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HEPATITIS A VACCINE INACTIVATED (Systemic)
Some commonly used brand names are:
In the U.S.—
Hepatitis (hep-ah-TY-tiss) A is a serious disease of the liver that can cause death. It is caused by the hepatitis A virus (HAV), and is spread most often through infected food or water. Hepatitis A may also be spread by close person-to-person contact with infected persons (such as between persons living in the same household). Although some infected persons do not appear to be sick, they are still able to spread the virus to others.
Hepatitis A is less common in the U.S. and other areas of the world that have a higher level of sanitation and good water and sewage (waste) systems. However, it is a significant health problem in parts of the world that do not have such systems. If you are traveling to certain countries or remote (out-of-the-way) areas, hepatitis A vaccine will help protect you from hepatitis A disease.
It is recommended that persons 12 months of age or 2 years of age and older (depending on which brand of the vaccine is given) be vaccinated with hepatitis A vaccine when traveling to the following parts of the world:
Hepatitis A vaccine is also recommended for all persons 12 months or 2 years of age and older (depending on which brand of the vaccine is given) who live in areas that have frequent outbreaks of hepatitis A disease or who may be at increased risk of infection from hepatitis A virus. These persons include:
Hepatitis A vaccine is to be used only by or under the supervision of a doctor. It is available in the following dosage form:
Before Receiving This Vaccine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For hepatitis A vaccine, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to hepatitis A vaccine. Also tell your health care professional if you are allergic to any other substances, such as preservatives.
Pregnancy—Studies on effects in pregnancy have not been done in either humans or animals. However, since the vaccine does not contain contagious particles, it is not expected to cause problems during pregnancy. Before receiving this vaccine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Breast-feeding—This vaccine has not been reported to cause problems in nursing babies. Be sure you have discussed the risks and benefits of the vaccine with your doctor.
Children—Havrix brand hepatitis A vaccine is not recommended for infants and children younger than 2 years of age. For children 2 years of age and older, this vaccine is not expected to cause different side effects or problems than it does in adults.
Vaqta brand hepatitis A vaccine is not recommended for infants and children younger than 12 months of age. For infants 12 months of age and older, this vaccine is not expected to cause different side effects or problems than it does in adults.
Older adults—This vaccine has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults. Elderly people may be more sensitive than younger adults to the effects of hepatitis A vaccine.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Other medical problems—The presence of other medical problems may affect the use of hepatitis A vaccine. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Vaccine
Dosing—The dose of hepatitis A vaccine will be different for different patients. Follow your doctor"s orders . The following information includes only the average doses of hepatitis A vaccine.
Side Effects of This Vaccine
Along with its needed effects, a vaccine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. It is very important that you tell your doctor about any side effects that occur after a dose of hepatitis A vaccine , even though the side effect may have gone away without treatment. Some types of side effects may mean that you should not receive any more doses of hepatitis A vaccine.
Get emergency help immediately if any of the following side effects occur:
Difficulty in breathing or swallowing; hives; itching, especially of feet or hands; reddening of skin, especially around ears; swelling of eyes, face, or inside of nose; unusual tiredness or weakness (sudden and severe)
Incidence not known
Black, tarry stools; bleeding gums; blood in urine or stools; confusion; inability to move arms and legs; irritability; pinpoint red spots on skin; seizures; shakiness and unsteady walk; stiff neck; sudden numbness and weakness in the arms and legs; unsteadiness, trembling, or other problems with muscle control or coordination; unusual bleeding or bruising
Other side effects may occur that usually do not need medical attention. However, check with your doctor if any of the following side effects continue or are bothersome:
Soreness at place of injection
Arm or back pain; bleeding between periods; body aches or pain; change in amount of bleeding during periods; change in pattern of monthly periods; congestion; cough; dryness of throat; fever of 37.7 °C (100 °F) or higher; general feeling of discomfort or illness; headache; hoarseness; lack of appetite; lack or loss of strength; nausea; pain, soreness, tenderness or warmth at injection site; runny nose; sneezing; sore throat; stiffness; stuffy nose; tender, swollen glands in neck; trouble in swallowing; unusual stopping of menstrual bleeding; voice changes
Aches or pain in joints or muscles; diarrhea or stomach cramps or pain; itching; swelling of glands in armpits or neck; vomiting; welts
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
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