to get dose #2 ANYWHERE in the range of 3-4 weeks. I'd say 3 1/2 weeks is just fine.

I am positive I read that it doesn't matter if you "mix" forms. Meaning, the child can have one mist and one injection.

 

[HLAuburn]

I thinkt first the CDC said 3 weeks apart, then said 4 weeks apart. Now it's between 3 and 4 weeks apart. Let's get real......We'll be lucky to get dose #2 ANYWHERE in the range of 3-4 weeks. I'd say 3 1/2 weeks is just fine.

I am positive I read that it doesn't matter if you "mix" forms. Meaning, the child can have one mist and one injection.

Thanks! Do you have any idea where you might have read that about mixing forms? I'd love to read anything about it!

 

[JessicaR]

What is the recommended interval between the first and second dose for children 9 years of age and under?
CDC recommends that the two doses of 2009 H1N1 vaccine be separated by 4 weeks. However, if the second dose is separated from the first dose by at least 21 days, the second dose can be considered valid.

If a child under the age of 9 years is getting seasonal influenza vaccine for the first time and requires 2 doses, does the same type of vaccine have to be used for both doses?
No, the first and second doses do not have to match; live or inactivated vaccine can be used for either dose. The doses should be separated by at least one month.

http://www.cdc.gov/FLU/about/qa/nasalspray.htm

 

[laurie31]

I went to a training for nurses who are going to give the vaccine in school-based clinics (and we STILL don't have a date yet, as we still don't have vaccine...) but it was done by the State Department of Health, and we were told that 9 and under needed 2 doses of vaccine and the route didn't matter, just so they were separated by at least 21 days, but preferrably 28 days.

So get whatever form of vaccine you can find, and it will be okay.

 

[HLAuburn]

Thank you ALL for the help! It's pretty sad that DISers know more than the CDC! I just called them this afternoon and they didn't have many answers for me.

Thanks again.

 

[EMom]

What is the recommended interval between the first and second dose for children 9 years of age and under?
CDC recommends that the two doses of 2009 H1N1 vaccine be separated by 4 weeks. However, if the second dose is separated from the first dose by at least 21 days, the second dose can be considered valid.

If a child under the age of 9 years is getting seasonal influenza vaccine for the first time and requires 2 doses, does the same type of vaccine have to be used for both doses?
No, the first and second doses do not have to match; live or inactivated vaccine can be used for either dose. The doses should be separated by at least one month.

http://www.cdc.gov/FLU/about/qa/nasalspray.htm

What she said.

 

[npmommie]

My kids have both had one round of the H1N1 vaccine. The CDC recommends that kids under 10 have a booster about a month after the 1st dose.

Here are my issues...
DD 5 had the mist at the pediatrician. The ped is now not giving out any 2nd doses because of low supply. I can get her the shot at the health dept, but when I called the CDC, they say there have been no studies done on kids who have had one mist and one shot, so they just recommend the 2 rounds of the same type.
We leave for Disney next week. I'd like her to have the 2 doses before we leave, but I don't know if I should get her the shot after the mist. Does anyone have any experience with this?

Also, DD 11 months had the shot about 2 1/2 weeks ago. If I get her a 2nd dose right before we leave, it will be about 3 1/2 weeks...closer to 24 days than the recommended 28. I also read they just need to be 21 days apart. Should I go ahead and get it right before we leave?

There's such a lack of information out there, I don't think its helping the cause. Thanks in advance for any help!

this makes no sense. if the pedi is not giving the boosters to those who need them he may as well not even give the first shot, if the kids do not develop the antibodies from one shot and he withholds the second, makes no sense to do that.
I know there is a shortage, but you are not providing adequate coverage for those kids just by giving them one shot when they need two.

 

[HLAuburn]

this makes no sense. if the pedi is not giving the boosters to those who need them he may as well not even give the first shot, if the kids do not develop the antibodies from one shot and he withholds the second, makes no sense to do that.
I know there is a shortage, but you are not providing adequate coverage for those kids just by giving them one shot when they need two.

Oh trust me, its not the first time they've done something that doesn't make sense! A couple months ago when I called to ask if they had the shot available, she told me kids under 2 don't need to be vaccinated because they have antibodies from birth! What?!

I guess the thinking is that the one shot does give you some immunity and that at least one should be available to all those who want it, but you're right, it does defeat the purpose if you're doing half of what the CDC recommends. I could call and complain and probably they would let her get it, but the shot is available at the health dept, so I'm not sure it's worth the energy.

 

[monkeybug]

Thanks! Do you have any idea where you might have read that about mixing forms? I'd love to read anything about it!

My son got the mist and than the shot, as that was all that was available 4 weeks later. The Dr. said mixing them was fine. It's just to booster their immunity, it doesn't matter which form that "boost" comes in.

 

[Mermaid02]

Until 2 weeks ago I worked in a Pediatric office and one dose is better than no doses. That is what the CDC was saying at the time anyway. They keep changing the rules on us!!

 

[C.Ann]

this makes no sense. if the pedi is not giving the boosters to those who need them he may as well not even give the first shot, if the kids do not develop the antibodies from one shot and he withholds the second, makes no sense to do that.
I know there is a shortage, but you are not providing adequate coverage for those kids just by giving them one shot when they need two.

This would not be a doctor that I would entrust my childrens care to..