Vaccination FAQs

  • Medical Author:

    Dr. Eddie Hooker is currently an Assistant Professor in the Department of Health Services Administration at Xavier University in Cincinnati, Ohio. He is also an Associate Clinical Professor in the Department of Emergency Medicine at the University of Louisville and at Wright State University. His areas of expertise include emergency medicine, epidemiology, health-services management, and public health.

  • Medical Editor: Melissa Conrad Stöppler, MD
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

View the Travel Health and Vaccines Slideshow Pictures

Are there different types of vaccines?

There are two major categories of vaccines.

  • The first category of vaccine is made from live viruses that have been "attenuated" or weakened so that they do not cause the disease (Table 2). Usually, any symptoms caused by the vaccine is milder than the natural disease. The attenuated viruses elicit a strong immune response as the virus is very close to the virus that causes the disease.
  • The second category of vaccine, inactivated vaccine, is produced by growing the bacterium or virus in culture and then inactivating it (killing it) by using heat or chemicals (Table 3). These vaccines cannot cause the disease, but allow the body to develop immunity. While these vaccines are safer, they do not produce protection as good as that from the live vaccines.
Table 2: Live attenuated vaccines
Measles
Mumps
Rubella
Vaccinia
Varicella
Zoster
Yellow fever
Rotavirus
Intranasal influenza
Oral polio
BCG
Oral typhoid
Table 3: Inactivated (killed) vaccines
Diphtheria
Tetanus
Polio shot
Hepatitis A
Hepatitis B
Rabies
Influenza shot
Pertussis
Acellular pertussis
Human papillomavirus
Anthrax
Typhoid shot
Cholera
Pneumococcus
Meningococcus
Salmonella
Haemophilus influenza type b

Can people receive multiple vaccinations during one visit to the doctor?

Simultaneous administration (vaccines given at the same visit but not in the same shot) of most commonly used vaccines does not decrease the response to the vaccines or increase the risk for adverse reactions. The simultaneous administration of vaccines was instituted to increase compliance with recommended immunization schedules. If people have to come back many times to get additional shots, there is an increased chance that they will not get all recommended vaccinations. In children, there are now a few combination shots that contain multiple vaccines in a single shot. Most of these are approved for use in adults, except Tdap (a three-vaccine combination) and one containing measles/mumps/rubella (MMR). There is an ongoing controversy in the public media about giving "too many" vaccines at one time to little children. Physicians, however, do not believe that children are at risk from "too many" vaccinations given at one time.

Medically Reviewed by a Doctor on 9/25/2015

Subscribe to MedicineNet's Newsletters

Get the latest health and medical information delivered direct to your inbox!

By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time.

VIEW PATIENT COMMENTS
  • Vaccinations - Indications

    Have you followed the standard recommendations to vaccinate you or your children? Why or why not?

    Post
  • Vaccinations - Contraindications

    Are you a person who has a condition that prevents you from being vaccinated? Please describe it.

    Post

Health Solutions From Our Sponsors