Parent Questions · Infant · 10–12 Months
The schedule around the first birthday finishes the measles protection and, in the national programme, adds typhoid, a disease Pakistani children genuinely face. This is also the moment to audit the vaccination card and catch up anything missed. This guide covers what is due, reactions, and why the card deserves a birthday review.
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 national EPI card commonly schedules the major 9-month visit and the next measles-rubella dose at 15 months, so there may be no routine national dose exactly at 12 months. Schedules can change; the current official card and EPI centre are the final reference.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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 the first birthday to check every date and antigen, confirm the next appointment in writing and ask about any provincial or risk-based recommendation.
⭐ Zango Clinic’s view: At 10–12 months, a birthday without an injection is not a reason to stop checking the card; the 15-month MR dose must already be planned.
Do not wait for 15 months. Most delayed series continue with catch-up rather than restarting, but the exact vaccine, interval and age must be reviewed. The child remains at risk while the dose is missing.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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 the card—or photos and clinic slips if it is lost—to an EPI centre or paediatrician now and obtain a written catch-up plan.
⭐ Zango Clinic’s view: At 10–12 months, a missed 9-month visit needs action now; a future campaign or the next birthday will not automatically fill every gap.
No. A private clinician may discuss vaccines such as MMR, hepatitis A or varicella according to the child's history, local availability and schedule, but these decisions do not erase the need to complete the national EPI card.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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: Show the same card at government and private visits, ask what each product prevents and record brand, date, dose and next appointment clearly.
⭐ Zango Clinic’s view: At 10–12 months, optional private vaccines may add protection, but expensive care is not a substitute for complete free EPI protection.
Teething, a mild cold, mild cough or mild diarrhoea without dehydration usually does not require delay. Moderate or severe illness needs assessment, but unnecessary postponement leaves the child exposed.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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 says teeth and vaccines must never mix.
⭐ Zango Clinic’s view: At 10–12 months, teething is a common false contraindication in Pakistani families; clinical assessment—not family myth—should decide.
Brief soreness, mild swelling, fussiness or fever may occur. Serious reactions are rare. Worsening swelling, persistent high fever, prolonged inconsolable crying, unusual sleepiness, seizure, facial swelling or breathing trouble is not routine.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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: Continue fluids, use a cool clean cloth and only a correct weight-based medicine plan. Do not massage oil, toothpaste or herbal paste on the injection site.
⭐ Zango Clinic’s view: At 10–12 months, mild short reactions are manageable; a very unwell child should never be dismissed as 'just the vaccine'.
No. Campaign oral polio drops add community protection but do not replace routine EPI injections and drops, including IPV. A child may appropriately receive campaign drops multiple times.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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, still attend every routine visit, and show the card to the team. Ask for catch-up when any routine dose is missing.
⭐ Zango Clinic’s view: At 10–12 months, campaign and routine vaccination work together; choosing one leaves gaps in protection.
No credible evidence supports these rumours. Vaccines train the immune system and are monitored for safety. The infections they prevent can cause brain injury, disability, infertility or death.
Pakistan's routine card should be reviewed after the 9-month visit and again for the next scheduled dose. Mild short-lived pain, swelling, fussiness or fever can follow vaccination; campaign polio drops add protection but do not replace routine EPI doses.
A dose is late, the card is lost or unclear, the child has a condition affecting vaccination, fever persists, a reaction worsens, there is prolonged inconsolable crying, or the family plans delay because of a myth or minor 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 10–12 months, respectful myth correction protects trust; delaying MR or other vaccines because of autism or fertility rumours creates real disease risk.
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.