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Vaccinating With MMR

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Vaccinating With MMR
Should the measles-mumps-rubella (MMR) vaccine only be given subcutaneously? I have seen kids receive the vaccine intramuscularly. What are the consequences of giving it intramuscularly instead of subcutaneously?

Live attenuated parenteral vaccines such as MMR are recommended by the manufacturers to be administered via the subcutaneous route. However, the efficacy of this vaccine is probably not adversely affected by the intramuscular rather than subcutaneous route. In addition, it is unnecessary to repeat doses of vaccine administered by the intramuscular route rather than by the subcutaneous route.

The Advisory Committee on Immunization Practices and the American Academy of Family Physicians, in their latest "General Recommendations on Immunization," have addressed this question. The recommendations are available on the CDC Web site at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5102a1.htm (This question is addressed under the "Nonstandard Vaccination Practices" section.)

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