HEPATITIS B PEDIATRIC VACCINE

(HEP a TYE tis B pee dee AT rik VAX een) Brand: Engerix-B Pediatric, Recombivax HB, Recombivax HB Pediatric/Adolescent

What is the most significant information I must know about this vaccine?

• Hepatitis B vaccine will not protect against infection with hepatitis A, C, and E, or another viruses that affect the liver. It may also not protect against hepatitis B if your baby is already infected with the virus, even if he or she does not yet show symptoms.

• Vaccination with hepatitis B pediatric vaccine is recommended for all children, especially children and adolescents who are at risk of getting hepatitis B. Risk factors include: being born to a mother who is a hepatitis carrier; being on dialysis or receiving blood transfusions; living in an institute for the mentally handicapped; traveling to high-risk areas; living with a face who has chronic hepatitis B infection; and being of Native Alaskan, Indochinese, Haitian, or Pacific Island descent.

• The hepatitis B pediatric vaccine is given in a series of shots. The booster shots are sometimes given 1 month and 6 months after the first shot. If your baby has a tall risk of hepatitis B infection, he or she may be given a booster 2 months after the first shot and then 12 to 24 months later.

• Your child's individual booster schedule may be various from these guidelines. Follow your doctor's instructions or the schedule recommended by your local health department.

• Be certain your baby receives all recommended doses of this vaccine. Your baby may not be fully protected against malady if he or she does not receive the full series.

• Your baby can still receive a vaccine if he or she has a minor cool. In the case of a more severe diseases with a fever or any type of infection, wait before the baby gets better till receiving this vaccine.

• Your baby must not receive a booster vaccine if he or she had a life-threatening allergic reaction after the first shot.

• Hold track of any and all side effects your baby has after receiving this vaccine. When the baby receives a booster doze, you will need to speak the doctor if the previous shot caused any side effects.

• Becoming infected with hepatitis B is many more dangerous to your child's health than receiving this vaccine. However, like any medication, this vaccine can reason side effects but the risk of serious side effects is extremely low.

What is hepatitis B vaccine?

• Hepatitis B is a serious malady caused by virus.

• Hepatitis B is a malady of the liver that is spread through blood or bodily fluids, sexual contact or sharing IV drug needles with an infected face, or during childbirth when a child is born to a mother who is infected. Hepatitis causes inflammation of the liver, vomiting, and jaundice (yellowing of the skin or eyes). Hepatitis can lead to liver cancer, cirrhosis, or death.

• The hepatitis B vaccine is used to help prevent this disease.

• This vaccine works by exposing your baby to a little amount of the virus, which causes the body to develop immunity to the malady. This vaccine will not treat an active infection that has already developed in the body.

• Vaccination with hepatitis B pediatric vaccine is recommended for all children, especially children and adolescents who are at risk of getting hepatitis B. Risk factors include: being born to a mother who is a hepatitis carrier; being on dialysis or receiving blood transfusions; living in an institute for the mentally handicapped; traveling to high-risk areas; living with a face who has chronic hepatitis B infection; and being of Native Alaskan, Indochinese, Haitian, or Pacific Island descent.

• Like any vaccine, the hepatitis B vaccine may not provide protection from malady in each person.

What must I discuss with my healthcare provider till receiving this vaccine?

• Hepatitis B vaccine will not protect against infection with hepatitis A, C, and E, or another viruses that affect the liver. It may also not protect against hepatitis B if your baby is already infected with the virus, even if he or she does not yet show symptoms.

• Your baby must not receive this vaccine if he or she ever had a life-threatening allergic reaction to any vaccine containing hepatitis B, or if the baby is allergic to baker's yeast. Your baby also must not receive this vaccine if he or she has received cancer chemotherapy or radiation treatment in the past 3 months.

• If your baby has any of these another conditions, the vaccine may need to be postponed or not given at all:

· multiple sclerosis;

· kidney malady (or if the baby is on dialysis);

· a bleeding or blood clotting mess such as hemophilia or light bruising;

· a history of seizures;

· a neurologic mess or malady affecting the brain (or if this was a reaction to a previous vaccine);

· an allergy to latex rubber;

· a weak immune system caused by malady, bone marrow transplant, or by using determined medicines or receiving cancer treatments; or

· if your baby is taking a blood thinner such as warfarin (Coumadin).

