Odra, świnka i różyczka
Charakterystyka, pielęgnacja i opieka
Szczepionka MMR, zawierająca żywe, atenuowane wirusy odry, świnki i różyczki, jest wysoce skutecznym preparatem immunologicznym stosowanym w profilaktyce tych chorób. Standardowy schemat szczepień obejmuje podanie dwóch dawek: pierwszej w wieku 12-15 miesięcy oraz drugiej w wieku 4-6 lat, co zapewnia ochronę u około 99% zaszczepionych przed odrą i różyczką oraz u około 88% przed świnką. Dawka szczepionki M-M-R II wynosi 0,5 ml i podawana jest podskórnie lub domięśniowo. Szczepionka może być stosowana również jako profilaktyka poekspozycyjna, pod warunkiem podania w ciągu 72 godzin od kontaktu z chorym na odrę. Szczególne grupy docelowe to niemowlęta, dzieci, osoby dorosłe bez udokumentowanej odporności, personel medyczny oraz kobiety w wieku rozrodczym przed ciążą. Wysokie wskaźniki wyszczepialności są kluczowe dla utrzymania odporności zbiorowiskowej i zapobiegania epidemiom.
- Wprowadzenie do szczepionki MMR (odra, świnka i różyczka)
- Schemat dawkowania szczepionki MMR
- Droga podania i technika szczepienia
- Wskazania do szczepienia MMR
- Przeciwwskazania i środki ostrożności
- Skuteczność szczepionki MMR
- Działania niepożądane i bezpieczeństwo
- Działania niepożądane częste i łagodne
- Działania niepożądane rzadkie i poważne
- Zgłaszanie niepożądanych odczynów poszczepiennych
- Opieka pielęgniarsko-lekarska po szczepieniu MMR
- Szczepionka MMR a specjalne grupy pacjentów
- Szczepionka MMR w kontekscie zdrowia publicznego
- Podsumowanie korzyści i opieki pielęgniarsko-lekarskiej
Wprowadzenie do szczepionki MMR (odra, świnka i różyczka)
Szczepionka MMR jest wysoce skutecznym preparatem immunologicznym zapewniającym ochronę przed trzema poważnymi chorobami wirusowymi: odrą, świnką (nagminnym zapaleniem przyusznic) i różyczką. Preparat zawiera osłabione, żywe formy wirusów, które stymulują układ odpornościowy do wytworzenia przeciwciał, nie powodując przy tym rozwoju choroby.12 Szczepionka MMR jest istotnym elementem programów szczepień na całym świecie i odgrywa kluczową rolę w zapobieganiu rozprzestrzeniania się tych potencjalnie niebezpiecznych chorób, które przed wprowadzeniem powszechnych szczepień były przyczyną licznych zachorowań, powikłań i zgonów.3
Szczepionka MMR zapewnia długotrwałą ochronę przed wszystkimi trzema chorobami. Po podaniu dwóch zalecanych dawek, około 99% osób uzyskuje ochronę przed odrą i różyczką, a około 88% przed świnką.4 Szczepionka M-M-R II jest wskazana do czynnej immunizacji przeciwko odrze, śwince i różyczce u osób w wieku 12 miesięcy lub starszych.5
Schemat dawkowania szczepionki MMR
Standardowy schemat szczepienia obejmuje podanie dwóch dawek szczepionki MMR:6
- Pierwsza dawka: podawana dzieciom w wieku 12-15 miesięcy
- Druga dawka: podawana dzieciom w wieku 4-6 lat
Ważne jest ścisłe przestrzeganie schematu szczepień zaleconego przez lekarza. Podanie obu dawek zapewnia optymalną ochronę i może zapewnić odporność na całe życie.9 W niektórych przypadkach stosuje się zmodyfikowane schematy szczepień:
- Niemowlęta w wieku 6-11 miesięcy podróżujące do obszarów, gdzie występuje odra, powinny otrzymać jedną dawkę szczepionki przed podróżą, a następnie kontynuować standardowy schemat (czyli otrzymać dwie standardowe dawki w wieku 12-15 miesięcy i 4-6 lat)
- Starsze dzieci, nastolatki i dorośli, którzy nie byli wcześniej szczepieni lub nie mają dowodów odporności, również powinni otrzymać 1 lub 2 dawki szczepionki
- W przypadku wystąpienia ogniska epidemicznego świnki, niektórym osobom może być zalecana trzecia dawka szczepionki
Szczepionka MMR może być podawana jednocześnie z innymi szczepionkami, co jest powszechną praktyką podczas wizyt związanych ze szczepieniami ochronnymi.6
Droga podania i technika szczepienia
Szczepionka MMR podawana jest w formie iniekcji podskórnej lub domięśniowej. Pojedyncza dawka szczepionki M-M-R II to około 0,5 ml.11 Miejscem podania jest zwykle górna część ramienia lub udo.1213
Szczepienia powinny być wykonywane przez wykwalifikowany personel medyczny – lekarza, pielęgniarkę lub innego przeszkolonego pracownika służby zdrowia. Po szczepieniu zaleca się 15-minutowy okres obserwacji pacjenta w celu monitorowania potencjalnych reakcji alergicznych.14
Rola pielęgniarki w podawaniu szczepionki MMR
Pielęgniarka odgrywa kluczową rolę w procesie szczepienia przeciwko odrze, śwince i różyczce. Do jej obowiązków należy:1516
- Weryfikacja wskazań i przeciwwskazań do szczepienia
- Ocena stanu zdrowia pacjenta przed szczepieniem
- Właściwe przygotowanie i podanie szczepionki zgodnie z zaleceniami producenta
- Edukacja pacjenta lub opiekunów na temat szczepienia, możliwych reakcji poszczepiennych i sposobów postępowania
- Dokumentowanie procesu szczepienia
- Monitorowanie pacjenta po szczepieniu pod kątem potencjalnych reakcji niepożądanych
Wskazania do szczepienia MMR
Szczepionka MMR jest rekomendowana dla następujących grup:1819
- Wszystkie niemowlęta i dzieci według standardowego schematu szczepień
- Osoby dorosłe urodzone po 1957 roku, które nie otrzymały dwóch dawek szczepionki w dzieciństwie lub nie mają potwierdzonej odporności
- Studenci uczelni wyższych i innych instytucji edukacyjnych po szkole średniej
- Pracownicy służby zdrowia (szczególnie istotne ze względu na kontakt z pacjentami)
- Podróżujący do krajów o zwiększonym ryzyku zachorowania na odrę, świnkę lub różyczkę
- Kobiety w wieku rozrodczym przed zajściem w ciążę (aby zapobiec potencjalnym wadom wrodzonym płodu związanym z infekcją różyczkową)
- Osoby mające kontakt z pacjentami z obniżoną odpornością
Szczególnie ważne jest zaszczepienie personelu medycznego z bezpośrednim kontaktem z pacjentami. Pracownicy ochrony zdrowia bez udokumentowanej odporności powinni otrzymać dwie dawki szczepionki MMR w odstępie co najmniej 28 dni.17 Jest to istotny element ochrony nie tylko samych pracowników, ale również pacjentów, szczególnie tych z obniżoną odpornością.
