Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Provider photo for Jonathan Volk

Jonathan Volk, MD

Infectious Diseases

Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.

My Offices

San Francisco Medical Center
Appt/Advice: 415-833-2200

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One of the best ways to keep your child healthy is to stay up-to-date with your child's immunizations (shots). Vaccines help:

  • Boost the body’s natural immune system.
  • Fight off diseases children are exposed to.
  • Keep serious illnesses like smallpox from coming back.

Vaccines protect your child, family, and community from preventable diseases and keep us safe and healthy.

Unvaccinated children and adults can become very sick and spread illness. A decrease in immunizations contributed to recent whooping cough and measles outbreaks in California.

California law states that children need to have completed all required immunizations before they can attend school or child care.

We’ll remind you

Download the My Doctor Online app for Kaiser Permanente members in Northern California at Google Play or the App Store. We’ll send you personalized reminders when your child is due for immunizations and well-child visits.


Recommended Shots

Babies and children need a series of vaccines to protect them from serious diseases. That’s why we follow the Centers for Disease Control and Prevention’s (CDC) recommended immunization schedule.

Protection starts at birth

All newborns need protection against hepatitis B, a serious liver disease. At the 2-month well child visit, babies get their first series of routine vaccines.

We will usually update your child’s shots when you come in for well-child visits. For more information on the well-child and immunization schedule, please see our “Shots to Protect Your Child” handout.

For full details on the CDC schedule, please visit

Flu shots

The CDC’s recommended immunization schedule is for generally healthy children. All children ages 6 months and older also need a flu shot each year.

California law states that children need to have completed all required immunizations before they can attend school or child care.

Alternate Schedules

We do not recommend alternative shot schedules for these reasons:

  • Spacing out the shots leaves children unprotected against serious diseases when they’re most vulnerable.
  • Combining shots reduces the total number of injections. They provide safe, effective protection.
  • Having multiple shots during 1 visit means fewer trips to the doctor’s office. This is less stressful for your child.
  • Keeping up with the regular schedule is safest. You won’t have to worry about leaving gaps in protection.

After the Shots

It can be hard to watch your child get shots. Babies often cry and may be fussy afterward.

Most children do not have any side effects and go right back to their usual activities. Serious side effects are very rare.

Minor side effects may include:

  • Mild pain, soreness, or redness where the shot was given.
  • Fussiness or drowsiness. 
  • Loss of appetite.
  • Not wanting to eat as much as normal.
  • Low fever.
  • Mild rash that goes away on its own. This may occur after receiving the measles and chickenpox vaccines. The rash is not infectious.

Most side effects get better without treatment. If your child is fussy or in pain, you can:

  • Remove bandages.
  • Apply a cold compress to reduce swelling. After 24 to 48 hours a warm compress may feel better.
  • Have your child take a warm bath before bedtime.
  • Give acetaminophen (Tylenol) if your child is uncomfortable.

Our Pediatric Dosage Guide can help you determine the right amount of pain medicine to give your child. Remember, do not give aspirin to anyone under age 20. Do not give ibuprofen (Advil, Motrin) to babies under 6 months.

Keeping Up with Shots

Use our online services and app to stay on top of your family’s health.

  • Check to see if your child is due for shots with Preventive Health Reminders. You can also print a copy of the record for school, sports, or camp.
  • Download our My Doctor Online app. The app makes it easy to remember your child’s immunization dates and well-child visits. We’ll notify you when your child is due for shots.

You’ll need an active account with caregiver access, called Act for a Family Member. If you aren't able to set up access online, call the Appointment and Advice line at 1-866-454-8855 to request your child’s immunization information.

Just need shots? No appointment needed.

You don’t need an appointment if your child needs a vaccine but is not due for a well-child visit. Drop in to any Kaiser Permanente medical center between 9 a.m. and 5 p.m. on weekdays. (Note: many offices are closed for lunch between 12:30 p.m. and 2 p.m.)

Has it been more than a year since your child’s last well-child visit (checkup)?

Please schedule an appointment with your child’s doctor soon. We can take care of the shots your child needs at that visit. You can schedule well-child appointments online, or by phone.

Additional References:

Protection You Can Trust

Vaccines protect your child, your family, and your community against serious diseases.

Outbreaks of measles, whooping cough, and chickenpox still occur. But these diseases can be prevented with vaccines. Children who are not immunized can become very sick from these diseases and infect others.

Giving your child the right vaccines at the right time protects against serious diseases. We know you are committed to doing everything you can to keep your child healthy and safe. We are, too.

That’s why we:

  • Protect children against serious, preventable diseases with routine vaccines.
  • Believe no child should suffer from a preventable disease when safe, effective protection is available.
  • Protect ourselves and our families with regular vaccines.

Vaccines are held to the highest standard of safety. The U.S. has the safest, most effective vaccine supply in history. Years of testing are required by law before a vaccine can be licensed. Medical experts are constantly reviewing the safety and effectiveness of vaccines.

With so much information on the Internet, we know parents face conflicting information about vaccines. Please call us or send a secure email to your doctor and we can answer any questions you have about protecting your child.

Related Health Tools:

Interactive Programs

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If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.

This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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