This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Peussis vaccine side effect 
Select and explain. 
A. Local pain, B. Excessive cry, C. Fever, D. All of above
D: All of above
Answer: D: All of above 
Explanation: Ans. is 'd' i.e., All of the above Peussis vaccine Available as whole cell and acellular as DTPw and DTPa Primary immunisation at 6, 10, 14 weeks followed by booster dose 1'/2 year and 5 year. Whole cell causes more side effect than acellular Side effect-local pain, redness, fever, irritability, excessive cry because of coical irritation. Contraindication Progressive neurological disease (Relative) Immediate anaphylasix Encephalopathy Persistent Inconsable cry Hypotensive - hyporesponsive episode