About
Pet Vaccinations
Much like pediatricians recommend that human children be vaccinated for a variety of preventable diseases, the experienced medical team at Middle Creek Veterinary Hospital & Exotic Animal Clinic advocate for vaccinations for your animal kids. In fact, there are a myriad of deadly illnesses in both humans and animals that have been virtually eradicated due to the common practice of specific immunizations. Our mission is to promote that trend because, as they say, an ounce of prevention is worth a pound of cure.
The recommended and required vaccinations are strikingly unique per species and can rapidly become overwhelming. We guarantee that our empathetic veterinarians and staff will never try to fit you or your pet into a “cookie cutter” protocol. As much as we advocate for immunizations, we are NOT in favor of over-medicating or over-vaccinating. Whether you have just adopted a new pet, are coming to visit our hospital for the first time, or return every year for routine vaccination, we will always discuss the pros and cons of the multitude of vaccines available so that you can make the decision that fits your and your pet’s lifestyle the best.
Vaccination and Wellness Programs for Dogs
We recommend administering age-appropriate vaccinations as soon as possible – no matter if you have a new puppy or a senior citizen. This is especially important for certain risk factors such as grooming, boarding, or where you walk your doggo.
Puppies do not have a fully developed immune system when they are born. They get partial protection from disease from their mother’s milk for the first few weeks, but they are still vulnerable to illness. We strongly recommend using extreme caution in where you take your pup and to whom you introduce them because they are so susceptible at this time. Depending on their history, we will discuss the best time to start their puppy vaccines. These are series of vaccinations, usually spaced about 3 weeks apart, to safely and slowly help their immunity develop. This process is complete when the puppy reaches 20 weeks (5 months) of age. At that point, their final vaccinations will be considered valid for 1 year (except Bordetella, which is always valid for 6 months).
Puppies older than 5 months or adult dogs that have never been vaccinated have developed the ability to make immunity within their body to fight disease. These dogs will typically be considered to have a valid one-year vaccine (6 months for Bordetella) after they receive a single vaccine with one (1) booster vaccination 3 weeks later. Some vaccines, namely Bordetella and rabies, do not require a 3-week booster vaccine.
For small breed dogs, those with health concerns, or older dogs, we often recommend doing fewer vaccinations per visit to reduce the possibility of a vaccine reaction. Feel free to ask your veterinarian if this may be appropriate for your pup.
Vaccination Schedule and Plan
Because of the differences in vaccines and schedules, we have separated the following information into subsections based on species.
What vaccines do dogs need?
For your canine companions, it’s important for your fur baby to be vaccinated for the following:
Rabies
Rabies is a highly contagious and incurable disease that is 100% fatal in dogs, cats, humans, and other animals. Because of this extreme risk of death, this vaccine is not only essential but is legally required in the state of North Carolina for dogs over 16 weeks (4 months) of age. Vaccination will be valid for either one (1) or three (3) years, depending on the individual puppy.
Parvovirus and Distemper (DHPP)
This vaccine is commonly called the “parvo vaccine” or the “distemper vaccine” but it actually contains and protects against multiple diseases (including these two). Puppies are at the highest risk for these diseases and thus receive this vaccination at virtually every single puppy visit. The two aforementioned diseases are both terrifyingly common as well as life-threatening: there is no cure for either, only symptomatic treatment to try and help them survive and fight the disease themselves. Distemper and parvovirus are so highly transmissible that you can potentially bring them into your home via your shoes and introduce them to your dog without them ever meeting another dog – thus recommended for almost every canine patient.
Leptospirosis
More commonly just reffered to as “lepto,” this is a bacterial disease that is found worldwide in soil and water. In addition to causing severe illness in dogs, lepto can also be transmitted to humans from their canine counterparts. Because of the human safety risk as well as the high potential for encountering the bacteria, we recommend this vaccine for almost every dog. The highest risk dogs are those that have exposure to wildlife (even squirrels) or farm animals, exposure to slow-moving or standing water like streams, rivers, or ponds, or dogs that have contact with other dogs outside their household.
