Parent Questions · Toddler · 1–3 Years
The second year carries important boosters, and polio campaign drops keep arriving at the door: take every round, they add protection rather than excess. A lost card can be rebuilt and missed doses caught up at any age. This guide covers the toddler schedule, campaign drops versus routine doses, and getting a stalled card moving.
Pick the worry that fits your baby and open it for a clear answer, with what is usually normal, when to see a doctor, and when to go straight to hospital.
Pakistan's routine EPI card commonly includes the second measles-rubella dose (MR-2) at 15 months. The child should also have the earlier birth, 6-, 10-, 14-week and 9-month vaccines recorded. Schedules can change, so the current official card is the final reference.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Check every row on the card, write the 15-month date and take the card to a recognised EPI centre or paediatrician.
⭐ Zango Clinic’s view: At 1–3 years, the 15-month MR dose completes a vital routine step; the first birthday is a reminder to check, not the end of vaccination.
Most vaccine series continue with catch-up rather than restarting. The exact doses and intervals depend on age and previous records; waiting until school prolongs risk.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Take any card photo, clinic slip or message to an EPI centre or paediatrician now, obtain a written catch-up plan and photograph the replacement card.
⭐ Zango Clinic’s view: At 1–3 years, a lost card is an administrative problem—not a reason to abandon protection or repeat doses blindly.
No. Campaign oral polio drops add community protection and may be offered repeatedly, but they do not replace routine EPI injections and drops, including IPV and the measles-rubella schedule.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Accept eligible campaign drops and still attend all routine and catch-up visits. Show the card to the campaign or clinic team.
⭐ Zango Clinic’s view: At 1–3 years, campaign and routine vaccination work together; choosing one leaves important gaps.
A mild cold, mild cough, teething or mild diarrhoea without dehydration usually does not require postponement. Moderate or severe illness needs assessment, but unnecessary delay leaves the child exposed.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Tell the vaccinator all symptoms and medicines and let a trained clinician decide. Do not cancel only because a relative objects.
⭐ Zango Clinic’s view: At 1–3 years, mild illness is a common false contraindication; clinical assessment—not family myth—should decide.
Brief soreness, mild swelling, fussiness or fever may occur. Severe or worsening symptoms—breathing trouble, facial swelling, collapse, seizure, persistent high fever, extreme sleepiness or non-blanching rash—need urgent assessment.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Offer fluids, use a cool clean cloth and only a correct weight-based medicine plan. Do not massage oil, toothpaste or herbal paste into the injection site.
⭐ Zango Clinic’s view: At 1–3 years, mild short reactions are manageable; a very unwell child should not be dismissed as 'just the vaccine'.
No credible evidence supports these rumours. Vaccines train the immune system and are monitored for safety. Measles, polio and other infections can cause brain injury, disability, infertility or death.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Ask the clinician to address the exact voice note or video and use WHO or official Pakistan EPI information. Do not forward unverified messages.
⭐ Zango Clinic’s view: At 1–3 years, respectful myth correction protects trust; delaying MR or polio because of autism or fertility rumours creates real risk.
National programme vaccines must meet quality and cold-chain standards. Private care may offer additional vaccines according to age and risk, but a higher price does not make the same routine protection better or replace EPI.
Pakistan's routine EPI card includes review through the 15-month visit, with catch-up when doses are late. Mild short-lived pain, swelling, fussiness or fever may follow vaccination; campaign polio drops add protection.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, or the family plans delay because of a myth or mild illness.
After vaccination there is breathing difficulty, facial swelling, collapse, seizure, extreme sleepiness, a purple non-blanching rash, very high or persistent fever, or the child looks severely unwell.
✅ What you can do: Use a recognised centre, record every product on one card and ask what an additional private vaccine prevents and when the next dose is due.
⭐ Zango Clinic’s view: At 1–3 years, complete timely vaccination and reliable storage matter more than whether a dose was free or expensive.
These answers help you know what to watch for at home. When something does not feel right, or a red-flag sign appears, a quick consultation is the safest next step. Book a clinic visit or ask on WhatsApp.
These answers help you know what to watch for. When something does not feel right, a quick consultation is the safest next step.