Measles, rubella, tetanus and diphtheria vaccines

Measles and rubella are viral infections, while tetanus and diphtheria are bacterial diseases with different routes of infection and complications. A single record may group vaccines given during the same programme, or use shortened names for products that cover different combinations. The exact product depends on age, previous doses, health history and local recommendations. Immunisation prevents illness; it does not treat an active infection. A sore throat can occur with several conditions, including diphtheria, and needs assessment rather than self-diagnosis.

Bring the written or electronic record to a clinician and ask which diseases each dose covers, whether any doses are missing and what timing is advised. Mention pregnancy, immune problems, allergies, current illness and previous vaccine reactions. Do not start antibiotics because a vaccine is listed; [Antibiotic Treatment](/treatments/medical-management/antibiotic-treatment/) is used only when a clinician identifies a suitable bacterial indication. Read about [Childhood Immunisation](/treatments/preventive-care-and-vaccination/childhood-immunisation/) for programme context.

Seek urgent help after vaccination for breathing difficulty, swelling of the face or throat, collapse or rapidly spreading hives. Seek urgent assessment for severe sore throat with difficulty breathing or swallowing, a muffled voice, or marked weakness. Contact a clinician promptly if fever or other symptoms are worsening after an immunisation or if a suspected exposure has occurred.

Which vaccine names are recorded? Does this person need another dose? Which reactions are expected, and which require help? How should the schedule change after missed or uncertain doses?