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The problem is that the risk always becomes unacceptable when it's your kid that gets hurt, regardless of the side. I have a friend whose 5-month-old baby caught Pertussis, just before she would have gotten her immunization at her 6-month checkup. She had to be hospitalized for two weeks, and there was a period where the doctors were warning the parents that there was a very real chance she might not make it. My friend now believes, not surprisingly, that the DTaP shot ought to be given to babies even earlier.
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