Bordetella and Kennel Cough
Kennel cough gets its name from being most frequently acquired when dogs are exposed to other dogs in historically “kenneled” situations like boarding or grooming. The term “kennel cough” does not refer to a specific disease but to a “syndrome,” which is a group of symptoms that consistently occur together. Kennel cough can be caused by several different bacteria and/or viruses, one of which being the bacteria Bordetella bronchispetica. The bordetella vaccine provides immunity to this bacteria and other common viral causes of kennel cough. Because kennel cough can be caused by different things, this vaccine may not completely prevent your pup from getting sick but will help to lessen the severity of symptoms.
Influenza
Dogs can get the flu, too! Flu doesn’t really have a “season” in the dog world but rather comes in waves at various times in the year. It is similar to kennel cough (and can be one of the causative agents) in that it is transmitted dog-to-dog. The influenza vaccine is recommended for dogs that go places where other dogs frequent such as the groomer or boarding. We are one of few clinics that offer this vaccine, which helps prevent transmission and can dramatically lessen the symptoms of canine influenza.
Lyme Disease
Lyme disease afflicts both humans and dogs and is transmitted by infected ticks. The ticks that carry Lyme disease are active throughout the year unless the temperatures are consistently below freezing. Unlike in humans, Lyme disease can take several months after the initial tick bite to cause symptoms in dogs and thus can be harder to identify as the cause. High quality tick prevention reduces (but does not eliminate) the likelihood of a tick staying on a dog long enough to transmit Lyme disease and we recommend this vaccination for dogs commonly exposed to tick-prone areas.
Cat Vaccinations
As with our canine patients, we recommend administering age-appropriate vaccinations for cats as soon as possible – whether you have a new kitten or a senior citizen. This is especially important for certain risk factors, such as kitties that frequent the outdoor world.
Kittens do not have a fully developed immune system when they are born. They get partial protection from disease from their mother’s milk for the first few weeks, but they are still vulnerable to illness. We strongly recommend using extreme caution with whom you introduce your kitten because they are so susceptible now. Depending on their history, we will discuss the best time to start their kitten vaccines. These are series of vaccinations, usually spaced about 3 weeks apart, to safely and slowly help their immunity develop. This process is complete when the kitten reaches 16 weeks (4 months). At that point, their final vaccinations will be considered valid for 1 year.
Kittens older than 5 months or adult cats that have never been vaccinated have developed the ability to make immunity within their body to fight disease. These cats will typically be considered to have a valid one-year vaccine after they receive a single vaccine with one (1) booster vaccination 3 weeks later. Some vaccines, namely rabies, do not require a 3-week booster vaccine.
For older kitties or those with health concerns, we may recommend doing fewer vaccinations per visit to reduce the possibility of a vaccine reaction.
Do indoor cats need vaccines?
Even if your cat is strictly indoors, vaccines are still crucial for their health. Indoor cats may have reduced exposure to certain diseases, but they can still be at risk if they come into contact with other animals. Vaccinating your indoor cat ensures their overall well-being, even if they never sneak out of the house.
What vaccines do cats need?
At Middle Creek, your feline friend’s well-being is our priority. We offer a variety of vaccinations, including the following, which we consider necessary for all cats:
Rabies
Rabies is a highly contagious and incurable disease that is 100% fatal in cats, dogs, humans, and other animals. Because of this extreme risk of death, this vaccine is not only essential but is legally required in the state of North Carolina for cats over 16 weeks (4 months) of age. Vaccination will be valid for one (1) from the date of vaccination.
Parvovirus and Distemper (DHPP)
This vaccine is commonly called the “parvo vaccine” or the “distemper vaccine” but it actually contains and protects against multiple diseases (including these two). The two aforementioned diseases are both terrifyingly common as well as life-threatening: there is no cure for either, only symptomatic treatment to try and help them survive and fight the disease themselves. Distemper and parvovirus are so highly transmissable that you can potentially bring them into your home via your shoes and introduce them to your cat – thus recommended for almost every feline patient.