• Your baby can still receive a vaccine if he or she has a minor cool. In the case of a more severe diseases with a fever or any type of infection, wait before the baby gets better till receiving this vaccine.

• FDA pregnancy category C. It is not known whether this vaccine will harm an unborn child. Speak the doctor if your baby is pregnant or becomes pregnant while receiving the series of hepatitis B vaccines.

• It is not known whether hepatitis B vaccine passes into breast milk or if it could harm a nursing child. Speak the doctor if your baby is breast-feeding a baby.

How is this vaccine given?

• The vaccine is injected into a muscle. Your baby will receive this injection in a doctor's office or another clinic setting.

• The hepatitis B pediatric vaccine is given in a series of shots. The booster shots are sometimes given 1 month and 6 months after the first shot. If your baby has a tall risk of hepatitis B infection, he or she may be given a booster 2 months after the first shot and then 12 to 24 months later.

• Your child's individual booster schedule may be various from these guidelines. Follow your doctor's instructions or the schedule recommended by your local health department.

• Your doctor may recommend treating fever and pain with an aspirin-free pain reliever such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil, and others) when the shot is given and for the following 24 hours. Follow the label directions or your doctor's instructions about how many of this medication to give your child.

• It is especially significant to prevent fever from occurring in a baby who has a seizure mess such as epilepsy.

What happens if I miss a dose?

• Contact your doctor if you miss a booster doze or if you get behind schedule. The following doze must be given as soon as possible. There is no need to start over.

• Be certain your baby receives all recommended doses of this vaccine. Your baby may not be fully protected against malady if he or she does not receive the full series.

What happens if I overdose?

• An overdose of this vaccine is unlikely to occur.

What must I avoid till or after receiving this vaccine?

• Follow your doctor's instructions about any restrictions on food, beverages, or activity.

What are the possible side effects of this vaccine?

• Your baby must not receive a booster vaccine if he or she had a life-threatening allergic reaction after the first shot.

• Hold track of any and all side effects your baby has after receiving this vaccine. When the baby receives a booster doze, you will need to speak the doctor if the previous shot caused any side effects.

• Becoming infected with hepatitis B is many more dangerous to your child's health than receiving this vaccine. However, like any medication, this vaccine can reason side effects but the risk of serious side effects is extremely low.

• Get abnormal medical help if your baby has any of these signs of an allergic reaction: hives; difficulty breathing; swelling of the person, lips, tongue, or throat.

• Call your doctor at once if your baby has any of these serious side effects:

· fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;

· fussiness, irritability, crying for an hour or longer;

· quick or pounding heartbeats; or

· light bruising or bleeding.

• Smaller serious side effects include:

· redness, pain, swelling, or a lump where the shot was given;

· headache, dizziness;

· low fever;

· joint pain, body aches;

· weary feeling; or

· nausea, vomiting, stomach pain, constipation, diarrhea.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message vaccine side effects to the US Department of Health and Human Services at 1-800-822-7967.

What another drugs will affect hepatitis B vaccine?

• Till receiving this vaccine, speak the doctor about all another vaccines your baby has recently received.

• Also speak the doctor if your baby has received drugs or treatments in the past 2 weeks that can weaken the immune system, including:

· an oral, nasal, inhaled, or injectable steroid medicine;

· medications to treat psoriasis, rheumatoid arthritis, or another autoimmune disorders, such as azathioprine (Imuran), efalizumab (Raptiva), etanercept (Enbrel), leflunomide (Arava), and others; or

· medicines to treat or prevent organ transplant rejection, such as basiliximab (Simulect), cyclosporine (Sandimmune, Neoral, Gengraf), muromonab-CD3 (Orthoclone), mycophenolate mofetil (CellCept), sirolimus (Rapamune), or tacrolimus (Prograf).

• If your baby is using any of these medications, he or she may not be able to receive the vaccine, or may need to wait before the another treatments are finished.

• There may be another drugs that can affect this vaccine. Speak your doctor about all medications your baby receives. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your doctor or pharmacist can provide more information about this vaccine. Additional information is accessible from your local health department or the Centers for Malady Control and Prevention.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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