Profilaktyka poekspozycyjna
Szczepionka MMR może być stosowana jako profilaktyka poekspozycyjna w przypadku kontaktu z osobą chorą na odrę. Podanie szczepionki w ciągu 72 godzin od ekspozycji może zmniejszyć ryzyko zachorowania lub złagodzić przebieg choroby.22 Szczepionka jako profilaktyka poekspozycyjna może być podawana:16
- Niemowlętom w wieku 6-12 miesięcy z prawidłową odpornością, które miały kontakt z osobą chorą na odrę w ciągu ostatnich 72 godzin
- Pacjentom w wieku 12 miesięcy lub starszym, którzy nie są w ciąży, mają prawidłową odporność i mieli kontakt z osobą chorą w ciągu ostatnich 6 dni
Przeciwwskazania i środki ostrożności
Mimo że szczepionka MMR jest ogólnie bezpieczna, istnieją pewne przeciwwskazania do jej podania. Szczepionka nie powinna być stosowana u osób z:1923
- Ciężką reakcją alergiczną (anafilaksją) po wcześniejszej dawce szczepionki MMR lub MMRV
- Znaną ciężką alergią na którykolwiek składnik szczepionki, w tym żelatynę lub neomycynę
- Osłabionym układem odpornościowym z powodu choroby lub przyjmowanych leków immunosupresyjnych
- Ciążą – kobiety ciężarne nie powinny otrzymywać szczepionki MMR
- Aktywną chorobą gorączkową
- Aktywną nieleczoną gruźlicą
Szczególną ostrożność należy zachować przy podawaniu szczepionki MMR osobom z:25
- Historią drgawek gorączkowych lub rodzinną historią drgawek
- Reakcjami nadwrażliwości typu natychmiastowego na jaja
- Małopłytkowością
- Rodzinną historią wrodzonego lub dziedzicznego niedoboru odporności do czasu oceny statusu immunologicznego pacjenta
W niektórych przypadkach lekarz może zdecydować o odroczeniu szczepienia do przyszłej wizyty. Osoby z łagodnymi chorobami, takimi jak przeziębienie, mogą być szczepione.26
Szczepienie a ciąża i karmienie piersią
Kobiety ciężarne nie powinny otrzymywać szczepionki MMR ze względu na teoretyczne ryzyko dla płodu (szczepionka zawiera żywe, atenuowane wirusy). Kobiety w wieku rozrodczym powinny unikać zajścia w ciążę przez co najmniej 4 tygodnie po otrzymaniu szczepionki.2728
Natomiast szczepionka MMR jest bezpieczna dla kobiet karmiących piersią. Karmienie piersią nie wpływa na odpowiedź immunologiczną na szczepionkę, a szczepienie matki karmiącej nie stanowi zagrożenia dla karmionego dziecka.2930 Szczepionka może być podawana po porodzie kobietom, które nie są immunizowane.31
Skuteczność szczepionki MMR
Szczepionka MMR jest wysoce skuteczna w zapobieganiu odrze, śwince i różyczce. Po podaniu dwóch dawek szczepionki:1232
- Około 99% osób uzyskuje ochronę przed odrą i różyczką
- Około 88% osób uzyskuje ochronę przed świnką
Jedna dawka szczepionki zapewnia około 93% skuteczność przeciwko odrze, 78% przeciwko śwince i 97% przeciwko różyczce.32 Dla większości osób, które otrzymały dwie dawki szczepionki, ochrona przed odrą i różyczką utrzymuje się przez całe życie. W przypadku świnki u niektórych osób odporność może z czasem słabnąć, co może wymagać podania dodatkowej dawki szczepionki podczas ogniska epidemicznego.33
Skuteczność szczepionki zależy od kilku czynników, w tym wieku, stanu układu odpornościowego oraz prawidłowego przechowywania i podania szczepionki. Odporność po szczepieniu zaczyna się rozwijać w ciągu 2 tygodni od podania.12
Wpływ na odporność zbiorowiskową
Wysokie wskaźniki zaszczepienia przeciwko MMR mają istotny wpływ na odporność zbiorowiskową (stadną). Gdy wystarczająco duży odsetek populacji jest zaszczepiony, choroby mają trudności z rozprzestrzenianiem się, co chroni również osoby, które nie mogą być szczepione z powodów medycznych, takich jak niemowlęta poniżej 12 miesiąca życia, kobiety w ciąży czy osoby z poważnymi zaburzeniami odporności.34
Właśnie dlatego utrzymanie wysokiego poziomu wyszczepialności jest kluczowe dla kontroli i eliminacji tych chorób w populacji. Spadek wskaźników szczepień może prowadzić do wzrostu liczby przypadków zachorowań i potencjalnych epidemii.3
Działania niepożądane i bezpieczeństwo
Szczepionka MMR jest ogólnie bezpieczna, a większość osób nie doświadcza żadnych lub jedynie łagodnych działań niepożądanych.35 Potencjalne działania niepożądane można podzielić na:
Działania niepożądane częste i łagodne
Najczęstsze reakcje poszczepienne są zwykle łagodne i przemijające (występują w ciągu pierwszych kilku dni po szczepieniu):3626
- Ból, zaczerwienienie lub obrzęk w miejscu wstrzyknięcia
- Gorączka (zwykle poniżej 39°C)
- Łagodna wysypka
- Obrzęk węzłów chłonnych w policzku lub szyi
- Czasowe bóle i sztywność stawów
Powyższe objawy zwykle ustępują samoistnie w ciągu 2-3 dni i zazwyczaj nie wymagają specjalnego leczenia.12 W przypadku wystąpienia gorączki lub bólu po szczepieniu można podać acetaminofen (paracetamol) lub ibuprofen.37
Działania niepożądane rzadkie i poważne
Poważne reakcje po szczepieniu MMR występują bardzo rzadko:3826
- Ciężka reakcja alergiczna (anafilaksja) – występuje z częstością około 1 na milion podanych dawek
- Drgawki związane z gorączką
- Przejściowa małopłytkowość (obniżenie liczby płytek krwi)
- U osób z poważnymi zaburzeniami odporności szczepionka może wywołać infekcję zagrażającą życiu
Reakcja alergiczna może wystąpić po opuszczeniu placówki medycznej przez zaszczepioną osobę, dlatego ważne jest, aby znać jej objawy, takie jak wysypka lub pokrzywka (uniesione, czerwone obszary na skórze).37
Zgłaszanie niepożądanych odczynów poszczepiennych
Wszelkie poważne lub nieoczekiwane reakcje poszczepienne powinny być zgłaszane do odpowiednich organów nadzorujących bezpieczeństwo szczepień.38 W niektórych krajach funkcjonują dedykowane systemy monitorowania bezpieczeństwa szczepień, np. Vaccine Adverse Event Reporting System (VAERS) w Stanach Zjednoczonych.26
Ciągłe monitorowanie bezpieczeństwa szczepionek jest niezbędne do wykrywania rzadkich działań niepożądanych i zapewnienia, że korzyści ze szczepienia przewyższają potencjalne ryzyko.36
Opieka pielęgniarsko-lekarska po szczepieniu MMR
Właściwa opieka po szczepieniu MMR jest istotnym elementem procesu immunizacji. Obejmuje ona:936
- Obserwację pacjenta przez 15 minut po szczepieniu w celu monitorowania potencjalnych reakcji alergicznych
- Edukację pacjenta lub opiekunów na temat możliwych reakcji poszczepiennych i sposobów postępowania
- Instrukcje dotyczące stosowania leków przeciwgorączkowych i przeciwbólowych w razie potrzeby
- Informacje o tym, kiedy należy skontaktować się z lekarzem
- Ustalenie terminu podania kolejnej dawki w przypadku schematu wielodawkowego
Edukacja pacjenta i opiekunów
Personel medyczny powinien przekazać pacjentom lub ich opiekunom następujące informacje:3739
- Możliwe działania niepożądane i jak sobie z nimi radzić
- Kiedy i jak stosować leki przeciwgorączkowe
- W jakich sytuacjach należy niezwłocznie skontaktować się z lekarzem, np. w przypadku wysokiej gorączki, wysypki, która nie ustępuje lub się nasila, objawów reakcji alergicznej
- Znaczenie przestrzegania zaleconego schematu szczepień
Należy podkreślić, że łagodna wysypka po szczepieniu MMR jest możliwa i zwykle ustępuje bez leczenia.37
Postępowanie w przypadku działań niepożądanych