Distemper (FVRCP)
Most commonly called the “distemper vaccine,” this vaccine protects against multiple diseases and is essential for all cats. Similar to distemper and parvovirus in dogs, you can bring feline distemper to your kitty on your clothes or shoes from outside the home. Much like canine parvovirus, panleukopenia is highly contagious and life-threatening for cats of all ages (especially kittens). Pet parents for almost every feline patient are strongly encouraged to ensure that their kit-cats are vaccinated appropriately against these diseases.
Feline Leukemia Virus (FeLV)
Sometimes called the “friendly cat disease,” feline leukemia is transmitted directly from cat-to-cat contact (not necessarily from fighting). The virus itself can cause severe anemia, but the worst part is that it severely weakens the infected cat’s immune system. This leaves the affected kitty susceptible to getting sick from almost anything that otherwise wouldn’t cause illness, similar to a severely immunocompromised person. We recommend this vaccine for any cat that goes outside as well as for all kittens while they are young so that they have some immunity if they are ever exposed in the future.
Bordetella
It is uncommon, but possible for cats to get kennel cough from their canine housemates. There is a commercially available bordetella vaccine to help prevent this in our feline friends. Please let us know if this is something you would be interested in for your kitties. If there is enough interest, we will carry this vaccine in the future.
Rabbit Vaccinations
RHDV2 (Rabbit Hemorrhagic Disease Virus)
With the rise of new rabbit diseases, vaccination of the bunny part of the family is becoming common practice in veterinary clinics all over the country. The most recent concern in the United States is that of Rabbit Hemorrhagic Disease Virus (RHDV or RHDV2). The first strain of this highly contagious and nearly always fatal disease was detected in the western United States in 2018 and is thought to have originated in Europe. Since 2020, it has been found sporadically in parts of the eastern US, but it has yet to be detected in North Carolina. For more information on RHDV, including a map of affected areas, go to https://rhdv2.org/
There are two (2) commercially available vaccines for RHDV in Europe but none yet in the US that have been approved by the USDA. Due to the rapid spread of this disease within the past 3 years, one company was given emergency authorization by the USDA to distribute their vaccine within the United States. Preliminary research suggests that the US version of the RHDV vaccine is safe and effective, but this is yet to be confirmed by the USDA.
Middle Creek Veterinary Hospital & Exotic Animal Clinic does not yet recommend the RHDV vaccine for every pet rabbit and does not always stock the vaccine. We are monitoring this emerging crisis closely and will let all of our rabbit owners know if steps must be taken to protect their beloved bunnies. If you want your rabbit to be vaccinated for RHDV, please let us know because we order the vaccine when we have enough requests to use it. We are also more than happy to discuss RHDV in more detail and make recommendations specific to your family’s needs.
Ferret Vaccinations
General Information
Ferrets are playful and mischievous members of the weasel family and can be a wonderful addition to your fur family. Even with their somewhat diminutive stature, a ferret’s intelligence and social needs can rival that of our dog and cat family members. Ferrets are also unique because they have a higher propensity for moderate to severe allergic vaccine reactions than many other species. Despite this risk, our veterinarians strongly advocate for vaccinating ferrets due to their disease risks and requirements by North Carolina law.
Most adverse vaccine reactions happen within 5 to 25 minutes after vaccination and, more commonly, in ferrets vaccinated for rabies and distemper. We will review the pros and cons of different vaccination methods, including vaccinating for both diseases with a premedication or bringing your ferret back for multiple visits. Because of this timing, we often will make our ferret vaccination appointments “backward” and give their vaccine at the beginning of the appointment and then do their official check and physical examination so that our veterinarians are immediately at hand should a ferret start to show signs of an allergic reaction. We require our ferret patients to be in the hospital for at least 30 minutes after they receive their immunization so that they can be rapidly treated if needed. If your ferret ever has a severe vaccine reaction, we will discuss what options are appropriate for them in the future.
