The ugly truth is that vaccinations are big money from the government. The CDC throws down an ever-expanding schedule of vaccines and States receive grants every year to conform to those recommendations and document uptake. Huge amounts of money are going out right now on projects to increase data-transfer rates and accuracy back to the CDC from the State registries.
Does you kid -need- to be vaccinated against chicken-pox or Hepatitus B? Not really, but it’s all up side for the doctor to give your kid those shots and all down side not to (government harassment). Giving boys HPV shots, seriously?
The other ugly truth is that vaccinations are not perfectly safe. There is a Vaccine Injury Compensation Trust Fund for a reason. Vaccines are recalled. Vaccines get spoiled. Vaccines contain bases, preservatives, or active elements that are -statistically- safe for the general population but still cause injury or death to children that are statistical outliers. DTaP gets given 4-5 times to a child and 1-in-4 develops minor fever. 1-in-14000 develops a severe seizure. 1-in-16,000 develops a life-threatening high fever, one in a million will suffer a severe allergic reaction, coma or brain damage - and those are the CDCs own numbers.
Those are rationally acceptable risks, but we shouldn’t act like there’s no risk.
And those risks are only random samples. If you already had warning signs of liver problems, motility problems, allergies, neurological disorders, etc. the likelihood of a “freak accident” in your particular case skyrockets. That’s why the registry vaccination records have “contraindications” entries - though they only usually get used -after- someone has proven this out the hard way, with an ER visit.
Vaccination mandates are managed on the macro scale by the government, but risk-management for individual patients is on the micro-scale and is largely ignored in the flurry of federal funding and regulation that goes on. Medical information sharing is extremely locked down by HIPAA too. Your old doctor may know about your kid’s casein allergy and use only the Glaxo single-dose of the vaccine. The free clinic your spouse takes the boy or girl too after moving to Texas? They don’t have a clue and they don’t remind you about those things. In goes that Marsh-Mack vaccine from the Multi-dose vial and off goes little Billy or Suzy to the Emergency Room, or maybe subtler-but-worse adverse reactions set in.
In my experience nurses and doctors Hate it when parents ask about the particulars of any vaccine or bring up things like how a close blood-relative had a bad reaction to XYZ - they just want to get the shot done and move on. If anything goes wrong where they follow the government mandated process they aren’t liable. If they don’t play ball with the one-size-fits-all model, however, they suffer for it.
Should kids get necessary vaccines even though they aren’t 100% safe? Of course! If we didn’t we’d have way more deaths and serious injuries from preventable diseases. Does the system look out for the kids that are more likely to suffer serious side-effects from vaccine reactions? Not even remotely. That’s up to the parents - the government isn’t going to help you there and the government is also going to make it very unlikely for your pediatrician to help either until something’s already gone wrong.