W przypadku wystąpienia działań niepożądanych po szczepieniu MMR zaleca się następujące postępowanie:3740
- Przy łagodnej gorączce – podanie paracetamolu lub ibuprofenu w dawkach odpowiednich dla wieku
- Przy bólu, zaczerwienieniu lub obrzęku w miejscu wstrzyknięcia – zimne okłady
- W przypadku drgawek w wywiadzie – profilaktyczne podawanie leków przeciwgorączkowych przez 6-12 dni po szczepieniu MMR u dzieci z padaczką
- Niezwłoczne zgłoszenie się do lekarza w przypadku wystąpienia poważnych objawów, takich jak reakcja alergiczna, wysoka gorączka czy drgawki
Szczepionka MMR a specjalne grupy pacjentów
Podróżujący międzynarodowo
Osoby podróżujące za granicę, szczególnie do krajów o zwiększonym ryzyku zachorowania na odrę, powinny być w pełni zaszczepione przed podróżą.6 Szczególne zalecenia dotyczą:41
- Niemowląt w wieku 6-11 miesięcy – powinny otrzymać jedną dawkę szczepionki MMR przed podróżą (nie zastępuje to standardowego schematu szczepień rozpoczynającego się w wieku 12 miesięcy)
- Dzieci w wieku ≥12 miesięcy – powinny otrzymać dwie dawki szczepionki MMR w odstępie co najmniej 28 dni przed podróżą
- Nastolatków i dorosłych bez udokumentowanej odporności – również powinni otrzymać dwie dawki szczepionki przed podróżą
Szczepienia powinny odbyć się co najmniej dwa tygodnie przed rozpoczęciem podróży, aby zapewnić odpowiedni czas na rozwój odporności.42
Pracownicy służby zdrowia
Personel medyczny jest narażony na zwiększone ryzyko ekspozycji na choroby zakaźne i może stanowić źródło zakażenia dla podatnych pacjentów. Dlatego ważne jest, aby pracownicy służby zdrowia byli odpowiednio uodpornieni:1729
- Pracownicy służby zdrowia bez udokumentowanej odporności powinni otrzymać dwie dawki szczepionki MMR w odstępie co najmniej 28 dni
- Personel medyczny urodzony przed 1957 rokiem, mimo że jest ogólnie uważany za odporny, również powinien być rozważony do szczepienia, jeśli pracuje w placówkach opieki zdrowotnej i nie ma dowodów odporności
- W przypadku wystąpienia ogniska epidemicznego odry lub świnki, nawet pracownicy urodzeni przed 1957 rokiem powinni otrzymać dawkę szczepionki MMR
Pracownicy służby zdrowia powinni posiadać udokumentowane dowody odporności na odrę, świnkę i różyczkę.43
Osoby z obniżoną odpornością
Szczepionka MMR, jako preparat zawierający żywe, atenuowane wirusy, jest ogólnie przeciwwskazana u osób z ciężkimi zaburzeniami odporności.23 Jednak istnieją pewne wyjątki i specjalne zalecenia:44
- Osoby zakażone HIV bez ciężkiej immunosupresji mogą otrzymać szczepionkę MMR
- U osób po przeszczepieniu komórek macierzystych można rozważyć szczepienie w odpowiednim czasie po transplantacji
- Pacjenci z umiarkowaną lub ciężką immunosupresją nie powinni otrzymywać szczepionki MMR
Decyzja o szczepieniu osób z zaburzeniami odporności powinna być podejmowana indywidualnie, po konsultacji z lekarzem specjalistą.14
Szczepionka MMR w kontekscie zdrowia publicznego
Szczepionka MMR odgrywa kluczową rolę w zapobieganiu chorobom zakaźnym i ich powikłaniom, przyczyniając się do poprawy zdrowia publicznego na całym świecie.3 Przed wprowadzeniem powszechnych szczepień, odra, świnka i różyczka były przyczyną znacznej zachorowalności i śmiertelności. Dzięki wysokim wskaźnikom wyszczepialności choroby te stały się rzadkie w wielu krajach.47
Jednakże spadek poziomu wyszczepialności może prowadzić do nawrotu tych chorób i potencjalnych epidemii. Dlatego utrzymanie wysokiego poziomu zaszczepienia populacji jest niezbędne dla zapewnienia odporności zbiorowiskowej i ochrony osób, które nie mogą być szczepione z przyczyn medycznych.34
Rola personelu medycznego w promocji szczepień
Personel medyczny, w tym pielęgniarki i lekarze, odgrywa kluczową rolę w promocji szczepień przeciwko odrze, śwince i różyczce:1648
- Edukacja pacjentów i ich rodzin na temat znaczenia szczepień
- Dostarczanie rzetelnych informacji opartych na dowodach naukowych
- Adresowanie obaw dotyczących bezpieczeństwa szczepionek
- Zachęcanie do przestrzegania zalecanego schematu szczepień
- Identyfikowanie i zgłaszanie przypadków chorób zakaźnych
- Udział w kampaniach promocji zdrowia i immunizacji
Profesjonalna i kompleksowa opieka pielęgniarsko-lekarska ma kluczowe znaczenie dla zwiększenia akceptacji szczepień i osiągnięcia optymalnych wskaźników wyszczepialności w populacji.48
Przeciwdziałanie dezinformacji
Ważnym aspektem pracy personelu medycznego jest przeciwdziałanie dezinformacji dotyczącej szczepionek, w tym szczepionki MMR. Szczególnie istotne jest adresowanie fałszywego powiązania między szczepionką MMR a autyzmem.9
Liczne badania naukowe nie wykazały związku między szczepionką MMR a rozwojem zaburzeń ze spektrum autyzmu. Personel medyczny powinien jednoznacznie komunikować, że szczepionka MMR jest bezpieczna i skuteczna, a korzyści ze szczepienia znacznie przewyższają potencjalne ryzyko.5032
Podsumowanie korzyści i opieki pielęgniarsko-lekarskiej
Szczepionka MMR oferuje szereg istotnych korzyści zdrowotnych zarówno dla jednostek, jak i całych społeczności:5152
- Skuteczna ochrona przed trzema poważnymi chorobami zakaźnymi
- Zapobieganie potencjalnie poważnym powikłaniom tych chorób
- Przyczynianie się do odporności zbiorowiskowej, chroniącej osoby najbardziej podatne
- Długotrwała, potencjalnie dożywotnia odporność po pełnym schemacie szczepień
- Redukcja kosztów związanych z leczeniem chorób i ich powikłań
Opieka pielęgniarsko-lekarska w kontekście szczepień MMR obejmuje:1716
- Ocenę stanu zdrowia pacjenta przed szczepieniem
- Właściwe przygotowanie i podanie szczepionki
- Edukację pacjenta lub opiekunów na temat szczepienia i potencjalnych reakcji poszczepiennych
- Monitorowanie pacjenta po szczepieniu
- Postępowanie w przypadku wystąpienia działań niepożądanych
- Dokumentowanie procesu szczepienia
- Promocję szczepień w społeczeństwie
Kompleksowa opieka pielęgniarsko-lekarska, oparta na aktualnej wiedzy medycznej i empatycznym podejściu do pacjenta, jest kluczowa dla zapewnienia bezpieczeństwa i skuteczności szczepień przeciwko odrze, śwince i różyczce.1636
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Materiały źródłowe
- #1 MMR Vaccine (Measles, Mumps & Rubella Vaccination)https://my.clevelandclinic.org/health/procedures/mmr-vaccine
The MMR vaccine is highly effective at protecting you and your child against three serious viral infections: measles, mumps and rubella. […] The MMR vaccine can help prevent measles, mumps and rubella. These viral infections are all highly infectious conditions that can spread easily among people who arent vaccinated. […] The CDC recommends that children should receive two doses of the MMR vaccine. They should receive their first dose between 12 and 15 months old. They typically receive their second dose between 4 and 6 years old. […] The MMR vaccine reduces your risk of getting measles, mumps and rubella. These are all highly contagious viral infections that can cause serious, life-threatening health conditions. […] The MMR vaccine can provide strong protection against measles, mumps and rubella and the complications caused by these diseases.
