6-in-1 Vaccination (Diphtheria, Tetanus, Pertussis, Polio, Hib, Hepatitis B)

Important vaccination information for parents

Age
2, 4, 11 months (basic immunization)
Duration
~15 minutes (per session)
Performed by
Pediatrician

What happens during this examination?

  • Administration of a single combination injection into the thigh muscle.
  • Protects against 6 serious diseases: diphtheria, tetanus, whopping cough (pertussis), polio, Haemophilus influenzae type b (Hib), and hepatitis B.
  • First three doses at 2, 4, and 11 months provide basic immunization.
  • A booster is given at 5-6 years (preschool) and as Tdap-IPV at 9-16 years.
  • Vaccination is usually painless with a very fine needle.

Preparation Tips

  • Bring the yellow vaccination record booklet.
  • Dress child in easily removable clothing.
  • Tell doctor about any previous allergic reactions.
  • Postpone if child has moderate/severe acute illness with fever.

Questions for your doctor

  • What are common vaccine reactions (fever, redness, swelling)?
  • When is the next booster dose due?
  • Can vaccines be given at same visit as other vaccines?

When to call the doctor

  • Signs of severe allergic reaction (anaphylaxis): difficulty breathing, facial swelling, hives.
  • Very high fever (>40°C/104°F) or febrile seizure after previous dose.
  • Inconsolable crying >3 hours after vaccination.
  • Hypotonic-hyporesponsive episode (pale, limp, unresponsive).

Parent Tips

  • Observe child for 15-30 minutes after vaccination.
  • Give extra fluids after vaccination.
  • Cool compress can help with swelling and pain.
  • Do not give antipyretics before vaccination (may reduce immune response).

Vaccination Schedule

According to the STIKO recommendation, this vaccination is given at: 2, 4, 11 months (basic immunization)

Always consult your pediatrician for individual advice.
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