Immunization Pain Management (clinician focus)

Immunizations are common recurring health-related procedures. For most people, these procedures can cause unnecessary stress and anxiety, which can lead to long-term non-adherence with recommended health care interventions and missed immunizations – but health care providers such as doctors, nurses and pharmacists can help.

Clinical practice guidelines (CPG) developed by the Help ELiminate Pain in KIDS (HELPinKIDS) team at the University of Toronto provide guidance for health care providers to help mitigate pain during immunizations.


Recommendations for Reducing Vaccine Pain in Adults

(PDF:  118 KB)

Needle Fear: When It Gets in the Way

(PDF: 165 KB)

Needle-Related Fainting: Why does it happen? What to do about it?

(PDF: 169 KB)

How to Apply Topical Anesthetics: Information for Staff

(PDF:  310 KB)






Pain Management Clinicians Guide Thumbnail_1.jpg

The 5 P's of Pain Management during Vaccine Injections

(PDF: 157 KB) 

A Clinician's Guide: Children 3 years and under

These are scientifically proven ways of reducing pain in children during vaccination. Talk with parents and plan ahead to make the next vaccination less painful.


Anna Taddio Presentaion_PHPC_0.jpg

Reducing Pain and Fear: Integrating Evidence into Routine Immunization Practice

Speaker: Dr. Anna Taddio
Date: 11 June 2015
Presented by: Public Health Physicians of Canada and Immunize Canada


Additional Resources

Last Updated: 15 January 2021