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Viral triple vaccine (mumps, measles and rubella)

Viral triple vaccine (mumps, measles and rubella)

MMR is a combination of live attenuated measles, mumps and rubella virus presented in a lyophilized form in a vial with one or multiple doses . All three components of this mandatory vaccine are highly immunogenic and effective, giving lasting immunity for virtually all of life. Protection is started about two weeks after vaccination.

Diseases that can be prevented by the MMR vaccine

MMR: measles, mumps and rubella should be prevented also in adulthood

Measles is an infectious disease caused by a virus called Morbillivirus. The disease is a major cause of child mortality in third world countries and causes outbreaks in developed countries where vaccine coverage is not high.

Mumps are a contagious disease that causes painful swelling of the salivary glands. Mumps are caused by a virus, which spreads from person to person through the respiratory tract (through droplets on sneezing, for example) or by direct contact with items that have been contaminated by infected saliva.

Rubella is also caused by a virus that is transmitted from person to person by respiratory route. It is usually benign but, when it occurs in pregnancy, it can cause the fetus to develop congenital rubella syndrome, characterized by a series of malformations. A person with rubella can transmit the disease to others from one week before the onset of the rash to one to two weeks after their disappearance.

In Brazil, thanks to successive vaccination campaigns and epidemiological surveillance programs, measles , rubella and congenital rubella syndrome have recently been eradicated.

Indications of the vaccine

Children over 12 months of age, adolescents and adults should be vaccinated

Pregnant can take this vaccine?


Necessary doses of the MMR vaccine

Children should receive the first dose at 12 months and the second dose at 15 months of age. A person who has received two doses after the age of one year is properly vaccinated.

Persons who have not been vaccinated when infants can receive the vaccine at any time in their lives. It will be given in 2 doses for anyone up to age 29 and in a single dose for people over the age of 30.

Vaccine administration

The injection is done subcutaneously in the arm.


  • Antecedents of systemic anaphylactic reaction after ingestion of chicken egg. An immediate systemic reaction (generalized urticaria, respiratory distress, glottis edema, hypotension or shock) is usually established within the first hour after the allergen stimulus (chicken egg ingestion, for example)
  • Pregnant women
  • Administration of standard human immunoglobulin (gamma globulin), whole blood or plasma in the previous three months
  • Live attenuated vaccines should not be used in immunocompromised persons.

Possible adverse effects of MMR

Short-term fever and rash, usually occurring between the fifth and tenth day after vaccination.

Where to find

The vaccine is available in public and private networks. Some medical covenants cover this vaccine in the private healthcare system.

Frequently Asked Questions

Are there tests that can identify if we are immunized?

Live pathogen vaccines, which can cause the disease, can be identified by means of blood tests - but this is not medically relevant. This is because the only way to prove that a person is vaccinated is by not presenting the record on the card. The Ministry of Health only considers a valid vaccine the one in which the record has been properly accredited by an authorized corporation.

Can I update my vaccinations card at any age?

Yes, it is possible to update my vaccinations card at any age.

Yes, since even classical diseases of childhood, such as mumps, measles and rubella can affect adults. Although it is best to follow the vaccination schedule and get immunized at the recommended ages, is it important to update your vaccines at any time? since there are still indications (vaccines included in the calendars for each age group).

It is important to note that there are important vaccines that are not given during childhood, a case of which prevents herpes zoster, only for the elderly. In addition, contrary to what many people think, not all diseases are life-long. A person who has had chicken pox will not need the vaccine that prevents the disease, but one who has been infected by the bacteria that causes pertussis can get the disease again if not properly vaccinated.

Another point that deserves attention is the emergence of diseases chronic conditions and other conditions that may generate specific risks and, therefore, special recommendations. For example, the Haemophilus influenzae b vaccine, routinely indicated only for children under 5 years of age, may also be indicated for adults, including adults with comorbidities, eg asplenia (spleen lack).

If I do not remember having Can I go to the clinic and repeat the dose?

Yes. The best measure to do in these cases is to check the vaccination card. But if you missed it for some reason, or thought you were vaccinated, but it is not on the record, the best thing to do is to get vaccinated, albeit repeatedly.

If I took the combined vaccine, do I need to take it individually?

Combined vaccines, such as the triple bacterial vaccine (diphtheria, tetanus and pertussis), the triple viral vaccine (mumps, measles and rubella), whole cell penta (triple plus haemophilus and hepatitis B) and acellular hexa (triple bacterial plus haemophilus, hepatitis B and inactivated polio) are a set of several vaccines in one, as the name itself says. When you take them, you are getting doses of each of the vaccines contained therein, just as safely and effectively, without having to receive multiple injections.

Can I take the vaccines before the specified time?

No , the minimum recommended ages and the minimum intervals between doses should be respected. s age indications take into account the epidemiological recommendation, that is, the period of life in which you are most at risk of suffering from that disease or its complications. That is why some childhood vaccines no longer need to be given to adults because the risk period has passed. The logic is the same for vaccines given only in adults.

Can I update the entire vaccination card at once?

If you are a healthy person, who does not have a weakened immune system, there is no impediment. The only problem is the discomfort of being vaccinated several times in a row. There are also those vaccines that are separated in doses, and ideally they should be respected so that the immune system's response is long-lasting.

People with a vaccine allergy will not be able to take it any more?

No Overall, it is very difficult for a person to be allergic to the vaccine itself, but to the other elements that are within it. Contraindications are available only to people who have already experienced anaphylactic shock following the application of the vaccine or contact with any of its components. For people with a history of anaphylactic shock after egg ingestion the yellow fever vaccine is contraindicated and others as the triple viral. People with a history of mercaptan and latex anaphylaxis should seek advice from their physician, as multidose vaccine bottles may contain the substances.If I lose my wallet, will I have to vaccinate again?

Yes, because a valid vaccine is only that vaccine that has been registered. If you take your vaccines at a private clinic, the location will likely record a history of your vaccines, so you do not have to take it again. However, the public network has not yet been able to computerize these data, so a person who gets vaccinated in the public network and loses his or her card will need to take all recommended adult vaccines again.

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