- #2 MMR (measles, mumps and rubella) vaccine – NHShttps://www.nhs.uk/vaccinations/mmr-vaccine/
The MMR vaccine gives long-term protection against measles, mumps and rubella. […] The MMR vaccine protects against: measles, mumps, rubella (german measles). […] 2 doses of the MMR vaccine gives you long-term protection. […] Getting vaccinated also helps protect people who cannot be vaccinated, such as unborn babies, newborn babies and anyone with a weakened immune system. […] The MMR vaccine is recommended for all babies and young children, but older children and adults can have it if they were not vaccinated when they were younger. […] Babies and young children are given 2 doses of the MMR vaccine as part of the NHS vaccination schedule. […] The MMR vaccine can be given at any age. […] Speak to a GP about getting vaccinated if you did not have it as a child, you only had 1 dose or you’re not sure if you’ve been fully vaccinated.
- #3 MMR vaccine – Wikipediahttps://en.wikipedia.org/wiki/MMR_vaccine
The MMR vaccine is a vaccine against measles, mumps, and rubella (German measles), abbreviated as MMR. The first dose is generally given to children around 9 months to 15 months of age, with a second dose at 15 months to 6 years of age, with at least four weeks between the doses. After two doses, 97% of people are protected against measles, 88% against mumps, and at least 97% against rubella. The vaccine is also recommended for those who do not have evidence of immunity, those with well-controlled HIV/AIDS, and within 72 hours of exposure to measles among those who are incompletely immunized. It is given by injection. […] The MMR vaccine is widely used around the world. As of 2012, 575 million doses had been administered since the vaccine’s introduction worldwide. Measles resulted in 2.6 million deaths per year before immunization became common. This has decreased to 122,000 deaths per year as of 2012, mostly in low-income countries. Through vaccination, as of 2018, rates of measles in North and South America are very low. Rates of disease have been seen to increase in populations that go unvaccinated. Between 2000 and 2018, vaccination decreased measles deaths by 73%.
- #4 MMR (measles, mumps and rubella) vaccine – NHShttps://www.nhs.uk/vaccinations/mmr-vaccine/
You can have the MMR vaccine if you’re unwell but do not have a high temperature. […] The MMR vaccine is given as an injection into the upper arm or thigh. […] You’ll need 2 doses for full protection. […] Young children have the 1st dose when they’re 1 year old and the second when they’re between 3 years 4 months and 5 years old. […] Like all medicines, the MMR vaccine can cause side effects, but not everyone will get them. […] Common side effects are usually mild and only last 2 to 3 days. […] More serious side effects, such as a severe allergic reaction (anaphylaxis) are rare. […] Research has shown there is no link between the MMR vaccine and autism. […] Protection starts within 2 weeks of having the MMR vaccine. […] After 2 doses: around 99% of people will be protected against measles and rubella, around 88% of people will be protected against mumps.
- #5 Dosage and Administration for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)https://www.merckvaccines.com/mmr/dosing-administration/
M-M-RII offers health care providers like you a dosing regimen to help protect infants and children against measles, mumps, and rubella. […] M-M-RII is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older. […] The first dose of M-M-RII is administered at 12 to 15 months of age and the second dose of M-M-RII is administered at 4 to 6 years of age. […] M-M-RII is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those who are pregnant or are planning to become pregnant within the next month.
- #6 Measles Vaccination | Measles (Rubeola) | CDChttps://www.cdc.gov/measles/vaccines/index.html
Two doses of the MMR vaccine are recommended by doctors as the best way to protect against measles, mumps, and rubella. […] The best way to protect against measles is to get the measles, mumps, and rubella (MMR) vaccine. […] Most people who are vaccinated with MMR MMRV will be protected for life. […] Both MMR and MMRV vaccines may be given at the same time as other vaccines. […] Children need 2 doses of MMR vaccines: 12-15 months old for the 1st dose and 4-6 years old for the 2nd dose. […] Older children, adolescents, adults also need 1 or 2 doses of MMR vaccine if they don’t have evidence of immunity. […] Anyone traveling internationally should be fully vaccinated before traveling. […] MMR vaccine protects your child from measles, mumps, and rubella, potentially serious diseases caused by viruses.
- #7 VIS—MMR Vaccine (Measles, Mumps, and Rubella)https://www.abcpediatricsva.com/immunizations/MMR-Measles-Mumps-amp;-Rubella-Vaccine-What-You
MMR vaccine can prevent measles, mumps, and rubella. […] Children need 2 doses of MMR vaccine, usually: First dose at age 12 through 15 months, Second dose at age 4 through 6 years. […] Infants who will be traveling outside the United States when they are between 6 and 11 months of age should get a dose of MMR vaccine before travel. […] Older children, adolescents, and adults also need 1 or 2 doses of MMR vaccine if they are not already immune to measles, mumps, and rubella. […] A third dose of MMR might be recommended for certain people in mumps outbreak situations. […] MMR vaccine may be given at the same time as other vaccines. […] Tell your vaccination provider if the person getting the vaccine has had an allergic reaction after a previous dose of MMR or MMRV vaccine, or has any severe, life-threatening allergies.
- #8 Your Child’s Vaccines: Measles, Mumps & Rubella (MMR) Vaccine (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/mmr-vaccine.html
The MMR vaccine protects against measles, mumps, and rubella (German measles). […] Children get the MMR vaccine as a shot in 2 doses: at age 12-15 months and at age 4-6 years. […] Most children who get the MMR vaccine will be protected from the three diseases throughout their lives. […] Mild side effects are common and include pain, redness, or swelling at the site of the shot. […] Your doctor may choose not to give the vaccine or to postpone it, or they may decide that the benefits of vaccinating your child outweigh the possible risks. […] If your child develops a rash without other symptoms, no treatment is needed. […] Call your doctor if you aren’t sure if the vaccine should be postponed or avoided. […] There are problems after the vaccination.
- #9 MMR Vaccine: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mmr-vaccine-care-instructions.zc1879
An MMR vaccine protects against measles, mumps, and rubella. These diseases used to be common in children before the vaccine. Children get two doses of the MMR vaccine. They get the first dose when they are 12 to 15 months old and the second dose at 4 to 6 years old. Be sure to follow the vaccine schedule your doctor gives you. These shots will prevent measles, mumps, and rubella for life. […] A child who had a bad reaction to an MMR shot should not get another one. Be sure to tell your doctor if your child ever had a seizure or trouble breathing after a vaccine. […] Some parents worry that the MMR vaccine causes autism spectrum disorder (ASD) in children. But many studies have been done, and no link has been found between the MMR vaccine and ASD. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems.
- #10 MMR Vaccine (Measles, Mumps, and Rubella): MedlinePlus Drug InformationLockhttps://medlineplus.gov/druginfo/meds/a601176.html
MMR vaccine can prevent measles, mumps, and rubella. […] Most people who are vaccinated with MMR will be protected for life. Vaccines and high rates of vaccination have made these diseases much less common in the United States. […] Children need 2 doses of MMR vaccine, usually: First Dose: 12 through 15 months of age, Second Dose: 4 through 6 years of age. […] Infants who will be traveling outside the United States when they are between 6 and 11 months of age should get a dose of MMR vaccine before travel. […] Older children, adolescents, and adults also need 1 or 2 doses of MMR vaccine if they are not already immune to measles, mumps, and rubella. […] A third dose of MMR might be recommended in certain people in mumps outbreak situations. […] MMR vaccine may be given at the same time as other vaccines.
