Tag: VAERS

Standing Orders for Vaccination

Have you heard about standing orders for vaccination?

Anti-vax folks have become overt in how they are now all about conspiracy theories.
Anti-vax folks have become overt in how they are now all about conspiracy theories.

Guess what?

Standing orders does not mean “covert vaccination without consent.”

Standing Orders for Vaccination

For one thing, there is nothing covert about them.

In addition to the Take a Stand! website, the Immunization Action Coalition has hosted workshops all over the United States on using standing orders to increase vaccination rates.

And they aren’t about vaccinating people without their consent.

So what are standing orders for vaccination?

“Standing orders are written protocols approved by a physician or other authorized practitioner that allow qualified health care professionals (who are eligible to do so under state law, such as registered nurses or pharmacists) to assess the need for and administer vaccine to patients meeting certain criteria, such as age or underlying medical condition.”

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

Again, that doesn’t mean you can skip getting informed consent before giving vaccines.

“Having standing orders in place streamlines your practice workflow by eliminating the need to obtain an individual physician’s order to vaccinate each patient.”

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting

All standing orders do is eliminate the need for doctors and other health care providers to assess and write orders for vaccines on each and every patient they see.

Instead, standing orders help delegate that part of the vaccination process to other qualified health care professionals to help make sure that “immunizations are available at all visits, sick or well, regular hours, or weekend clinics.”

Everything else is essentially the same.

Even with standing orders, you still have to get informed consent before giving a vaccine.
Even with standing orders, you still have to get informed consent before giving a vaccine.

The health care provider giving the vaccine still has to:

So what’s the benefit of standing orders?

It removes some of the barriers to getting vaccines, such as needing a well child checkup or physical exam, allowing for vaccination-only appointments.

“The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.”

Vaccination Programs: Standing Orders

Standing orders also help make sure that you keep kids on schedule or get them caught up as health care providers automatically check their vaccination status at each and every visit to the office, even during sick visits.

For example, if you child comes in for an appointment in October with a mild ear infection or because they have a wart, a standing order for a flu vaccine can help make sure you child is vaccinated and protected before flu season starts.

Standing orders do not override laws requiring informed consent.
Standing orders do not override laws requiring informed consent and there is no single form that would give consent to all medical procedures.

It should be obvious that standing orders simply lead to fewer missed opportunities to be vaccinated and protected.

Not surprisingly, their source and evidence for forced vaccination is simply another anti-vaccine website...
Not surprisingly, their source and evidence for forced vaccination is simply another anti-vaccine website…

There is nothing covert about them.

“Consent is a communications process, not a form. The process provides an opportunity for the patient to understand the benefits, risks and alternatives to the treatment he or she is about to undergo, and for the physician to explain these in detail. Forms are used to document the process.”

Consents Policy

Not even in the way anti-vax are using them to try and scare you away from vaccinating and protecting your kids.

More on Standing Orders for Vaccination

Do One Out of 39 Vaccinated Children Suffer Serious Injuries?

Why do some folks think that one out of 39 vaccinated children suffer serious injuries?

Serious injuries are not common after vaccines.
In addition to myths about serious injuries, these folks are getting hit with a lot of conspiracy theories about vaccines.

Because that’s what they are told in anti-vax Facebook groups

Do One Out of 39 Vaccinated Children Suffer Serious Injuries?

If they actually took the time to read the report cited in the post, the pilot study conducted by the Federal Agency for Health Care Research (AHCR) via the U.S. Department of Health and Human Services (HHS) back in 2010, they would actually see that it doesn’t actually say anything about serious vaccine injuries.

The study actually looked at all possible reactions, not just "serious injuries."
They don’t mention this, but the study actually looked at all possible reactions, not just “serious injuries.”

The study, which look at VAERS reports, was actually talking about ALL possible reactions after a child was vaccinated, so would include more mild reactions, like fever, pain, and redness at the injection site.

“The same study found that typical clinicians see 1.3 vaccine injuries per month.”

Robert F. Kennedy, Jr., Chairman, Children’s Health Defense

In case you haven’t recognized it yet, they are talking about the infamous “Harvard study.”

Well, infamous in anti-vax circles…

They use it to scare parents into thinking that vaccine injuries are more common than they really are and that they are rarely reported.

Don’t let this kind of vaccine misinformation get in the way of your vaccinating and protecting your kids.

Vaccines are safe, with few risks.

More on Serious Vaccine Injuries

Bobby Kennedy’s Vaccine Injury Debate

Why do some folks think that vaccine injuries are so common?

Unlike Bobby Kennedy, the CDC explains that severe injuries from vaccines are very rare.
Unlike Bobby Kennedy, the CDC explains that severe injuries from vaccines are very rare.

Oh, the usual suspects…

Bobby Kennedy’s Vaccine Injury Debate

Hopefully everyone sees what Bobby Kennedy is doing here.

He is mixing up a lot of different things, hoping you won’t notice and that you will walk away scared to vaccinate and protect your kids.

First things first.

Does the CDC say that 1 in 1,000,000 may be injured by shots?

Actually, no.

That sounds like the rate for severe vaccine injuries, like anaphylaxis and death.

What Bobby Kennedy is talking about though, that Federal Study, is a report, Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS), that was conducted at Harvard Pilgrim Health Care, Inc.

“Preliminary data were collected from June 2006 through October 2009 on 715,000 patients, and 1.4 million doses (of 45 different vaccines) were given to 376,452 individuals. Of these doses, 35,570 possible reactions (2.6 percent of vaccinations) were identified.”

Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)

The study identified all possible reactions, including minor reactions, like pain and fever, and wasn’t looking at just vaccine injuries, unless that is what you consider to be a vaccine injury. And since the study was looking at VAERS and possible reactions, they were not even necessarily causally related to the vaccines that the kids were given.

What else does Bobby Kennedy say?

“Slide 3 is a table from HHS’s 2016 Neiss-Cades survey published in JAMA reporting an astonishing 19.5% of children under five who are admitted to emergency rooms for drug reactions are suffering vaccine injuries.”

Bobby Kennedy

What kind of vaccine injuries?

They are vaccination reactions – any adverse effect from a vaccine. They could be fever, hives, or a febrile seizure – we don’t know. Importantly, only a very small percentage of those kids who went to the ER were hospitalized.

Lastly, Bobby Kennedy wonders how a pediatrician might claim to have never seen a vaccine injury.

It’s easy to understand his confusion.

Getting listed in a vaccine insert doesn't automatically make something a vaccine injury.
Getting listed in a vaccine insert doesn’t automatically make something a vaccine injury.

Most people reserve the term vaccine injury for the more severe reactions covered under the Vaccine Injury Table, like anaphylaxis, VAPP, thrombocytopenic purpura, and intussusception.

And they use the term side effects for the more temporary reactions that are thought to be caused by a vaccine.

All of these vaccine adverse events can be reported to VAERS online or using a downloadable form.
All of these vaccine adverse events can be reported to VAERS online or using a downloadable form.

That’s very unlike those folks who consider anything and everything that happens after a child is vaccinated, even if it is many months later, to be a vaccine injury, including things like ADHD, diabetes, and autism, etc.

More on Vaccine Injuries

Are Vaccines Only Tested for 4 or 5 Days?

Where do some folks get the idea that vaccines are only tested for 4.5 days?

Anti-vax protestors often carry signs that say vaccines are only tested for 4.5 days. Don't believe them.
Anti-vax protestors often carry signs that say vaccines are only tested for 4.5 days. Don’t believe them.

The usual suspects…

Are Vaccines Only Tested for 4 or 5 Days?

But who gave them the idea to put it on their sign?

Again, the usual suspects…

Did the idea that vaccines are only tested for 4.5 days come from JB Handley, Children’s Health Defense Director and Co-Founder of Generation Rescue?
Did the idea that vaccines are only tested for 4.5 days come from JB Handley, Children’s Health Defense Director and Co-Founder of Generation Rescue?

Before we actually look to see if the original clinical trials for the hepatitis B vaccines only “solicited adverse reactions” for four or five days after vaccination, lets see what the safety studies have shown since these vaccines were approved in the 1980s.

These and other studies have shown that the hepatitis B vaccines are safe.

What about the idea that we only know what happens in the first four or five days after the vaccine is given?

Hepatitis B Vaccine Safety Testing

That’s not true. There are plenty of long term studies and safety studies typically collect safety information for weeks and months after a child is vaccinated.

“Open-ended diaries were provided to the parent(s) or guardian of the child before the vaccination program began in which to record any health problems that occurred 1 month before and 1 month following each of the 3 doses of vaccine, whether or not a health professional was consulted.”

De Serres et al on Importance of attributable risk in monitoring adverse events after immunization: hepatitis B vaccination in children.

Still, it is important to note that the further you get from a vaccination, the less likely that an adverse event is actually going to be caused by the vaccine though.

Consider the study by De Serres, Importance of attributable risk in monitoring adverse events after immunization: hepatitis B vaccination in children, in which they looked at the reports of adverse events both before and after vaccination and concluded that “postimmunization incidence systematically overestimates the risk of adverse events.”

Vaccines are tested very carefully, starting with small phase I and phase II trials, before moving to larger and longer lasting phase III trials.
Vaccines are tested very carefully, starting with small phase I and phase II trials, before moving to larger and longer lasting phase III trials.

It is also very important to note that like other vaccines, the hepatitis B vaccine was well tested before it was approved.

Although this was an efficacy trial, it included a double blind, placebo control and the researchers did notice any side effects.
Although this was an efficacy trial, it included a double blind, placebo control and the researchers did notice any side effects.

And many of the studies did include a placebo group.

A lot of folks in the placebo group for the hepatitis B vaccine trials got hepatitis B.
A lot of folks in the placebo group for the hepatitis B vaccine trials got hepatitis B.

Unfortunately, a lot of the folks in the placebo groups ended up getting hepatitis B.

In one study, Hepatitis B vaccine: efficacy in high-risk settings, a two-year study, which included an unvaccinated control group – “The control group was comprised of 31 patients and 24 staff members who had not been in contact with HBV until they entered the units and who did not wish to be vaccinated.”

What happens when you do a vaccinated vs unvaccinated study?
What happens when you do a vaccinated vs unvaccinated study?

Importantly, this study found “no local or general reaction to the immunization. A monthly biological and clinical survey of the vaccinated subjects showed no evidence of complication due to vaccination, especially no sign of auto­immunity.”

So why do we still hear the myth that vaccines are only tested for 4.5 days?

Anti-vax folks need to convince their followers that vaccines aren’t safe.

A careful look at all that went into the development of the hepatitis B vaccines shows that they are.

It also shows that vaccines are very necessary.

More on Hepatitis B Vaccine Safety Testing