Parents in Germany who fail to seek medical advice on vaccinating their children could face fines of up to €2,500 (£2,175; $2,800).
Health Minister Hermann Gröhe said it was necessary to tighten the law because of a measles epidemic.
For the Consumer
Applies to measles virus vaccine: subcutaneous powder for solution
In addition to its needed effects, some unwanted effects may be caused by measles virus vaccine. In the event that any of these side effects do occur, they may require medical attention.
Major Side Effects
You should check with your doctor immediately if any of these side effects occur when taking measles virus vaccine:
Symptoms of allergic reaction
- Difficulty in breathing or swallowing
- itching, especially of feet or hands
- reddening of skin, especially around ears
- swelling of eyes, face, or inside of nose
- unusual tiredness or weakness (sudden and severe)
If any of the following side effects occur while taking measles virus vaccine, check with your doctor or nurse as soon as possible:
- Fever over 103 °F (39.4 °C)
- Bruising or purple spots on skin
- double vision
- headache (severe or continuing)
- stiff neck
- swelling, blistering or pain at place of injection
- swelling of glands in neck
Minor Side Effects
Some of the side effects that can occur with measles virus vaccine may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
- Burning or stinging at place of injection
- fever of 100 °F (37.7 °C) or less
- Fever between 100 and 103 °F (37.7 and 39.4 °C)
- itching, swelling, redness, tenderness, or hard lump at place of injection
- skin rash
Fever or skin rash may occur from 5 to 12 days after vaccination and usually lasts several days.
For Healthcare Professionals
Applies to measles virus vaccine: subcutaneous powder for injection
Local side effects have included injection site burning/stinging, wheal and flare, erythema, swelling, and vesiculation.[Ref]
Hypersensitivity reactions have included anaphylaxis, anaphylactoid reactions, angioneurotic edema (including peripheral or facial edema), and bronchial spasm.[Ref]
Cardiovascular side effects have included vasculitis.[Ref]
Dermatologic side effects have included Stevens-Johnson Syndrome, erythema multiforme, urticaria, and rash.[Ref]
Gastrointestinal side effects have included diarrhea.[Ref]
Hematologic side effects have included thrombocytopenia, purpura, regional lymphadenopathy, and leukocytosis.[Ref]
Musculoskeletal side effects have included arthralgia and/or arthritis (usually transient and rarely chronic), polyneuritis, myalgia, paresthesia, and rarely chronic arthritis; these symptoms may also occur with natural rubella.[Ref]
Significant central nervous system reactions such as encephalitis and encephalopathy have been very rarely temporally associated with measles vaccine (occurring within 30 days after vaccination); however, causality has not been determined in any case. A certain number of encephalitis cases unrelated to vaccines is expected to occur in a large childhood population; however, there is the possibility that some of these cases may have been caused by measles vaccine. The risk of measles vaccine-associated serious neurological disorders is much smaller than the risk for encephalitis and encephalopathy due to natural measles.
Subacute sclerosing panencephalitis (SSPE) has been very rarely reported in children after measles vaccination. Some of these cases may have been due to unrecognized measles during the first year of life or possibly due to the measles vaccination. The results of a retrospective case-controlled study by the U.S. Centers for Disease Control and Prevention suggest that measles vaccine has had the overall effect of protecting against SSPE by preventing measles with its greater risk of SSPE.[Ref]
Nervous system side effects have included measles inclusion body encephalitis (MIBE), encephalopathy, subacute sclerosing panencephalitis (SSPE), Guillain-Barré Syndrome (GBS), febrile convulsions, afebrile convulsions or seizures, ataxia, and ocular palsies.[Ref]
Ocular side effects have included retinitis, optic neuritis, papillitis, retrobulbar neuritis, and conjunctivitis.[Ref]
Otic side effects have included nerve deafness and otitis media.[Ref]
Respiratory side effects have included pneumonitis, cough, and rhinitis.[Ref]
A postmarketing surveillance study of measles/mumps/rubella vaccine in Finland during 1982 to 1993 with 1.5 million pediatric and adult vaccinees reported no deaths or permanent sequelae.[Ref]
Other side effects have included panniculitis, atypical measles, fever, syncope, headache, dizziness, malaise, and irritability. Fatalities have been reported with the polyvalent measles/mumps/rubella vaccine; however, causality has not been determined.
Health care providers should report any allergic or unusual adverse reactions to the Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967 (USA) and the manufacturer.[Ref]
1. “Product Information. Attenuvax (measles virus vaccine, live, attenuated).” Merck & Co, Inc, West Point, PA.
Not all side effects for measles virus vaccine may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.
H/t reader Squodgy:
“As a kid, we were encouraged to play with other kids who had contracted contagious diseases such as Chicken Pox, Measles, Mumps & German Measles (now called Rubella).
Once acquired, the nursing our mothers gave was the result of generations of experience:
Measles- curtains permanently closed, keep warm. Failure could lead to damaged eyesight or stained teeth, or both.
Rubella- Keep warm
Mumps- Boys only- keep warm in bed, potential swelling of testicles if not kept warm, with possible loss of one or both.
Chicken pox – put mittens on child to minimise scarring through scratching.
Now, we are forced to poison the kids as well as overload their systems, with no recourse.
In Germany’s case, at this stage it is hoped that one can still refuse the vaccination after the consultation as long as one records the counsellor’s comments and one’ own arguments.”
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