April 2007
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Hepatitis A vaccine
When should my child not get hepatitis A vaccine? Your child should not get hepatitis A vaccine if he has ever had a life-threatening allergic reaction to:

  • A previous dose of hepatitis A vaccine

  • Latex (dry, natural rubber)

When should my child wait to get hepatitis A vaccine? If your child is moderately or severely ill at the time the shot is scheduled, he should usually wait until he is well before getting hepatitis A vaccine. Check with your child's doctor to see whether he should wait.

Tell your child's doctor if the child has any of the following conditions. The doctor may recommend that the child wait or not receive hepatitis A vaccine. Ask the doctor for more information if your child:

  • Has HIV/AIDS or another disease that affects the immune system

  • Is being treated with medications that affect the immune system, such as steroids, for two weeks or longer

  • Has any type of cancer

  • Is receiving cancer treatment with X-rays or medications

  • Has ever had a low platelet count (a blood disorder that may cause unusual bruising or bleeding)

  • Has a bleeding disorder such as hemophilia

  • Is receiving anticoagulant (blood thinner) medication such as warfarin (Coumadin)

  • Has had a reaction to any vaccine

What are the side effects from hepatitis A vaccine and what should I do if they occur? A vaccine, like any medication, may cause serious problems, such as severe allergic reactions. The risk of hepatitis A vaccine causing serious harm, or death, is extremely small. Getting hepatitis A vaccine is much safer than getting the disease. Hepatitis A vaccine can cause other side effects. Call your child's doctor if he has any unusual problems after receiving this vaccine.



Side Effects (Mild) What should I do?
Soreness, tenderness, redness, warmth, or swelling where the shot was given Apply a clean, cool, wet washcloth over the sore area. Give acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others) for pain, as directed by your child’s doctor. Call the doctor if the symptoms get worse or do not go away
Headache Give acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others) as directed by your child’s doctor
Vomiting, diarrhea, stomach pain, or decreased appetite Call your child’s doctor if the symptoms get worse or do not go away
Irritability or tiredness Call your child’s doctor if the symptoms get worse or do not go away
Runny nose, congestion, or cough Call your child’s doctor if the symptoms get worse or do not go away
Mild rash Call your child’s doctor if rash gets worse or does not go away
Side Effects (Moderate or Severe) What should I do?
Unusual changes in behavior Call your child’s doctor
Serious allergic reaction (difficulty breathing; hoarseness or wheezing; hives; swelling of the face, throat, tongue, lips, eyes, hands, or feet; paleness; weakness; fast heartbeat; or dizziness within a few minutes to a few hours after the shot) Get emergency medical care for your child right away
High fever Call your child’s doctor right away