Vaccinations

MMR vaccine

MMR is a combined vaccine that protects against measles, mumps and rubella (German measles).

Measles, mumps and rubella are very common, highly infectious, conditions that can have serious, potentially fatal, complications, including meningitis, swelling of the brain (encephalitis) and deafness.

They can also lead to complications in pregnancy that affect the unborn baby and can lead to miscarriage. 

Since the MMR vaccine was introduced in 1988, it's rare for children in the UK to develop these serious conditions. However, outbreaks happen and cases of measles in particular have been rising in recent years, so it's important to make sure your children are up-to-date with their MMR vaccination.

Read more about the benefits of the MMR vaccine.

MMR vaccine for babies and pre-schoolers

The first MMR vaccine is given on the NHS as a single injection to babies as part of their routine vaccination schedule, usually within a month of their first birthday.

They will then have a second injection of the vaccine before starting school, usually between the ages of three and five.

The MMR vaccine can sometimes be given to babies from six months of age if they may have been exposed to the measles virus, or during a measles outbreak.  

Babies under six months can't have the MMR vaccine because they don't respond to it well. However, they usually have some antibodies to measles already in their system, passed on from their mum at the time of birth, which may give them some protection for the first few months.  

The MMR vaccine is given as a single injection into the muscle of the thigh or upper arm.

Read more about which children and adults should have the MMR vaccine.

MMR vaccination catch-up campaign April 2013

All schoolchildren aged 10-16 who are unvaccinated should have the MMR jab to protect them against the current measles outbreak. Read about the MMR catch-up campaign.

MMR for older children

Children of any age up to 18 who missed, or only partially completed, their earlier MMR vaccination, can have a 'catch-up' vaccination on the NHS.  

If you know, or suspect, your child hasn't been fully immunised, arrange with your GP for them to have a catch-up MMR vaccination,

MMR for adults

The MMR vaccine can also be given on the NHS to certain adults who may need it including:

  • women planning pregnancy
  • people born between 1970 and 1979 and between 1980 and 1990

If you are a woman thinking about getting pregnant you may need to be vaccinated if you have low levels of rubella antibodies or you haven't had a rubella or MMR vaccination before.

People born between 1970 and 1979 who may have only been vaccinated against measles also need the MMR vaccine, as well as those born between 1980 and 1990 who may not be protected against mumps.

Check with your GP if you're not sure whether you've had rubella or MMR. If in doubt, go ahead and have the MMR vaccination, it won't harm you to have a second vaccination.

Read more about when the MMR vaccine is needed.

Read why some teenagers should have MMR vaccination.

Get advice on how to protect yourself and your family if there's a measles outbreak.

How the MMR vaccine works

The MMR vaccine contains weakened versions of live measles, mumps and rubella viruses.

The vaccine works by triggering the immune system (the body's natural defence against infection and illness) to produce antibodies against measles, mumps and rubella.

If you or your child then comes into contact with one of the diseases, the immune system will recognise it and immediately produce the antibodies needed to fight it.

It's not possible for people who have recently had the vaccine to infect other people.

The MMR vaccine given in the UK is known under the brand names Priorix or MMR VaxPRO.

Does the MMR vaccine cause autism?

There has been some controversy about whether the MMR vaccine might cause autism, following a study published in 1998 by Dr Andrew Wakefield. In his paper published in The Lancet, Dr Wakefield claimed a link between the MMR vaccine and autism or bowel disease.

However, Andrew Wakefield's work has since been completely discredited and he has been struck off as a doctor in the UK. Subsequent studies during the last eight years have found no link between the MMR vaccine and autism or bowel disease.

Single measles, mumps and rubella vaccines

Single vaccines are not routinely given in the UK. They're not available on the NHS as there is a risk that fewer children would receive all the necessary injections, increasing the levels of measles, mumps and rubella in the UK.

The delay in having six separate injections would also put more children at risk of developing the conditions, as well as increasing the amount of work and inconvenience for parents and those administering the vaccines. 

Side effects of MMR vaccine

As there are three separate vaccines within a single injection, different side effects can occur at different times. The side effects of the MMR vaccine are usually mild. It's important to remember that they're milder than the potential complications of measles, mumps and rubella.

