Table 4

Illustrative quotes—acceptability of administering paracetamol post-vaccination

1 Q. Has everybody got paracetamol at home?
About two months I didn’t, but now he’s getting a bit older I have got some in, in, just in case, cos of teething and vaccinations and everything else. But at, at, at two months probably not.
L007e (White British mother, fully immunised children, group interview)
2 People will worry about, cos it says, the, the advice on the bottle is from three months and then there’s just like a one-off post-immunisation dose in younger ones. So you’d have to be quite clear that it was safe; I think parents will worry about the safety of giving more than, more paracetamol than is prescribed on the bottle you’re buying.
Y009a (White British mother, fully immunised children, individual interview)
3 I have allergic just when you’re saying paracetamol. I’m not agreeing with paracetamol. I know a whole country they been treating with paracetamol but I don’t accept this.
Q: But in terms of fever and how to deal with it?
It, but you under, just look, they treat you with everything, all sickness they give you paracetamol, it’s can’t be, can’t be helpful this stuff. But if you understand me, I don’t, I’m not gonna use paracetamol.
L002a (Polish mother, fully immunised children, group interview)
4 I suppose if I knew it was gonna stop him being unwell I’d do it. So I suppose if they’re saying there’s a higher risk that he’s gonna be unwell straight after it, give him Calpol to try and make him comfortable I wouldn’t have a concern with that. But yeah, I mean I don’t think as a mum you’d want your child to be in any pain so if someone tells you take this and it’s not gonna hurt you’d do it wouldn’t you?
Y005a (White British mother, fully immunised children, individual interview)
5 What if the paracetamol actually doesn’t lower the fever then at what point do I say, you know, cos if I go to the doctors and say, oh, you know, he’s had the vaccinations but he’s got a fever, and they tend to say, oh yeah, it’s absolutely fine, it’s due to the vaccinations, but then at what point do I say, OK, well he has had the vaccinations but the fever’s carried on going up, paracetamol’s not working, given him Ibuprofen, what now?
L008c (Black British African mother, fully immunised children, group interview)
6 I think if it was me as well I would have issues about the appropriateness of just giving (name of daughter) paracetamol for the sake of giving her paracetamol when she’s not got a temperature. So I could understand, I think I would feel happier giving her a dose of paracetamol for, for a temperature rather than a dose of paracetamol just for the sake of having paracetamol. I don’t think I would probably give (name of daughter) the paracetamol, if she was asleep I wouldn’t wake her up.
L005a (White British mother, fully immunised children, individual interview)