Is the Hepatitis B vaccination dangerous for my premature baby?

I dont have the virus. My NICU says that my baby should be vaccinated just for the sake of added protection. She’s only about 35 weeks gestation. Can this vaccination harm her? I don’t trust the hospital to give me the real low down.

I just read the full prescribing information leaflets for the two commonly used Hep-B vaccines used in the US and it says nothing about safety for premature babies -neither that it is safe or unsafe.

As near as I can tell the US guidelines are to give it to ALL babies as long as they weigh 18kg (4 lbs). In Canada its only given to baby’s of infected mothers (and sometimes if dad or another caregiver is infected) AND the baby weighs more than 2 kg (almost 4 1/2 lbs). In the US preemies are screened to see if they need an additional dose, in Canada preemies that are vaccinated at birth all get an additional dose.

Its up to you, only you can weigh the risks of being unvaccinated (or unvaccinated until 2 months or whenever) against the risks of vaccinating a preemie (which aren’t documented as far as I can tell). However this vaccine is considered safe during pregnancy

This says that the baby must weigh 1.8 kg (4lbs)
http://74.125.95.132/search?q=cache:4mXZEcSkI9MJ:www.mpaeds.org.my/PaediatricProtocols/07.%2520The%2520Premature%2520Infant.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=2&gl=ca

http://74.125.95.132/search?q=cache:QPdvLmWiMzcJ:www.health.sa.gov.au/pehs/Immunisation/infant-hep-b.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=3&gl=ca
premature babies are more prone to infections and
in general should be immunised at the normal time.
Babies born less than 32 weeks gestation may have a
lower immune response to hepatitis B vaccine. These
babies should have a blood test after their 4th dose
of hepatitis B vaccine to check if they have adequate
protection and if not an extra booster dose of hepa-
titis B vaccine will be offered at 12 months of age

http://74.125.95.132/search?q=cache:q_67uFw6AcIJ:www.calgaryhealthregion.ca/clin/cme/pophlth/phu0207_0208.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=4&gl=ca
In addition to the routine vaccinations, infants
born to Hepatitis B infected mothers are given
HBIG and started on the Hepatitis B vaccine
series, using thimerosal-free vaccine. The HBIG
and Hep B vaccine should be given as soon as
possible regardless of gestational age, because of
the high risk of the disease. If the infant weighs
less than 2 kg (2000gms), they will require an
additional dose of vaccine that should be
administered 2 months after the 3
rd
dose. These
infants should be serologically tested for anti-
HBs and HBsAg 1-3 months after they complete
their Hep B vaccinations. In Alberta, we don’t
routinely immunize infants of uninfected
mothers, but some other provinces do. In that
situation, it is better to wait until the premature
infant reaches either 2 kg or 2 months of age,
because of the possible lower seroconversion
rate and the low risk of disease. Alberta does

6 Responses to “Is the Hepatitis B vaccination dangerous for my premature baby?”

  1. MOMMY OF TWO Says:

    the side effect of vaccines are very rare so I think she will be fine. It is probably in her best interest to get the shot if they recommended or they wouldn’t right now. With your baby being a premie she is more prone risk to infections and viruses.
    References :

  2. Dino B Says:

    My son was born at 32 weeks and had his newborn shots before we left the hospital 3 weeks later. He never had any complications with it.
    References :

  3. Danyelle Says:

    My daughter was born at 28weeks, weighed 2lbs and got these shots 8 weeks later. She got hers when she got her 2 month shots, because they weren’t going to give it to her when she was born. Was your baby born at 35 weeks? If so, I think that is just fine for her to get it now, my daughter got hers about 36 weeks gestation.

    Good luck!
    References :

  4. AiDYN[[9.26.08]] Says:

    My son was 6 weeks early, and he got his Hep B shot at his 1 month checkup.
    References :

  5. mystic_eye_cda Says:

    I just read the full prescribing information leaflets for the two commonly used Hep-B vaccines used in the US and it says nothing about safety for premature babies -neither that it is safe or unsafe.