- #11 Route of Administration for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)https://www.merckvaccines.com/mmr/intramuscular-administration/
M-M-RII is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older. […] The first dose of M-M-RII is administered at 12 to 15 months of age and the second dose of M-M-RII is administered at 4 to 6 years of age. […] A single dose of M-M-RII is approximately 0.5 mL. It is administered intramuscularly or subcutaneously. […] M-M-RII is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those who are pregnant or are planning to become pregnant within the next month.
- #12 MMR (measles, mumps and rubella) vaccine – NHShttps://www.nhs.uk/vaccinations/mmr-vaccine/
You can have the MMR vaccine if you’re unwell but do not have a high temperature. […] The MMR vaccine is given as an injection into the upper arm or thigh. […] You’ll need 2 doses for full protection. […] Young children have the 1st dose when they’re 1 year old and the second when they’re between 3 years 4 months and 5 years old. […] Like all medicines, the MMR vaccine can cause side effects, but not everyone will get them. […] Common side effects are usually mild and only last 2 to 3 days. […] More serious side effects, such as a severe allergic reaction (anaphylaxis) are rare. […] Research has shown there is no link between the MMR vaccine and autism. […] Protection starts within 2 weeks of having the MMR vaccine. […] After 2 doses: around 99% of people will be protected against measles and rubella, around 88% of people will be protected against mumps.
- #13 Measles, mumps, and rubella virus vaccine live (subcutaneous route, intramuscular route) – Mayo Clinichttps://www.mayoclinic.org/drugs-supplements/measles-mumps-and-rubella-virus-vaccine-live-subcutaneous-route-intramuscular-route/description/drg-20062140
Measles, mumps, and rubella virus vaccine (live) is an active immunizing agent that is given to protect against infections caused by measles, mumps, and rubella (German measles). […] This vaccine is to be administered only by or under the supervision of your doctor or other health care professional. […] A nurse or other trained health professional will give your child this vaccine. It is given as a shot under your skin (usually in the thighs) or into one of your muscles. […] This vaccine is given in 2 doses. First dose is given at 12 to 15 months of age, while the second dose is given at 4 to 6 years of age. If this vaccine is not given on time, 2 doses will be given at least 4 weeks apart. […] Be sure to notify your doctor of any side effects that occur after you receive this vaccine.
- #14 MMR (measles, mumps and rubella) vaccinehttps://www2.hse.ie/conditions/mmr-vaccine/
The MMR vaccine is a safe and effective combined vaccine. […] The MMR vaccine is part of the childhood vaccination schedule in Ireland. […] If you have any questions about the vaccine, you can ask your GP or public health nurse for advice. […] Anyone who has not had 2 doses of the MMR vaccine can get the vaccine. […] It is important to get the vaccine if you: are a healthcare worker with direct patient contact. […] You should not get the MMR vaccine if you: had a severe allergic reaction (anaphylaxis) to a previous MMR vaccine. […] If you have a condition or take medicine that affects your immune system, check with your GP. […] The MMR vaccine is given as 2 doses of a single injection into the muscle of the upper arm or thigh. […] You need to wait for 15 minutes after the vaccine.
- #15 Measles (Rubeola) Nursing Care Planning and Management – Study Guidehttps://nurseslabs.com/measles/
The nurse caring for the child should be aware of the proper procedure to be done and how to handle the patient. […] Assessment of the patient with measles includes: […] The major goals for a child with measles are: […] Interventions for a child with measles are: […] Evaluation of a child with measles should include: […] Documentation for a patient with measles includes: […] The live MMR vaccine is used to induce active immunity against viruses that cause measles, mumps, and rubella.
- #16 MMR Vaccine – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK554450/
Collaboration with an interprofessional healthcare team, including physicians, nurses, pharmacists, and public health professionals, enhances patient outcomes by ensuring accurate vaccine delivery, addressing patient concerns, and coordinating follow-up care. […] The MMR vaccine is a live attenuated combination vaccine formulated with live attenuated viruses, making it a harmless, less-virulent version of the infectious agents it targets. This vaccine prevents infectious diseases such as measles, mumps, and rubella by strengthening the immune system. […] Vaccinating women before or during reproductive years is also important, as rubella can cause congenital malformations in the fetus. […] The administration of the MMR vaccine is appropriate for specific patient populations as post-exposure prophylaxis. Patient populations given the MMR vaccine as post-exposure prophylaxis include infants aged between 6 and 12 months who are immunocompetent and have been exposed in the last 72 hours, and non-pregnant patients 12 months or older who are immunocompetent with exposure in the previous 6 days.
- #17 Measles: What nurses need to know | National Nurses Unitedhttps://www.nationalnursesunited.org/measles-what-nurses-need-to-know
Measles, mumps, and rubella (MMR) vaccine is safe and highly effective. Two doses of the MMR vaccine are 97 percent effective against measles meaning the chances of becoming infected are 97 percent lower with the vaccine than without. […] The CDC recommends all children receive two doses of the MMR vaccine in the following timeframe: 12-15 months old: 1st dose, 4-6 years old: 2nd dose. […] Unvaccinated adults and children older than six years are strongly encouraged to get the MMR vaccine in order to be protected. […] Some partially vaccinated adults born after 1957 and before 1989 only received one dose of the vaccine and may need a second dose, especially if working in occupations where they may be exposed to measles, such as health care workers. […] To protect health care workers from occupational exposures to measles, health care employers should implement a multilayered infection prevention plan that combines prevention measures such as isolation, ventilation, and personal protective equipment (PPE) with vaccination. […] Health care workers without evidence of immunity should receive two doses of MMR vaccine, separated by at least 28 days.
- #18 MMR (measles, mumps and rubella) vaccine – NHShttps://www.nhs.uk/vaccinations/mmr-vaccine/
The MMR vaccine gives long-term protection against measles, mumps and rubella. […] The MMR vaccine protects against: measles, mumps, rubella (german measles). […] 2 doses of the MMR vaccine gives you long-term protection. […] Getting vaccinated also helps protect people who cannot be vaccinated, such as unborn babies, newborn babies and anyone with a weakened immune system. […] The MMR vaccine is recommended for all babies and young children, but older children and adults can have it if they were not vaccinated when they were younger. […] Babies and young children are given 2 doses of the MMR vaccine as part of the NHS vaccination schedule. […] The MMR vaccine can be given at any age. […] Speak to a GP about getting vaccinated if you did not have it as a child, you only had 1 dose or you’re not sure if you’ve been fully vaccinated.
- #19 MMR (measles, mumps and rubella) vaccine – NHShttps://www.nhs.uk/vaccinations/mmr-vaccine/
It’s especially important to make sure you’re vaccinated if: you’re a child, teenager or young adult, you could become pregnant, you’re travelling to, or living in, a country where there is a higher risk of getting measles, mumps or rubella, you’re a healthcare worker, you were born between 1970 and 1990 (as you may not have been vaccinated against all 3 infections). […] If you were born before 1970 and have not had measles, mumps or rubella (german measles) or their vaccines, you can ask your GP surgery for the MMR vaccine. […] Most people who need the MMR vaccine can have it. […] The MMR vaccine is not given if: you’re pregnant, you have a weakened immune system, either because of a health condition or because you are taking medicines that suppress the immune system, you’ve had a serious allergic reaction (anaphylaxis) to any ingredients in the vaccine, including gelatine or neomycin.
- #20 Measles vaccination recommendations with case(s) in Colorado | Colorado Department of Public Health and Environmenthttps://cdphe.colorado.gov/diseases-a-to-z/measles/measles-vaccination-recommendations
MMR vaccination is important for children and adults who are not already protected against measles, including: Students at colleges or other post-high school educational institutions, Health care workers, People traveling to areas where measles is spreading, People of childbearing age before they get pregnant. […] People recently exposed to measles who cannot readily show that they are immune to measles should be offered post-exposure prophylaxis (PEP). […] Yes, the MMR vaccine is safe for most people. Vaccines are continually monitored for safety through multiple systems. The MMR vaccine does not cause autism. […] Choosing to receive protection through vaccines for yourself or your child is much safer than getting a measles infection.
