SIDE EFFECTS: Injection site reactions (e.g., pain, redness, swelling, hard lump), muscle/joint aches, or fever may occur. Ask your health care professional about taking a fever/pain reducer (e.g., acetaminophen) to help treat these symptoms. Drowsiness, irritability, loss of appetite, nausea, or diarrhea may also occur. If any of these effects persist or worsen, tell your health care professional promptly. 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 you have any of these symptoms soon after receiving an injection. Sitting or lying down may relieve symptoms. 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. Get medical help right away if you have any very serious side effects, including: 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 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: Before receiving this vaccine, tell your health care professional if you are allergic to it; or to other vaccines (e.g., diphtheria, tetanus, Haemophilus influenzae); 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 product packaging), which can cause allergic reactions or other problems. Talk to your health care professional for more details. Before using this vaccine, tell your health care professional your medical history, especially of: vaccination/immunization history, recent illness/fever, bleeding problems (e.g., low platelets). During pregnancy, this vaccine should be used only when clearly needed. 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: "blood thinners" (e.g., warfarin or heparins), cancer chemotherapy drugs, corticosteroids (e.g., dexamethasone, prednisone), drugs that weaken the immune system (e.g., cyclosporine, tacrolimus).

OVERDOSE: Not applicable.