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Appendices

The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.

Section 1. Active and Passive Immunization

ACTIVE IMMUNIZATION

Managing Injection Pain

Concerns and resulting anxiety about injections are common at any age. Current immunization schedules sometimes require children to receive 3 or more injections during a single visit. Although most children older than 5 years of age usually accept immunization with minimal opposition, a significant number of older children react vigorously or refuse to receive the injection. Effective practical techniques can be used to ameliorate some of the discomfort of injections.

A planned approach to managing the child before, during, and after immunization is helpful for children of any age. Truthful and empathetic preparation for injections is more beneficial for older than for younger children. Parents should be advised never to threaten their children with injections or use them as a punishment for inappropriate behavior.

If possible, parents should have a role in comforting their child, rather than in . . . [Go to Full Text]