- #21
- #22 Ask The Experts About Vaccines: MMR (Measles, Mumps, and Rubella) | Immunize.orghttps://www.immunize.org/ask-experts/topic/mmr/
MMR vaccine is recommended routinely for all children at age 12 through 15 months, with a second dose at age 4 through 6 years. […] Adults with no evidence of immunity should get 1 dose of MMR vaccine. […] During an outbreak of measles, healthcare facilities should recommend 2 doses of MMR separated by at least 4 weeks for unvaccinated healthcare personnel regardless of birth year who lack laboratory evidence of measles or mumps immunity or laboratory confirmation of disease. […] People with medical conditions that contraindicate measles immunization depend on high MMR vaccination coverage among those around them. […] If patients who cannot get MMR vaccine are exposed to measles, CDC has guidelines for immune globulin for post-exposure prophylaxis. […] MMR vaccine given within 72 hours of initial measles exposure can reduce the risk of getting sick or reduce the severity of symptoms.
- #23 Dosage and Administration for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)https://www.merckvaccines.com/mmr/dosing-administration/
M-M-RII offers health care providers like you a dosing regimen to help protect infants and children against measles, mumps, and rubella. […] M-M-RII is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older. […] The first dose of M-M-RII is administered at 12 to 15 months of age and the second dose of M-M-RII is administered at 4 to 6 years of age. […] M-M-RII is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those who are pregnant or are planning to become pregnant within the next month.
- #24 Route of Administration for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)https://www.merckvaccines.com/mmr/intramuscular-administration/
Due caution should be employed in administration of M-M-RII to persons with: a history of febrile seizure or family history of febrile seizures; immediate-type hypersensitivity reactions to eggs; thrombocytopenia. […] Vaccination should be deferred in individuals with a family history of congenital or hereditary immunodeficiency until the individuals immune status has been evaluated and the individual has been found to be immunocompetent. […] Immune globulins (IG) and other blood products should not be given concurrently with M-M-RII. […] M-M-RII vaccine can be administered concurrently with other live viral vaccines. If not given concurrently, M-M-RII vaccine should be given one month before or one month after administration of other live viral vaccines to avoid potential for immune interference.
- #25 Dosage and Administration for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)https://www.merckvaccines.com/mmr/dosing-administration/
Due caution should be employed in administration of M-M-RII to persons with: a history of febrile seizure or family history of febrile seizures; immediate-type hypersensitivity reactions to eggs; thrombocytopenia. […] Vaccination should be deferred in individuals with a family history of congenital or hereditary immunodeficiency until the individuals immune status has been evaluated and the individual has been found to be immunocompetent. […] M-M-RII vaccine can be administered concurrently with other live viral vaccines. If not given concurrently, M-M-RII vaccine should be given one month before or one month after administration of other live viral vaccines to avoid potential for immune interference.
- #26 VIS—MMR Vaccine (Measles, Mumps, and Rubella)https://www.abcpediatricsva.com/immunizations/MMR-Measles-Mumps-amp;-Rubella-Vaccine-What-You
In some cases, your health care provider may decide to postpone MMR vaccination until a future visit. […] People with minor illnesses, such as a cold, may be vaccinated. […] Sore arm from the injection or redness where the shot is given, fever, and a mild rash can happen after MMR vaccination. […] More serious reactions happen rarely. […] In people with serious immune system problems, this vaccine may cause an infection that may be life-threatening. […] An allergic reaction could occur after the vaccinated person leaves the clinic. […] Adverse reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). […] The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.
- #27 Measles, Mumps, and Rubella (MMR) Vaccine – Infectious Diseases – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/infectious-diseases/immunization/measles-mumps-and-rubella-mmr-vaccine
The MMR vaccine is a routine childhood vaccination (see CDC: Child and Adolescent Immunization Schedule by Age). […] A second dose of MMR vaccine (or, if they have not been vaccinated, 2 doses given 28 days apart) is recommended for adults who are likely to be exposed: […] People born before 1957 are generally considered immune. However, such people who work within health care facilities (whether or not they have patient care duties) should be considered for vaccination if they have no evidence of immunity. […] Because rubella during pregnancy can have dire consequences for the fetus (eg, miscarriage, multiple birth defects), all women of childbearing age, regardless of birth year, should be screened for rubella immunity. […] Women who have been vaccinated should avoid becoming pregnant for 28 days afterward. The vaccine virus may be capable of infecting a fetus during early pregnancy. […] The MMR vaccine dose is 0.5 mL subcutaneous. The MMR vaccine is routinely given to children in 2 doses: one at age 12 to 15 months and one at age 4 to 6 years.
- #28 About the measles vaccine – King County, Washingtonhttps://kingcounty.gov/en/dept/dph/health-safety/disease-illness/measles/vaccine
Research has shown that the measles vaccine (MMR) is safe. Getting vaccinated is much safer than getting measles, mumps, or rubella. […] Like any medication, the measles vaccine (MMR) may cause side effects. Most are mild: Pain at the injection site, Fever, Mild rash, Swollen glands in the cheek or neck. […] Some vaccines are safe and important in pregnancy, like the flu, COVID, and Tdap vaccines. But pregnant people should not get the MMR vaccine. Anyone who is pregnant and needs the vaccine should wait until after giving birth. People should avoid getting pregnant for four weeks after getting the MMR vaccine. […] Babies should get the first dose of MMR at 12-15 months of age. The second dose, usually given at 4-6 years, will fully protect your child.
- #29 Ask The Experts About Vaccines: MMR (Measles, Mumps, and Rubella) | Immunize.orghttps://www.immunize.org/ask-experts/topic/mmr/
Breastfeeding does not interfere with the response to MMR vaccine. Vaccination of a woman who is breastfeeding poses no risk to the infant being breastfed. […] Healthcare personnel (HCP) with 2 documented doses of MMR vaccine are considered to be immune regardless of the results of a subsequent serologic test for measles, mumps, or rubella. […] There is no need to wait a specific interval before giving MMR. An injectable steroid dose is not considered immunosuppressive for the purpose of vaccination decisions. […] ACIP recommends that all HCP born during or after 1957 have adequate presumptive evidence of immunity to measles, mumps, and rubella.
- #30 Measles-Mumps-Rubella-Varicella Vaccine – Drugs and Lactation Database (LactMed®) – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK501687/
The Centers for Disease Control and Prevention and several health professional organizations state that vaccines given to a nursing mother do not affect the safety of breastfeeding for mothers or infants and that breastfeeding is not a contraindication to measles, mumps, rubella and varicella virus vaccine. Breastfed infants should be vaccinated according to the routine recommended schedules. […] Lack of exclusive breast feeding until 5 months of age is a risk factor for an infants poor response to measles vaccination. […] Limited data indicate that breastfeeding can enhance the response of the infant to certain vaccine antigens. […] Some breastfed infants acquire passive immunity to rubella after maternal vaccination as do infants of mothers with natural rubella immunity. However, neither group of infants had a decreased response to rubella vaccine administered to the infant at 15 to 18 months of age.
- #31 MMR Vaccine – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK554450/
The MMR vaccine should be administered after delivery to individuals who are not immunized, as the MMR vaccine is safe during breastfeeding. […] The efficacy and safety of the MMR vaccine in infants 12 months or younger are inconclusive. ACIP recommends 2 doses of MMR vaccine administered 28 or more days apart for catch-up immunization of previously unvaccinated children. […] In children with epilepsy, the recommendation is to administer antipyretic drugs for 6 to 12 days after administration of MMR, as fever that may occur as an adverse reaction may trigger seizures. […] Interprofessional coordination and collaboration among clinicians, specialists, pharmacists, nurses, and public health professionals can enhance patient outcomes when helping patients accept the MMR vaccine and prevent associated infections.