    As near as I can tell the US guidelines are to give it to ALL babies as long as they weigh 18kg (4 lbs). In Canada its only given to baby’s of infected mothers (and sometimes if dad or another caregiver is infected) AND the baby weighs more than 2 kg (almost 4 1/2 lbs). In the US preemies are screened to see if they need an additional dose, in Canada preemies that are vaccinated at birth all get an additional dose.

    Its up to you, only you can weigh the risks of being unvaccinated (or unvaccinated until 2 months or whenever) against the risks of vaccinating a preemie (which aren’t documented as far as I can tell). However this vaccine is considered safe during pregnancy

    This says that the baby must weigh 1.8 kg (4lbs)
    http://74.125.95.132/search?q=cache:4mXZEcSkI9MJ:www.mpaeds.org.my/PaediatricProtocols/07.%2520The%2520Premature%2520Infant.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=2&gl=ca

    http://74.125.95.132/search?q=cache:QPdvLmWiMzcJ:www.health.sa.gov.au/pehs/Immunisation/infant-hep-b.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=3&gl=ca
    Premature babies are more prone to infections and
    in general should be immunised at the normal time.
    Babies born less than 32 weeks gestation may have a
    lower immune response to hepatitis B vaccine. These
    babies should have a blood test after their 4th dose
    of hepatitis B vaccine to check if they have adequate
    protection and if not an extra booster dose of hepa-
    titis B vaccine will be offered at 12 months of age

    http://74.125.95.132/search?q=cache:q_67uFw6AcIJ:www.calgaryhealthregion.ca/clin/cme/pophlth/phu0207_0208.pdf+premature+infant+%22hep+B%22&hl=en&ct=clnk&cd=4&gl=ca
    In addition to the routine vaccinations, infants
    born to Hepatitis B infected mothers are given
    HBIG and started on the Hepatitis B vaccine
    series, using thimerosal-free vaccine. The HBIG
    and Hep B vaccine should be given as soon as
    possible regardless of gestational age, because of
    the high risk of the disease. If the infant weighs
    less than 2 kg (2000gms), they will require an
    additional dose of vaccine that should be
    administered 2 months after the 3
    rd
    dose. These
    infants should be serologically tested for anti-
    HBs and HBsAg 1-3 months after they complete
    their Hep B vaccinations. In Alberta, we don’t
    routinely immunize infants of uninfected
    mothers, but some other provinces do. In that
    situation, it is better to wait until the premature
    infant reaches either 2 kg or 2 months of age,
    because of the possible lower seroconversion
    rate and the low risk of disease. Alberta does
    References :

  6. Lisa Says:

    Unless you are infected with Hepatitis B, your newborn baby has absolutely NO chance of getting the disease. The risk factors are sex with infected partners and intravenous drug use with dirty needles. It would be ridiculous and unsafe for her to get the vaccine, since every vaccine has risks (some more than others, and Hep B is one of the more dangerous ones). So by allowing the vaccine, you would be putting her at risk, with absolutely no potential benefit. Keep in mind your premature baby would be getting the same dose of Hepatitis B vaccine as a 17 year old would. Does that seem safe to you?

    Most parents assume the vaccine is safe and necessary because the hospital recommends it. But the recommendation is based on stupidity and greed. The pharmaceutical companies that make the hepatitis B vaccines stood to make a lot of money if every single baby that was born in the U.S. was given the vaccine. So they lobbied hard for the policy. Also, there used to be some babies born to infected mothers who were mistakenly not given the vaccine at birth. So that’s another reason they give it to all babies now. But you know you are not infected, so this risk does not apply to your baby. Finally, the policy makers know they cannot get prostitutes and drug users to get the vaccine, so they wanted to vaccinate all babies at birth, so even if they had neglectful parents who never took them to the doctor for the rest of their childhood, they would still get that vaccine. Problem is, the immunity will most likely wear off before adulthood. It’s an insane policy and you should not allow your baby to suffer from it.

    Here are the vaccine package inserts which list some of the side effects and risks.

    Energix-B brand http://us.gsk.com/products/assets/us_engerixb.pdf

    Recombivax HB brand http://www.merck.com/product/usa/pi_circulars/r/recombivax_hb/recombivax_pi.pdf

    Notice that the vaccines contain aluminum and yeast. These are things that you do NOT want injected into your baby.
    References :

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