Rotavirus – immunisation

Rotavirus – immunisation

About rotavirus

Rotavirus

causes a serious infectious form of

gastroenteritis

. The illness usually begins suddenly with vomiting, followed by

diarrhoea

.

Some people show no symptoms, but very young children are more likely to develop serious symptoms ranging from mild diarrhoea to life-threatening dehydrating diarrhoea that requires hospitalisation and can lead to death.

A national rotavirus vaccination program which began in 2007 has significantly reduced hospital presentations for gastroenteritis. Those who do go into hospital are usually less severely affected.

You can reduce the risk of rotavirus infection for your baby with immunisation. All children should receive the vaccine. If they are not immunised, they could contract rotavirus if their food, water or hands are contaminated with the faeces (poo) of an infected person.

Serious side effects or

allergic reactions

to the vaccine are rare. If you are concerned about your child’s reaction to any vaccine, see your doctor immediately.

Immunisation against rotavirus

Protection against rotavirus is available free of charge under the

National Immunisation Program

Schedule

External Link

.

In Victoria, immunisation against rotavirus is free for babies, and it is given by mouth in 2 doses at 2 and 4 months of age. The first dose must be given by the time babies are 14 weeks and 6 days of age and the second dose must be given by 24 weeks and 6 days. There must be a minimum interval of 4 weeks between the first and second dose.

The vaccine does not protect against other types of diarrhoea, but it reduces the risk of life-threatening diarrhoea caused by rotavirus.

Pre-immunisation checklist

Before receiving the vaccine, tell your doctor or nurse if your child:

is older than the recommended age ranges for either dose

is unwell (temperature over 38.5 °C)

has had a serious reaction to any vaccine

has had a severe

allergy

to anything

has a history of a chronic gastrointestinal disease

has had intussusception or a congenital abnormality that may lead to intussusception

is taking steroid medication

has received a

blood transfusion

or blood products

has lowered immunity due to

immune system

deficiency, abnormal blood conditions or disorders,

cancer

,

HIV

or certain medications

lives in a household with someone who has lowered immunity.

Side effects of rotavirus vaccine

The vaccine against rotavirus is generally effective and safe, although all medication can have unwanted side effects.

Rare side effects of the rotavirus vaccine

There is a very small risk of a serious allergic reaction called

anaphylaxis

to any vaccine. This is why you are advised to stay at the clinic or medical surgery for at least 15 minutes following immunisation in case further treatment is required.

Intussusception (a blockage caused by one portion of the bowel sliding into the next piece of bowel like the pieces of a telescope) can occur (on rare occasions) in babies, mainly in the first one to 7 days following the first or second dose of rotavirus vaccine. Signs that a baby may have intussusception include:

bouts of crying

pale appearance

pulling the legs up to the stomach

vomiting

passing blood in their stools (poo).

Recent studies suggest that there is a slight increase in the risk of intussusception among babies in the first one to 7 days following the first or second dose of rotavirus vaccine. The risk is approximately 6 extra cases of intussusception for every 100,000 infants vaccinated or 14 additional babies a year getting intussusception in Australia.

Concerns about immunisation side effects

If any 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

SAEFVIC

External Link

, the Victorian vaccine safety and central reporting service.

In other states or territories, you can discuss with your immunisation provider how to report adverse events.

It is important to seek medical advice if you (or your child) are unwell, as this may be due to other illness rather than due to the vaccination.

Immunisation and HALO

The immunisations you may need are decided by your health, age, lifestyle and occupation. Together, these factors are referred to as HALO.

Talk to your doctor or immunisation provider if you think you or someone in your care has health, age, lifestyle or occupation factors that could mean immunisation is necessary. You can check your immunisation HALO using the Immunisation for Life infographic.

Immunisation for Life infographic (PDF)

pdf

376.29 KB

Where to get help

In an emergency, always call triple zero (000)

Your

GP (doctor)

Emergency department of your nearest hospital

Your local council immunisation service

Maternal and Child Health Line

Tel.

13 22 29

(24 hours, 7 days)

NURSE-ON-CALL

. Tel.

1300 60 60 24

– for expert health information and advice (24 hours, 7 days)

Immunisation Unit, Department of

Health

External Link

, Victorian Government Email:

immunisation@health.vic.gov.au

National Immunisation Information

Line

External Link

Tel.

1800 671 811

Pharmacist

SAEFVIC

External Link

Tel.

1300 882 924

(select option 1)

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