- #32 Measles, Mumps and Rubella (MMR) Vaccine | Baylor Scott & White Healthhttps://www.bswhealth.com/conditions/measles-rubeola/mmr-vaccine
There is no evidence that the MMR vaccine is a cause of autism in children. Extensive scientific studies involving children worldwide who received the MMR vaccination confirm that the vaccine is safe and does not contribute to autism development. […] The MMR vaccine has been proven to be effective with just two doses and provides lifelong protection. One dose of the MMR vaccine is 93% effective in preventing measles, 78% effective in preventing mumps, and 97% effective in preventing rubella. […] If you’ve been exposed to measles, mumps or rubella, and are not currently vaccinated, you should contact your healthcare provider about receiving the MMR vaccine. Receiving the MMR vaccine after exposure is safe and may help prevent the development of the virus. […] Reach out to your primary care provider or your child’s pediatrician if you have questions or are ready to schedule an appointment to receive the MMR vaccine.
- #33 MMR Vaccine (Measles, Mumps & Rubella Vaccination)https://my.clevelandclinic.org/health/procedures/mmr-vaccine
Most people who receive the MMR vaccine are protected for life against measles and rubella. While the vaccine is also effective at protecting against mumps, some people may lose immunity to the disease over time and may need an additional dose during a mumps outbreak. […] No one likes to get shots, but the MMR vaccine can protect you and your child against measles, mumps and rubella. All three of these viral infections can cause serious health complications. Theyre all highly contagious and can spread easily among people who havent received the MMR vaccination. Side effects of the MMR vaccine are mild and serious reactions are rare. Talk to your healthcare provider if you have any concerns.
- #34 Measles, Mumps, and Rubella (MMR)https://www.nj.gov/health/vaccines/mmr/
Most people who are vaccinated with MMR will be protected for life. […] The MMR vaccine is important for several reasons: […] The MMR vaccine significantly reduces the risk of these illnesses. […] Getting the vaccine helps shield them. […] When enough people are vaccinated, diseases have a harder time spreading. This community protection helps prevent outbreaks. […] If you’re traveling, even to developed countries, make sure you’re protected. […] Most people don’t have any side effects from the vaccine. […] You can get the MMR shot from your health care provider, local health department, pharmacy, urgent care center, or community clinic.
- #35 Measles Vaccination | Measles (Rubeola) | CDChttps://www.cdc.gov/measles/vaccines/index.html
The MMR vaccine is safe and effective at preventing measles, mumps, and rubella. […] It is safe for breastfeeding women to receive MMR vaccination. […] Most people don’t have any side effects from the vaccine. […] Your or your child’s doctors office is usually the best place to receive recommended vaccines. […] MMR vaccination is important for children as well as adults who do not have evidence of immunity.
- #36 Measles, mumps, rubella, varicella (chickenpox) â immunisation | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/healthyliving/measles-mumps-rubella-varicella-chickenpox-immunisation
Immunisation against measles, mumps and rubella can be provided with the MMR combination vaccine. […] Immunisation with MMRV vaccine at 18 months gives very young children early protection against measles, mumps, rubella and chickenpox. […] The combined MMR and MMRV vaccines are effective and safe, but all medications can have unwanted side effects. […] Common side effects following immunisation are usually mild and temporary (occurring in the first few days after vaccination). Specific treatment is not usually required. […] If a side effect following immunisation is unexpected, persistent or severe, or if you are worried about yourself or your child’s condition after a vaccination, see your doctor or immunisation nurse as soon as possible, or go directly to a hospital. […] Immunisation side effects may be reported to the Victorian Vaccine Safety Service (SAEFVIC), the central reporting service in Victoria on 1300 882 924 (option 1). You can discuss how to report problems in other states or territories with your immunisation provider.
- #37 MMR Vaccine: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mmr-vaccine-care-instructions.zc1879
Give acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) if your child has a slight fever after the MMR shot. […] Your child may get a mild rash after the MMR vaccine. It usually goes away without treatment. Call your doctor if the rash does not go away or it gets worse. […] Call your doctor now or seek immediate medical care if: You or your child has symptoms of an allergic reaction, such as: A rash or hives (raised, red areas on the skin). […] Watch closely for changes in your or your child’s health, and be sure to contact your doctor if you have any problems.
- #38 MMR (measles, mumps, and rubella) vaccine – what you need to know Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/special-topic/mmr-measles-mumps-and-rubella-vaccine-what-you-need-to-know
More serious reactions happen rarely. […] An allergic reaction could occur after the vaccinated person leaves the clinic. […] Adverse reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). […] The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.
- #39 Your Child’s Vaccines: Measles, Mumps & Rubella (MMR) Vaccine (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/mmr-vaccine.html
The MMR vaccine protects against measles, mumps, and rubella (German measles). […] Children get the MMR vaccine as a shot in 2 doses: at age 12-15 months and at age 4-6 years. […] Most children who get the MMR vaccine will be protected from the three diseases throughout their lives. […] Mild side effects are common and include pain, redness, or swelling at the site of the shot. […] Your doctor may choose not to give the vaccine or to postpone it, or they may decide that the benefits of vaccinating your child outweigh the possible risks. […] If your child develops a rash without other symptoms, no treatment is needed. […] Call your doctor if you aren’t sure if the vaccine should be postponed or avoided. […] There are problems after the vaccination.
- #40 Measles, mumps, rubella (MMR) vaccinehttps://myhealth.alberta.ca/Topic/Immunization/pages/mmr-vaccine.aspx
There can be side effects from the MMR vaccine. They tend to be mild and go away in a few days, but side effects can happen up to 6 weeks after having this vaccine. […] It is important to stay at the clinic for 15 minutes after your vaccine. Some people may have a rare but serious allergic reaction called anaphylaxis. […] It is rare to have a serious side effect after a vaccine. Call Health Link at 811 to report any serious or unusual side effects. […] There can be mild, short-term side effects after getting a vaccine. Find tips to manage these side effects at home.
- #41 Immunizations: Measles | Wisconsin Department of Health Serviceshttps://www.dhs.wisconsin.gov/immunization/measles.htm
The CDC recommends that college students who did not have two doses of MMR vaccine as children, or who do not have immunity, get two doses of MMR, separated by at least 28 days. […] The CDC recommends that health care personnel who did not have two doses of MMR vaccine as children, or who do not have immunity, get two doses of MMR, separated by at least 28 days. […] The CDC recommends that people 6 months and older who will be traveling internationally should be protected against measles. […] If you are not able to find your vaccination records or documentation of measles immunity, the CDC recommends that you should get vaccinated. […] There is no harm in getting another dose of MMR vaccine if you may already be immune to measles (or mumps or rubella).
- #42 About the measles vaccine – King County, Washingtonhttps://kingcounty.gov/en/dept/dph/health-safety/disease-illness/measles/vaccine
The most common vaccine for measles is MMR. This vaccine protects you from three diseases: measles, mumps, and rubella. The MMR vaccine is very safe and effective. Two doses of MMR vaccine are about 97% effective at preventing measles. One dose is about 93% effective. […] Vaccinations should take place at least two weeks before travel begins. Talk to your childs doctor about your childs specific health needs and your familys travel plans. […] Most adults need 1 dose of MMR vaccine in their lifetime. Get a dose of MMR if: were born in 1957 or later AND you’ve never had measles AND weren’t vaccinated AND don’t have a vaccine record or a blood test showing immunity. It’s safe and effective to get a dose, even if you were vaccinated in the past. […] If you’ve had two doses of MMR vaccine at any point in your life, you don’t need additional doses. The vaccine protection usually lasts for life.
