Our Selective/Delayed Vaccination Schedule

IMPORTANT UPDATE AS OF APRIL 20th, 2008

This month, I finally purchased Dr. Bob Sears' The Vaccine Book: Making the Right Decision for Your Child. I can say with absolute confidence this is a book every parent should have in their library. It is decidedly pro-vaccine, so if you tend to lean towards not vaccinating, it may cause you some concern. But if even you are not vaccinating your children, this book may give you some insights into the decision-making process of parents who do vaccinate. If you tend to lean towards vaccinating but have concerns over the CDC schedule and/or vaccine ingredients, I believe you will find this book to be immensely helpful.

Having said that, I am updating our original selective/delayed vaccine schedule below based on what I now know having read The Vaccine Book. For example, I did not realize that now (2008) all the major vaccines are now mercury-free. (There is still trace amounts of mercury in some brands of the flu shot.) Therefore, I have removed the "mercury-free" label that I had put in front of each of vaccine names. Additionally, I am switching the order of the measles and mumps vaccines. Originally, I had measles at 15 months and mumps at 39 months. Now, I will do mumps at 15 months and measles at 39 months. I still feel comfortable with delaying the Prevnar (Pc) vaccine, but please bear in mind that my babies are exclusively breastfed and not in group daycare situations. Dr. Sears feels that young babies should be receiving this vaccine, so please remember that your circumstances may warrant this one earlier than I have it scheduled.

I have received so many emails and comments from parents who are trying to make this hugely important decision for their children. I appreciate each email and comment and try to respond quickly and accurately as often as possible. I want to stress that this schedule is one that is best for our family, for my child. Every family has a unique set of circumstances that are made up of your family's medical history, your geographic location, and your access to doctors (and evidently, insurance coverages) that are open to alternate approaches to vaccines. All of that is to say that while my schedule may be a good starting point for you in creating your own schedule, please know that it is by no means a definitive selective/delayed schedule. You alone can make the best choice for your child.

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This morning, I took AJ in for a well-baby check, and it reminded me that this might be a good time to share the delayed vaccination schedule we have come up with for her. This schedule is based on Dr. Stephanie Cave's What Your Doctor May Not Tell You About Children's Vaccinations (shout out to my friend KM for passing this on to me!!).

Here is our schedule:

Hep B
Delay until the year before starting school, although we may consider starting the series as early as two and half if we are considering preschool at the time.

Hib
4 mo, 6 mo, 8 mo, 17 mo

IPV
4 mo, 6 mo, 8 mo, 17 mo (booster at 4 years)

DtaP
5 mo, 7 mo, 9 mo, 15 or 18 mo (booster at 4 years)

Pneumococcal (PREVNAR)one dose at age 2

Varicela (Varivax)
Age four, if at all

MMR
Mumps – 15 mo
Rubella – 27 mo
Measles – 39 mo
Booster – age 5

Now, some physicians will tell you that you cannot get the MMR separated. This was a huge area of concern for me as my youngest sister had a reaction to the MMR vaccine that resulted in her having both epilepsy (now outgrown) and Asperger Syndrome. I did just a little digging in the Delayed Vaccinations forum at MDC, and found this information:

Dr. Stephanie Cave is an advocate for children being immunized with three separate doses instead of the MMR combined. Reportedly, she asked for American Medicine (wholesale pharmaceutical company) to carry these immunizations. The owners of American Medicine are Mark and Bridgette Schexnayder who are also pharmacists.

The pharmaceutical company of these three separate immunizations is Merck.

American Medicine will need the following from your doctor:
Doctor’s prescription with the child’s name
Copy of Doctor’s license
Have your doctor fax this to 225-924-0249.

You will then pay American Medicine (225-924-0247) and they will overnight the immunizations to your doctor. You will have to pay the overnight shipping fee due to the medicine needing to be refrigerated.

Make sure you ask for the expiration dates so that you will know ahead of time and for your records.

September 2007- Cost is appx. $119 (for all 3) plus shipping/handling (+-$20.)

I called the company and talked to Bridgette Schexnayder today. She said the $119 is for all three vaccinations which they overnight to your doctor's office at one time. She said the vaccines are currently on backorder, but they should be receiving a new shipment next month (Dec 07). She also said the vaccines will have about eighteen months until they expire. If that is the case, we will have to reevaluate and adjust when AJ gets each of these three vaccines as I currently have them spaced over a longer time period than eighteen months.

Another MDC member posted that Johnson Drug will also send you the separate vaccines. I have not personally contacted them to verify this information, but I wanted to share it as well. This MDC member stated that to order from Johnson Drug, you need a prescription from your pediatrician and to expect to pay about $40 per vaccine.

Anyone else have a delayed vaccination schedule you want to share? I would love to read what other people are choosing. Post in the comments or share it on your blog and let me know so I can check it out!