So many people have mentioned that family & friends who will be in close contact with an infant need to have gotten the TDAP vaccine within the past year or so. I can't find anything in writing that says that though. The CDC website says adults only need it once in their lifetime. I know WE need a booster in our last trimester but I'm trying to find documentation for my dad because he says insurance won't cover it since CDC says once in a lifetime. Are your peds recommending a booster? I've been told within 1 year, within 5 years, within 7-10 years & only once in a lifetime. Arg what the heck. Several of my family members are pushing back because they got it in like 2008.
Our pedi and my MW said every 5 years but it's harmless to get an additional booster so, really, it's best if they can just get another one. The vaccine's effectiveness begins depleting immediately so, in theory, it is more effective if you just had one 3 months ago vs 3 years ago
Post by redhead610 on Jul 11, 2016 15:20:48 GMT -5
We asked my OB and she said that dh didn't need another one (he had it 3 years ago when I was pregnant with ds1). DS1 has a pedi appt Friday, so I may ask about it just to be safe.
This was two years ago, but I got the TDAP shot from Walgreens and I think it was about $50-$60 without insurance. I'm not sure if that is helpful to you.
I know a booster won't hurt but the primary concern seems to be that insurance isn't going to cover it since the CDC says only once ever. For those of you whose family members have gotten a booster, was that an issue?
This is so not my hill to die on. We get it because it offers some immunity to baby. H got his in 2010 and I'm not making him get a booster. If you have to get it, check with health dept. Here they give them for $20 if your insurance doesn't cover it.
Post by remylove1011 on Jul 11, 2016 15:58:55 GMT -5
My OB said it has to be within last 5 years. Literally said not to let people are her if they weren't willing to do it. My mom and DH have both done it without issue.
It actually surprises me that the CDC hasn't changed their viewpoint since they have a FAQ where they answer a question about the vaccine protecting for a lifetime and discuss waning immunity after certain number of years.
Last Edit: Jul 11, 2016 17:02:53 GMT -5 by remylove1011
Me (30) MH (32) Dx: MFI (low all the things) M. 10/11. TTC Since 01/14 IUI#1-3(Letrozole + Trigger) = BFN Second Opinion. Changed RE's. IVF 09/15 Long Lupron 12R/9M/8F, Transferred 1=BFN. 4 frosties. FET #1 12/15 Transferred 1 (3 still on ice)
I know a booster won't hurt but the primary concern seems to be that insurance isn't going to cover it since the CDC says only once ever. For those of you whose family members have gotten a booster, was that an issue?
The hospital where I gave birth to DD1 gave them for free to friends/family of anyone at L&D. So it might be worth calling the hospital and seeing if they have a similar program.
This was two years ago, but I got the TDAP shot from Walgreens and I think it was about $50-$60 without insurance. I'm not sure if that is helpful to you.
This helps me because I don't know if our nanny has insurance and I will pay for hers outright if she needs it.
The hospital where I gave birth to DD1 gave them for free to friends/family of anyone at L&D. So it might be worth calling the hospital and seeing if they have a similar program.
I already checked with the hospital and they don't. I guess what is confusing me is if all these pediatricians are saying this, where are they getting the information?? I just want something in writing that I can send to my family. It's interesting because when my husband went to get a TDAP booster last week the doctor even tried to convince him that he did not need it because he got one in 2011. He got it anyways and was warned by them insurance may not pay for it. But again this isn't about me & my H & our costs. It's convincing my extended family to get it and the fact that I don't have anything in writing backing up this claim from the CDC etc. if anything the CDC goes an opposite extreme saying once in a lifetime (and therefore their own insurance may not cover it). I would think if all these pediatricians are saying it should be recent country wide then the info has got to be published somewhere.
SO is going on Wednesday to ask if he should get the TDAP. In his case he never got it due to his siblings having poor reactions in childhood. His sister, who is also pregnant, is debating upon getting it since she had a bad reaction when she got it. I got mine the day they told me to and had it a few months prior. We also asked the 2 yr old's Dr. if he had received the vaccine.
The moral is, I think its worth asking a Dr about.
Post by remylove1011 on Jul 11, 2016 19:22:28 GMT -5
MH and my mom both actually went to clinic at the pharmacy. Both gave the reason for needing it as me having a baby and the NPs said it was a good idea. Insurance covered without issue. I have an OB appt tomorrow and they have a fact sheet that they keep in each room. I'll check it for some info for you.
Me (30) MH (32) Dx: MFI (low all the things) M. 10/11. TTC Since 01/14 IUI#1-3(Letrozole + Trigger) = BFN Second Opinion. Changed RE's. IVF 09/15 Long Lupron 12R/9M/8F, Transferred 1=BFN. 4 frosties. FET #1 12/15 Transferred 1 (3 still on ice)
Our families all got it less than two years ago when DD was born. Since this baby is a heart baby and we will need to be even more careful, anyone who visits before he gets surgery will need to have TDAP and flu vaccine (when that's available).
Post by frodabaggins on Jul 12, 2016 14:53:05 GMT -5
I am just making sure everyone has had one since 2011 because that's what my OB said. My husband got one in 2014 when DS was born. I got one after giving birth before leaving the hospital first time around - is it markedly better to do it while still pregnant?
I am just making sure everyone has had one since 2011 because that's what my OB said. My husband got one in 2014 when DS was born. I got one after giving birth before leaving the hospital first time around - is it markedly better to do it while still pregnant?
