SIDE EFFECTS: Pain/swelling/redness at the injection site may occur. Mild fever, sleepiness, fussiness, and loss of appetite may also occur. If any of these effects persist or worsen, tell the health care professional promptly. Consult the health care professional about the short-term use of acetaminophen to treat pain and fever caused by this vaccine. Infrequently, temporary symptoms such as fainting/dizziness/lightheadedness, vision changes, numbness/tingling, or seizure-like movements have happened after vaccine injections. Tell your health care professional right away if your child has any of these symptoms soon after receiving an injection. Sitting or lying down may relieve symptoms. Remember that the health care professional has prescribed this medication because he or she has judged that the benefit to your child is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell the health care professional right away if your child has any serious side effects, including: high fever (105 degrees F/40 degrees C or higher), persistent crying (beginning within 48 hours of the injection and lasting longer than 3 hours), little or no response to sound/touch, unusual pain (such as shoulder pain), muscle weakness/floppy muscles, seizures. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact the health care professional. Contact the health care professional for medical advice about side effects. The following numbers do not provide medical advice, but in the US you may report side effects to the Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967. In Canada, you may call the Vaccine Safety Section at Public Health Agency of Canada at 1-866-844-0018.

PRECAUTIONS: Before your child receives this vaccine, tell the health care professional if your child is allergic to it; or to any other vaccines; or if your child has any other allergies. This product may contain inactive ingredients (such as dry natural rubber/latex found in the packaging of some products, yeast, neomycin, polymyxin B), which can cause allergic reactions or other problems. Talk to your health care professional for more details. Before your child receives this vaccine, tell the health care professional your child's medical history, especially of: a previous reaction to any vaccines (such as high fever, seizures), current fever/illness, bleeding/blood clotting problems (such as hemophilia, low platelets), immune system problems (such as HIV infection, autoimmune disorders), cancer, radiation treatment, brain/nervous system disorders (such as seizures), history of Guillain-Barre syndrome. This vaccine is not usually used in adults. Therefore, it is unlikely to be used during pregnancy or breast-feeding. Consult your health care professional if you have any questions about this vaccine.

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products your child uses (including prescription/nonprescription drugs and herbal products) and share it with the health care professional. Do not start, stop, or change the dosage of any medicines without the doctor's approval. Some products that may interact with this vaccine include: corticosteroids taken by mouth or given by injection (such as prednisolone, dexamethasone), drugs to treat cancer (chemotherapy), drugs that weaken the immune system (such as cyclosporine, tacrolimus).

OVERDOSE: Not applicable.