- #43 Immunization Requirements | Hunter Collegehttps://hunter.cuny.edu/students/health-wellness/immunization-records/immunization-requirements/
You must submit proof of MMR (Measles, Mumps and Rubella) vaccinations and the Meningococcal Vaccination Response Form if you are an incoming student taking 6 or more credits. Failure to comply will result in an Administrative Withdrawal grade from all classes. […] You are required to provide legible proof of: […] MMR Vaccination (Measles, Mumps, Rubella – 2 doses after 01/01/1972 Dose #1 must be given at age 12 months or later Dose #2 must be given after 15 months of age – OR at least 28 days after first vaccine – OR Any MMR diagnosis must be accompanied by a titer test (especially rubella). […] Immunization clinics are available outside of Hunter College. Students currently enrolled in a post-secondary educational program are eligible to receive a free MMR vaccine through the Department of Health in order to fulfill school requirements.
- #44 Measles vaccines: Canadian immunization guide – Canada.cahttps://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-12-measles-vaccine.html
The goal of measles post-exposure prophylaxis (PEP) is to prevent severe disease, including hospitalization, as well as to prevent mortality. […] Recommended measles PEP strategies vary by population and may include measles-containing vaccine and human immunoglobulin (Ig) given either as intramuscular Ig (IMIg) or intravenous Ig (IVIg). […] Immunization with measles-containing vaccine is an integral element of a comprehensive measles outbreak prevention and management strategy. […] Susceptible residents of long-term care facilities should receive measles, mumps and rubella-containing vaccine as appropriate for their age and risk factors. […] Individuals who are immunocompromised, either due to underlying conditions or immunosuppressive agents, are more susceptible to infections including measles.
- #45 Measles Vaccination Recommendations – MN Dept. of Healthhttps://www.health.state.mn.us/diseases/measles/hcp/vaxrecs.html
Vaccination is the best way to prevent measles. Measles vaccine is available combined with mumps and rubella vaccines as MMR, or MMR combined with varicella vaccine as MMRV. The MMR vaccine is a live-attenuated (weakened) vaccine that produces a mild, non-infectious response. […] MMR vaccine provides long-lasting protection against measles. […] Patients who are severely immunocompromised for any reason should not be given MMR vaccine. However, HIV-infected individuals may receive MMR vaccination if they are not severely immunosuppressed. […] Women known to be pregnant should not receive measles vaccine. Pregnancy should be avoided for 4 weeks following MMR vaccine. […] MMR vaccine is about 93 percent effective at preventing measles after one dose and about 97 percent effective after two doses.
- #46 Measles, mumps, rubella (MMR) vaccinehttps://myhealth.alberta.ca/Topic/Immunization/pages/mmr-vaccine.aspx
Learn about the MMR vaccine, effectiveness, side effects, and safety. […] The following people can get this vaccine: children starting at age 12 months who are not getting MMR-Var, which is the MMR and varicella (chickenpox) vaccines […] Your healthcare provider may suggest you have the MMR vaccine if you are having a stem cell transplant. […] This vaccine may also be recommended if you have contact with the measles virus and have not had all of the recommended number of doses of measles vaccine. […] If you are planning to get pregnant, wait 1 month after getting this vaccine before you start trying to get pregnant. […] If you are having an organ transplant, ask your healthcare provider how many doses of measles, mumps, and rubella vaccine you need. […] Vaccine safety is a top priority. Canada uses extremely safe vaccines.
- #47 Measles, Mumps and Rubella (MMR): The Diseases & Vaccines | Children’s Hospital of Philadelphiahttps://www.chop.edu/vaccine-education-center/vaccine-details/measles-mumps-and-rubella-vaccines
Measles, mumps and rubella are all viral infections that caused widespread illness in the past. Vaccines to prevent each disease were first developed in the 1960s and then combined to form the MMR vaccine in the 1970s. […] The MMR vaccine contains vaccines that protect against three viral infections: measles, mumps and rubella. MMR vaccine is given as a series of two doses with the first dose at 12 to 15 months of age and the second at 4 to 6 years of age. […] The measles vaccine is a live, „weakened” form of natural measles virus. […] The effectiveness of the measles vaccine has been dramatic. Before the first measles vaccine became available in the United States (in 1963), 3-4 million people were diagnosed with measles, about 48,000 were admitted to hospitals and about 500 people died every year.
- #48 Measles, Mumps, and Rubella: Why the MMR Vaccine is More Important Than Ever – Wake Forest Pediatricshttps://wakeforestpediatrics.com/why-the-mmr-vaccine-is-more-important-than-ever/
Increasing vaccination rates is critical for disease control and prevention. Healthcare providers play a key role in educating families about the importance of vaccinations, addressing concerns about vaccine safety, and encouraging parents to follow the recommended vaccination schedule. […] The MMR vaccine has played a crucial role in protecting children and communities from measles, mumps, and rubella. By getting vaccinated and maintaining high vaccination rates, we can help prevent the spread of these contagious diseases and protect vulnerable individuals who cannot be vaccinated.
- #49 Measles Vaccine | AAFPhttps://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines/disease-pop-immunization/measles-vaccine.html
CDC encourages clinicians to encourage all their patients, including children, teens, and adults, to be up-to-date on MMR vaccinations and other recommended vaccines. […] Health care professionals should also be vigilant about identifying and reporting suspected measles cases. […] Be prepared to talk with your patients and reassure them that the benefits of measles immunization outweigh any adverse effects associated with the measles-mumps-rubella (MMR) vaccine. […] Encourage your patients to follow the recommended immunization schedules, which are based on the best available data and designed to maximize benefit and minimize risk. […] Parents may be concerned about fever, seizure, and autism as reasons for refusing the MMR vaccine. […] Reassure your patients that getting the MMR vaccine is much safer than getting measles.
- #50 Measles Vaccine | AAFPhttps://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines/disease-pop-immunization/measles-vaccine.html
If parents are concerned about an association between MMR vaccination and autism, reassure them that the claim that the MMR vaccine causes autism is a myth and is not true. […] More than 95% of individuals who receive a single dose of MMR will develop immunity to all three viruses (measles, mumps, and rubella). A second dose provides immunity to almost all individuals who did not respond to the first dose. […] Administering the MMR vaccine helps protect members of the community who are not eligible for the vaccine such as infants or immunocompromised individuals, because the spread of contagious disease is contained.
- #51 Measles, Mumps, and Rubella (MMR)https://www.nj.gov/health/vaccines/mmr/
Measles, mumps, and rubella can cause serious harm but the MMR vaccine is a safe, proven way to protect yourself, your child, and your community. Its one of the easiest and most effective steps you can take to prevent these contagious diseases. […] The MMR vaccine protects against measles, mumps, and rubella three contagious diseases that can cause serious health problems. […] Children should get two doses: the first at 12-15 months, and the second at 4-6 years old. […] Getting the MMR vaccine helps protect your health and the health of your community, including babies and others who can’t be vaccinated. […] The MMR vaccine protects against measles, mumps, and rubella three diseases that spread easily and can lead to serious health problems. […] The vaccine is given in two doses, usually starting in early childhood. Its been used safely for decades and is highly effective at preventing illness.
- #52 When and where to get a measles vaccine | Board of Health | City of Philadelphiahttps://www.phila.gov/2025-03-24-when-and-where-to-get-a-measles-vaccine/
Choosing to get the MMR (measles-mumps-rubella) vaccine is the ONLY way to prevent you and your child from getting measles! Read on to find out who should get vaccinated and where to go. […] Anyone not immune to measles or who falls into one of the following categories is due for an MMR (measles-mumps-rubella) vaccine dose: […] MMR vaccines should be given at least 28 days apart from each other. […] If you’ve already received two routine vaccine doses, you don’t need any more, even if you were exposed to measles since the MMR vaccines provide lifelong protection. […] The MMR vaccine provides lifelong protection and is: […] Measles is highly contagious, but completely preventable with vaccination.