Side effects include:

  • developing a mild form of measles that lasts for two to three days
  • developing a mild form of mumps that lasts for a day or two

In rare cases, a small rash of bruise-like spots may appear a number of weeks after the injection. See your GP if you notice this kind of rash, or if you have any concerns about your child's symptoms following the MMR.

Read more about how MMR is given.

Read the answers to other common questions about the MMR vaccine.

Last reviewed: 11/08/2011

Next review due: 11/08/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

MsHaggerwood said on 18 May 2013

People will never trust the MMR and DPT vaccines again, easier just to go back to single jabs. Some people will never fall for the propaganda, as they know how to recognize it.

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Mel188 said on 11 May 2013

My child's mmr booster appointment, which i booked in april, has been cancelled by the practice nurse. I have been told my child age 9 cannot have the booster until October. This is due to the government initiative 'catch up' scheme!!! This is leaving under 10's at risk. I have contacted nhs primary care trust and all agencies are giving me conflicting answers. I had all first jabs done separately. I have been told these were ineffective despite having them done by a reputable uk dr! I was also told by the practice nurse that I have put my child at risk! I am disgusted by the way me and my child have been treated!

Has anyone else had this treatment ?
I am on the verge of going to the press!

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Tarian said on 02 May 2013

Note the banner at the top of this page - "NHS Choices".
Ironic or what !

Any measles epidemic is a direct result of removing "choice" over single vaccines. The NHS should hang its head in shame at such dissembling.

It doesn't matter whether the original criticism of MMR was exaggerated - the shear arrogance to tell parents what they can or can't do was breath-taking.

And to maintain the charge that there is chance of any side-effect from a triple vaccine is arrogant nonsense.
There are many, many conditions which only a tiny number of people ever get - and it is entirely plausible that they get those conditions because of the co-incidence of a combination of factors.
How can anyone be so certain that filling small bodies with three vaccines at once never triggers a reaction?

In short - there is an outbreak of measles, not mumps or rubella - so issue the measles vaccine.

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Drtim said on 26 April 2013

Once and for all lets put this one to bed. There is NO link between MMR and autism and there never has been. This is an amazing vaccine that has saved millions of lives world wide. Anyone who tells you otherwise is either ill informed or mad.

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Kathryn at NHS Choices said on 26 April 2013

Dear velvet lady,

You do not need MMR because you've almost certainly been exposed to the measles virus before now and are already immune.

Best wishes,

Kathryn Bingham, NHS Choices editor

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paod said on 25 April 2013

Garrffley is so wrong - there have been reports from all over the world disproving the Wakefield paper - a doctor struck off by the GMC. It just is not true that the Government/NHS/doctors have been silent on this issue. I blame the press for engendering the uncertainty.

Inadequate protection against measles - doesn't this include children vaccinated pre-MMR with single dose measles vaccine - now adults now in their 40s?
And what about the failure of parents to ensure their children are protected against rubella - a devastating illness in pregnant mums - are not mums still screened for immunity pre-natally?

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reaverman said on 25 April 2013

Garfffey should hang their head in shame, for post such terribly misleading information.

Fact: There is no credible link between Autism and MMR

Fact: Dr Andrew Wakefield not only has been discredited for his work, there is proof that he was involved with his own set of trials for single jab vaccinations, and he was also financially benefiting from the research.

We are now facing fallout from such reckless behaviour, by evident of the outbreaks in Wales. This is not just affecting untreated children, but also other immunised people at risk, since the virus can get a foothold.

Parents, please immunise your children.

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velvet lady said on 24 April 2013

I am wondering if I should get a vaccination? I am 70 yrs old and have never had Measles or the MMR jab, am I less likely to contract Measles because I am older or should I get a vaccination?

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Rich96 said on 19 April 2013

Garffey clearly doesn't know what Autism is or what it is like, I would much rather be like I am than blind or dead from measles. The MMR vaccine doesn't cause Autism, there are people with Autism who haven't had the vaccine and there are millions of people who don't have Autism that have had the vaccine.
Get the jabs and get your children to get the jabs.

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Garffey said on 19 April 2013

Still the only option is single jabs...If you have a boy.

I wouldn't believe all whats written above...

The government (hang your head in shame) has still to yet fully disprove the link with autism....And the silence is deafening.
While death from measles is sad...a lifetime of Autism can be far worse.
And plans to give a 5 in 1 jab ....well enough said.

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