Vaccination of young ferrets is similar to that of puppies and kittens. They require a series of vaccines about 3 weeks apart until they are around 16 weeks of age. Older ferrets that have not been previously vaccinated should receive a series of two (2) vaccines, 3 weeks apart. Annual revaccination is recommended. Due to the risk of allergic vaccine reactions in ferrets, measuring antibody titers (via a blood test) is considered by some experts to be the gold standard,
Rabies
Rabies is a highly contagious and incurable disease that is 100% fatal in ferrets, cats, dogs, humans, and other animals. Because of this extreme risk of death, this vaccine is not only essential but is legally required in the state of North Carolina for ferrets over 16 weeks (4 months) of age. Vaccination will be valid for one (1) from the date of vaccination.
Distemper
Distemper in ferrets, caused by the same virus as in dogs, is a very serious disease that almost always causes death in unvaccinated ferrets. Even ferrets that never go outside should have distemper vaccinations because contact with an infected dog or ferret is not the only way they can be infected. You can unknowingly bring the deadly virus into your home on clothing, shoes, or other items after being in close proximity to where an infected animal has been.
Pet Pig (including mini pigs and potbellied pigs) Vaccinations
There are no legally required vaccinations nor a standard vaccination protocol for pet pigs. Vaccination needs for the average house-pig are drastically different from those for commercial hogs. We will take into account each pig’s age, environment, and risks and work with you to develop a plan that best fits your pet pig’s lifestyle.
Tetanus
Tetanus is a bacterial disease that affects many species and causes incurable muscle spasms that can attack the respiratory and heart muscles. The bacteria is found through the world in the soil and is introduced to the body through some kind of wound such as a puncture wound, castration of an outside piglet, or a snout injury from rooting in the dirt. We recommend this vaccine for any pig that likes to play outside. An initial booster vaccination is required for initial immunity and then revaccination is performed annually.
Rabies
As with other species, rabies is 100% fatal for pigs if they are infected and the risk of infection in North Carolina is high. Wildlife and free roaming animals that become infected with rabies are pervasive in our area, which increases the risk for any animal that likes to spend time outside. We recommend giving piggies their first rabies vaccine at 16 weeks (4 months) of age, as in our other species, and then boosting their vaccine annually.
Erysipelas
Erysipelas is a painful, sometimes fatal disease, which causes high fever and disrupts blood vessel function, causing internal bleeding and bruising of the skin. The bruises on the skin can form a distinct diamond pattern and so a common name for this condition is “diamond skin disease”. The causative agent for this disease is a bacteria that is ubiquitous in the environment, making exposure almost inevitable for our porcine family members. Vaccination can begin as early as 8 weeks (2 months) of age. A booster vaccine is required 2 weeks after the initial vaccination and annually therafter.
Birds, Rodents, and Reptiles
At the time of writing, we do not have recommended vaccinations for your pet birds, rodents, or reptiles. Nonetheless, regular veterinary care is still essential for their overall well-being. We suggest bringing these exotics to see our wonderful veterinary team to help ensure they live a happy, healthy life.
Other Exotic Pets, including Large Exotics
Many of our exotic animal patients require variations of the previously mentioned vaccine protocols that we suggest for dogs, cats, ferrets, or pigs. Because of the diversity in our exotic animal patients and the delicate nature of ownership of certain species, please contact us to discuss your pet’s specific needs. Depending upon the animal, we may have you do a scheduled consultation with our veterinarians before you bring your pet to see us so that we can have the most appropriate care plan when they arrive. No matter the species, we are here with you every step of the way!
Schedule an Appointment
At Middle Creek Veterinary Hospital & Exotic Animal Clinic, your pet’s wellbeing is our top priority. We believe that every pet should have a “plan” for their health and that includes vaccination and preventive care. If you want to schedule an appointment or learn more about our services, we’re just a phone call away.