Before your child receives this medication, be sure to inform your child's doctor of any medical conditions or allergies they may have, any medications your child is taking, and any other significant facts about your child's health. These factors may affect how your child should receive this medication.
Allergic reactions: In rare cases, this vaccine may cause severe allergic reactions. For this reason, doctors often ask people to stay in the office for about 30 minutes after having the vaccine so they can receive medical care if an allergic reaction occurs. If you notice signs of a severe allergic reaction in your child (hives; trouble breathing or swallowing; or swelling of the lips, face, throat, or tongue), get medical attention immediately.
Bleeding disorders: If you or your child have a bleeding disorder or are taking medications that make you more likely to bleed (i.e., warfarin, acetylsalicylic acid [ASA]) tell the person giving the injection. There is a risk of excessive bleeding where the injection is given if it is not done carefully.
Immune system: As with any vaccine, this vaccine may not be as effective for people with a weakened immune system (such as those on chemotherapy, people who have had an organ transplant, or people who have HIV).
If your child has a weakened immune system, for any reason, discuss with your doctor how this medication may affect your child's medical condition, how your child's medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Infection or fever: This vaccine should not be given to anyone who has an active infection or an illness associated with fever, unless the doctor decides that the benefits outweigh the risks.
Seizures: People who have a history of seizures or seizure disorders may be at an increased risk of experiencing seizures with this vaccine. Your child's doctor may suggest that you give your child a dose of medication to prevent fever. If your child has a history of seizures, discuss with their doctor whether any special precautions are needed.
Vaccine protection: As with any vaccine, this vaccine may not protect all people who receive it and may not prevent infection in those people already infected with the bacteria or virus.
Pregnancy and breast-feeding: Studies have not been conducted with this vaccine during pregnancy or breast-feeding. This vaccine is not recommended for anyone 5 years of age or older.
Children: Very premature children are at an increased risk of breathing problems as a result of receiving this vaccine. However, the benefit of receiving the vaccination is greater than the risk of side effects, and the vaccine should be given as scheduled, based on the baby's age. If you have concerns, speak with your child's doctor.
This vaccine should not be administered to infants younger than 2 months or children 5 years of age or older.