Get the latest 2019 version signed personally from me
Click on the link below to go to my Amazon seller page - Dr. Bob Sears, Inc. Amazon still labels my book as the 2011 version, but if you buy from me you'll get the latest 2019 Third Edition, signed!
Evolution of The Vaccine Book
The Vaccine Book was originally published in 2007. This First Edition reflected my understanding of the vaccine decision at that time based on my initial 8 years of experience as a pediatrician and my thorough review of all the research. Back then, many of my patients wanted an alternative vaccine schedule that emphasized on-time vaccination against the illnesses that posed a realistic threat to their infants while delaying or skipping altogether the ones their children were not at risk from. Many parents shifted away from following the full CDC schedule of getting 8 or 9 vaccines at each infant check up and preferred an alternative schedule that gave fewer doses at a time.
In 2011 I updated the book as a Second Edition with some new research and ideas that broadened the discussion. I've been the recipient of some interesting criticism from both sides of the debate. The mainstream criticizes me for discussing vaccine options that fall outside of the recommended CDC vaccine schedule, which "clearly is safe, effective, and saves lives." But some on the other side have been even more harsh, bashing me for suggesting that kids get any vaccines at all. However, these fringe groups aren't my audience. They don't need my book, since they've already decided what to do, or not to do. My audience are the middle majority - the 95% of people who just want education and are trying to decide what to do.
The truth is, I've never advised anyone to get a vaccine in any of my books. That's because I don't give direct medical advice in my book. I don't advise people too vaccinate, just as I don't advise them not to vaccinate. I simply provide information and ask the reader to decide in partnership with their doctor. Some readers misconstrued my alternative vaccine schedules as an active recommendation that parents should do all those vaccines. That wasn't my intention. My alternative schedules were there for people who, in partnership with their doctor and after doing all their research, wanted to do some vaccines and wanted a way to logically space them out. Basically, if you decide to vaccinate, here's how you can do it. I also became aware that some were simply following my schedules without reading the rest of the book, so they weren't understanding all the information they should have to make an informed decision. Thus, the Third Edition was born in 2019.
Over the past 12 years I've seen a shift away from following alternative vaccine schedules. More and more parents, both in America and worldwide, are choosing not to vaccinate at all in the early years. Some start vaccines later and some do not. At the same time, I've seen more and more pediatricians make vaccines mandatory for their patients. No shots, no service. Since I'm almost the only pediatrician in my county who will see these families, my practice has become about 99% vaccine free in my infant and toddler population. No one in my practice even seems to want an alternative schedule anymore. They raise their kids vaccine-free for the first several years (their choice, not mine), and then about 10% of them will do the 14 injections required for California schools spread out over a couple years.
So, the Third Edition (2019) reflects my experience working with these families and observing these trends. I no longer feel comfortable publishing a specific schedule and I ask my readers to develop an alternative schedule with their own doctor if they decide they should do some vaccines. I added a whole new chapter on how to navigate this decision and I more clearly and openly discuss my opinions based on all my research.
Another reason for my shift is the growing threat of mandatory vaccination laws. I think if certain state governments had just left well enough alone (meaning, people could freely make their own choice about vaccines without discrimination or suffering economic and societal penalties), then many of us would still be calm and quiet about this issue. But no more. They drew first blood. They are trying to make vaccines mandatory in more and more states, so we are working harder to grow the health choice movement so that everyone can enjoy the freedom to make all medical choices for themselves and their children.
Plus, the podcast and my video series on www.TheVaccineConversation.com have been even better outlets for me to educate parents worldwide on this topic.
Thank you for your readership. We are on this journey together, and it's nice that every day that passes we become a bigger people.
Updates to The Vaccine Book
Throughout the book you there are sections that I promised to update as new information came to light. Here are some updated notes and references to some of the emerging topics:
VACCINES DURING PREGNANCY
There are currently three, and soon-to-be four, vaccines recommended during pregnancy (Flu, Tdap, Covid, and possibly RSV). Readers often ask me if I recommend any of these. At this time, there is not enough safety or efficacy research for me to actively recommend any of these to people during pregnancy. There has not been sufficient research done since writing the most recent version of this book for me to change my opinion. Since I don't offer direct medical advice on this website, I can't tell you what to do. I give each patient a discussion on the pros and cons of these vaccines during pregnancy and each patient makes their decision. I would say that 99% of my patients do not get any of these during pregnancy.
Flu shot updates. It was my hope to be able to provide updates on each year's offering of flu vaccines, but I have not been able to keep up. You can review this info, if you need to, by reading each product insert for the current year's flu shots on the FDA website.
RSV vaccine. A new vaccine has been developed to help prevent this respiratory illness. FDA approval is currently pending. I hope to provide a complete update this year or next year once the FDA approves this vaccine for pregnant moms as more info comes available.
UPDATES TO ALUMINUM RESEARCH
My opinion on aluminum has not changed since publication. There have not been any new studies that have made aluminum appear safer. I have, however, written some better and more up-to-date discussions on aluminum in vaccines that I would like to direct you to.
A Tale of Two Sides book and podcast. You will see links to these two resources from the homepage. Chapter 3, in my opinion, presents the most objective and science-based discussion on both sides of the aluminum debate. All research resources for this info is also listed on A Tale of Two Sides Resource page.
The Vaccine Conversation podcast. You'll see a link on the homepage. Scroll through the titles and you'll see several episodes that dive very deeply into this issue, including interviews with Dr. Chris Shaw and Dr. Chris Exley.
UPDATES ON THE NEW 6-IN-1 VACCINE - VAXELIS
This vaccine combines DTaP, Hib, Polio, and Hep B all into one shot for the 3-dose series given to infants and toddlers (not approved for 5 years and older). The DTaP and Polio components are the same as the Sanofi DTaP and Polio formulations described in those chapters, and the Hep B and Hib components are the same as Merck's Hib and Hep B described is those chapters.
The ingredients are as follows:
Protein components of each of the six germs as described in each chapter of each vaccine component
319 micrograms of aluminum
cow blood proteins
Overall, this combined injection has the least amount of aluminum than any other combination of these 4 vaccines given separately (319 mcg per dose for the three doses). In comparison, the DTaP with the least aluminum has 330 mcg per dose and Hep B has 250 mcg per dose. I have not yet used this vaccine in my office, however, as my patients prefer to spread vaccine components out in separate shots.