Dr Sears Selective and Alternative Schedules

[sunrider]

These Schedules from:
The Vaccine Book, Robert W Sears, M.D., F.A.A.P
Published by Little, Brown and Company, Copyright 2007

ETA: 2nd Edition published 1 Nov 2011 see Dr's Bob's new Vaccine Book is here! for revision details

Selective Schedule ”is what I tell parents to consider when they otherwise would have declined all vaccines.”
Criteria used:
1)Disease likely to be very severe
2)Is not only severe, also fairly common
3)Vaccines have lowest probability of causing reaction and as few controversial ingredients as possible

2 mo DTaP, Rotavirus
3 mo Pc, HIB
4 mo DTaP, Rotavirus
5 mo Pc, HIB
6 mo DTaP, Rotavirus
7 mo Pc, HIB
15 mo Pc, HIB
5 yr Tetanus booster
10 yr Blood tests for measles, mumps, rubella, chickenpox and Hep A immunity.
Consider vaccinating if not immune.
Consider a 3-dose polio series if travel to Africa or Asia is a possibility
11 yr HPV (3 doses, girls only)
12 yr Hep B (3 doses)



Alternative Schedule For those that want to fully vaccinate their kids, but “worry that some of the potential problems with vaccines haven’t been thoroughly researched . . . want to vaccinate, but want to do so in a way that minimized each potential risk”

2 mo DTaP, Rotavirus
3 mo Pc, HIB
4 mo DTaP, Rotavirus
5 mo Pc, HIB
6 mo DTaP, Rotavirus
7 mo Pc, HIB
9 mo Polio, Flu* (2 doses)
12 mo Mumps*, Polio
15 mo Pc, HIB
18 mo DTaP, Chickenpox
21 mo Flu*
2 yr Rubella*, Polio
2 yr 6 mo Heb B*, Heb A
3 yr Heb B*, measles, Flu*
3 yr 6 mo Hep B*, Hep A
4 Yr DTaP, Polio, Flu*
5 yr MMR*, Flu*
6 yr Chickenpox
12 yr Tdap, HPV
12 yr, 2 mo HPV
13 yr HPV, Meningococcal*

*Notes & Clarifications:
Hep B – start at birth if mom, dad, or any close family members are hep B carriers
Flu – given at separate visits in October or November at ages 3, 4, and 5
ETA: This is in reference to 2009-2010 flu season, but still has good info about brands and dosing (for LO, teens and adults). I'm also choosing to highlight Dr. Sears following comment on that article that I think is important to know:

TIMING THE FLU VACCINE WITH OTHER VACCINES
Because the flu vaccine is so reactive (likely to cause fever and flu-like side effects), I prefer to avoid giving it with other reactive shots (like MMR, Hep B, Chickenpox, or the H1N1 vaccine). I recommend at least one month between the flu shot and any of these. I would place the priority on the flu shot over the MMR, Hep B or Chickenpox; delay any of those until it’s been at least a month after the flu shot.

Meningococcal – once approved for age 2, Dr Sears plans to move it there and delay Hep B by 6 months.
MMR – now that Merck is stopping production on monovaxs, get this one as you determine, anytime between 1 and 5. FYI, if you delay until age 4, a second booster isn’t needed (if given before age 4, a booster is given at age 5). He suggests you at least get this vaccine by the time your child starts preschool. (from Dr Sears’ Blog)
ETA: Separate MMR to return in 2011

[kendallina]

Thank you for posting this. It's not online anywhere- I guess he wants people to buy the book if they want to see the schedule! haha
By the way, I found my book finally

[sunrider]

You're welcome! I've asked mods to make it sticky too.

It just seems like we're always asking each other what the schedules are, I thought it would nice to have it referenced. Yes, I'm sure that's why it's not posted on his site, but honestly I can't recommend the book enough.

Having the schedule is one thing, but reading the book and knowing the whys I feel are really important too.

[lukeskristie]

Thank you for posting this!

[dreamwallaby]

in the above schedules is Pc the prevnar shot??

[misfit]

Pc is the prevnar shot. I looked it up quick in my Vaccine book.

[michimz]

Thanks! I read the book, but I only borrowed it from the Library. I plan to use this, so it's great to be able to refrence this easily!

[alhardin]

Thank you for posting this! At the top where it says 'criteria used 1, 2 and 3' does that apply to all the diseases and vax's or just specific ones? i didn't see any of them 'labled'

[kadas33]

Thank you for posting this! At the top where it says 'criteria used 1, 2 and 3' does that apply to all the diseases and vax's or just specific ones? i didn't see any of them 'labled'

It applies to all of the vaxs in the selective vax schedule.

[sunrider]

FYI I've just updated the 1st post in this thread with all the info.

If anyone ends up purchasing the new edition of The Vaccine Book and wants to send me the revised schedules, I'd be happy to update this thread with details.

[AshleyT]

I got the new book today! The first few months is like the unrevised schedule so I will start with the 1st change in the schedule. (I hope that makes sense...)

Dr. Bob's Selective Vaccine Schedule

2mo-15mo same as before
7 yrs Tetanus booster
10 yrs same as before
12 to 14yrs HPV(3 doses), Hep B(3 doses). Give separately over these years. Not needed if abstinence is likely.
16 yrs Meningococcal
17 yrs Tetanus booster (or Tdap)

Dr. Bob's Complete Alternative Vaccine Schedule

2mo-9mo same as before
12mo MMR, Polio
15mo Pc, HIB
18mo DTaP, Polio
21mo Flu^
2yr Chickenpox
2yr6mo Hep B*
2yr7mo Hep B, Flu
3yr Hep B
4yr DTaP, Polio Flu
5yr MMR, Flu
6yr Chickenpox, Flu
7yr Hep A, Flu
8yr Hep A, Flu
9yr-18yr Flu each year
12yr Tdap
13 to 14yr HPV(3 doses)
16yr Meningococcal

*Start the Hep B vaccine at birth if Mom, Dad, or any close family members are Hep B carriers

^The flu vaccine starts between 6 and 12 months when nearing flu season (October or November), then is given yearly thereafter. Try to use a mercury-free shot. If it's not available, don't get it that year, or get the nasal spray instead. Try to get the flu vaccine alone, one month apart from other shots.