SIDE EFFECTS: Pain, redness, swelling, and tenderness at the injection site commonly occur and usually last 1-2 days. Headache and fever may also occur. Ask your health care professional if you should take a fever/pain reducer (e.g., acetaminophen) to help treat these symptoms. If any of these effects persist or worsen, notify your health care professional promptly. Remember that your health care professional has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. 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 your 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: See also How to Use and Drug Interactions sections. Before you receive this vaccine, tell the health care professional if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients (such as latex or dry natural rubber that can be found in the vial stopper, thimerosal found in some brands), which can cause allergic reactions or other problems. Talk to your health care professional for more details. Before receiving this vaccine, tell your health care professional your medical history, especially of: your vaccination/immunization history, recent illness or fever, immune system problems (e.g., due to cancer treatment, organ transplant, HIV). This vaccine should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care professional. It is unknown if this vaccine passes into breast milk. Consult your health care professional before breast-feeding.

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 you use (including prescription/nonprescription drugs and herbal products) and share it with your health care professional. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this vaccine include: cancer chemotherapy drugs, corticosteroids (e.g., dexamethasone, prednisone), drugs that weaken your immune system (e.g., cyclosporine, tacrolimus), whole-cell pertussis or typhoid vaccines.

OVERDOSE: Not applicable.