Studies show that it does convey some immunity, even to preemies, if mom gets it during the pregnancy. In my book that's a big win.
I am just making sure everyone has had one since 2011 because that's what my OB said. My husband got one in 2014 when DS was born. I got one after giving birth before leaving the hospital first time around - is it markedly better to do it while still pregnant?
Studies show that it does convey some immunity, even to preemies, if mom gets it during the pregnancy. In my book that's a big win.
I had read that the immunity passes through your breast milk too, but not sure if that was in a study or just anecdotal. It made me feel better that I had missed getting it during pregnancy last time, but this time I definitely want to make sure I handle that at my next appt!
Post by ameliabird on Jul 12, 2016 23:22:59 GMT -5
katelm, Here's what I found on the CDC's website about TDap:
On June 10, 2005, a tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) formulated for use in adults and adolescents was licensed in the United States for persons aged 11--64 years (ADACEL®, manufactured by sanofi pasteur, Toronto, Ontario, Canada). Prelicensure studies demonstrated safety and efficacy, inferred through immunogenicity, against tetanus, diphtheria, and pertussis when Tdap was administered as a single booster dose to adults. To reduce pertussis morbidity among adults and maintain the standard of care for tetanus and diphtheria prevention and to reduce the transmission of pertussis to infants and in health-care settings, the Advisory Committee on Immunization Practices (ACIP) recommends that: 1) adults aged 19--64 years should receive a single dose of Tdap to replace tetanus and diphtheria toxoids vaccine (Td) for booster immunization against tetanus, diphtheria, and pertussis if they received their last dose of Td >10 years earlier and they have not previously received Tdap; 2) intervals shorter than 10 years since the last Td may be used for booster protection against pertussis; 3) adults who have or who anticipate having close contact with an infant aged <12 months (e.g., parents, grandparents aged <65 years, child-care providers, and health-care personnel) should receive a single dose of Tdap to reduce the risk for transmitting pertussis. An interval as short as 2 years from the last Td is suggested; shorter intervals can be used. When possible, women should receive Tdap before becoming pregnant. Women who have not previously received Tdap should receive a dose of Tdap in the immediate postpartum period; 4) health-care personnel who work in hospitals or ambulatory care settings and have direct patient contact should receive a single dose of Tdap as soon as feasible if they have not previously received Tdap. An interval as short as 2 years from the last dose of Td is recommended; shorter intervals may be used. These recommendations for use of Tdap in health-care personnel are supported by the Healthcare Infection Control Practices Advisory Committee (HICPAC). This statement 1) reviews pertussis, tetanus and diphtheria vaccination policy in the United States; 2) describes the clinical features and epidemiology of pertussis among adults; 3) summarizes the immunogenicity, efficacy, and safety data of Tdap; and 4) presents recommendations for the use of Tdap among adults aged 19--64 years.
I hope this helps. I'll probably be sending this info to my ILs. My mom had hers a couple years ago and DH had his when DD was born, so they should be good.
katelm, Here's what I found on the CDC's website about TDap:
On June 10, 2005, a tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) formulated for use in adults and adolescents was licensed in the United States for persons aged 11--64 years (ADACEL®, manufactured by sanofi pasteur, Toronto, Ontario, Canada). Prelicensure studies demonstrated safety and efficacy, inferred through immunogenicity, against tetanus, diphtheria, and pertussis when Tdap was administered as a single booster dose to adults. To reduce pertussis morbidity among adults and maintain the standard of care for tetanus and diphtheria prevention and to reduce the transmission of pertussis to infants and in health-care settings, the Advisory Committee on Immunization Practices (ACIP) recommends that: 1) adults aged 19--64 years should receive a single dose of Tdap to replace tetanus and diphtheria toxoids vaccine (Td) for booster immunization against tetanus, diphtheria, and pertussis if they received their last dose of Td >10 years earlier and they have not previously received Tdap; 2) intervals shorter than 10 years since the last Td may be used for booster protection against pertussis; 3) adults who have or who anticipate having close contact with an infant aged <12 months (e.g., parents, grandparents aged <65 years, child-care providers, and health-care personnel) should receive a single dose of Tdap to reduce the risk for transmitting pertussis. An interval as short as 2 years from the last Td is suggested; shorter intervals can be used. When possible, women should receive Tdap before becoming pregnant. Women who have not previously received Tdap should receive a dose of Tdap in the immediate postpartum period; 4) health-care personnel who work in hospitals or ambulatory care settings and have direct patient contact should receive a single dose of Tdap as soon as feasible if they have not previously received Tdap. An interval as short as 2 years from the last dose of Td is recommended; shorter intervals may be used. These recommendations for use of Tdap in health-care personnel are supported by the Healthcare Infection Control Practices Advisory Committee (HICPAC). This statement 1) reviews pertussis, tetanus and diphtheria vaccination policy in the United States; 2) describes the clinical features and epidemiology of pertussis among adults; 3) summarizes the immunogenicity, efficacy, and safety data of Tdap; and 4) presents recommendations for the use of Tdap among adults aged 19--64 years.
I hope this helps. I'll probably be sending this info to my ILs. My mom had hers a couple years ago and DH had his when DD was born, so they should be good.
So basically how I read that is only a single TDAP dose is needed in adults. Which is why my family is trying to say they are fine & don't need it again. Ugh all of this mixed information
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