PRIORIX is indicated for the active immunisation against measles, mumps and rubella in the second year of life. It can also be given as a booster at the age of 4-6 years.

SIDE EFFECTS:

Infections and infestations

Common:Upper respiratory tract infection
Uncommon: Otitis media

Blood and lymphatic system disorders

Uncommon: Lymphadenopathy

Immune system disorders

Rare: Allergic reactions

Metabolism and nutrition disorders

Uncommon: Anorexia

Psychiatric disorders

Uncommon: Nervousness, abnormal crying, insomnia

Nervous system disorders

Rare: Febrile convulsions

Eye disorders

Uncommon: Conjunctivitis

Respiratory, thoracic and mediastinal disorders

Uncommon: Bronchitis, cough

Gastrointestinal disorders

Uncommon: Parotid gland enlargement, diarrhea, vomiting

Skin and subcutaneous tissue disorders

Common: Rash

General disorders and administration conditions

Very common: Redness at the injection site, fever >38C (rectal) or >37.5C (axillary/oral)
Common: Pain and swelling at the injection site, fever >39.5C (rectal) or >39C (axillary/oral)


ROTARIX LIQUID ORAL VACCINE is indicated for the prevention of gastro-enteritis caused by Rotavirus. ROTARIX LIQUID ORAL VACCINE is intended for use in infants in the first six months of life.

SIDE EFFECTS:

Gastrointestinal disorders:

Common: Diarrhoea
Uncommon: Flatulence, abdominal pain

Skin and subcutaneous tissue disorders

Uncommon: Dermatitis

General disorders and administration site conditions

Common: Irritability


CERVARIX is indicated from the age of 9 years for the prevention of persistent infection, premalignant ano-genital lesions (cervical, vulvar, vaginal and anal) and cervical, vulvar, vaginal and anal cancers (squamous-cell carcinoma and adenocarcinoma) caused by oncogenic Human Papillomaviruses (HPV) (see PHARMACOLOGICAL ACTION and WARNINGS AND SPECIAL PRECAUTIONS).

SIDE EFFECTS:

Infections and infestations

Uncommon: Upper respiratory tract infection

Blood and lymphatic system disorders

Uncommon: Lymphadenopathy

Nervous system disorders

Very common: Headache

Uncommon: Dizziness

Gastrointestinal disorders

Common: Gastrointestinal including nausea, vomiting, diarrhoea and abdominal pain

Skin and subcutaneous tissue disorders

Common: Itching/pruritus, rash, urticaria

Musculoskeletal and connective tissue and bone disorders

Very common: Myalgia

Common: Arthralgia

General disorders and administration site conditions

Very common: Injection site reactions including pain, redness, swelling; fatigue

Common: Fever (≥ 38 °C)

Uncommon: Other injection site reactions such as induration, local paraesthesia


HAVRIX is indicated for active immunisation against hepatitis A virus (HAV) infection in subjects at risk of exposure to HAV.
HAVRIX will not prevent hepatitis infection caused by other agents such as hepatitis B virus, hepatitis C virus, hepatitis E virus or other pathogens known to infect the liver. In areas of low and intermediate prevalence of hepatitis A, immunisation with HAVRIX is particularly recommended in subjects who are, or will be, at increased risk of infection such as: Travellers: Persons moving from areas of low endemicity to areas of high endemicity. Armed forces: Armed Forces personnel who travel to higher endemicity areas or to areas where hygiene is poor, have an increased risk of HAV infection. Active immunisation is indicated for these individuals.
Persons for whom hepatitis A is an occupational hazard or for whom there is an increased risk of transmission.
Contacts of infected persons.
Persons who require protection as part of hepatitis A outbreak control or because of regionally elevated morbidity.
Specific population groups known to have a higher incidence of hepatitis A.
Subjects with chronic liver disease or who are at risk of developing chronic liver disease (e.g. hepatitis B and hepatitis C carriers and alcohol abusers). Hepatitis A tends to compromise the outcome of the chronic liver disease. In areas of intermediate to high prevalence of hepatitis A, susceptible individuals may be considered for active immunisation. These include children and adolescents especially in high socio-economic groups and urban areas.

SIDE EFFECTS:

Infections and infestations

Uncommon: Upper respiratory tract infection, rhinitis

Metabolism and nutrition disorders

Common: Appetite lost

Psychiatric disorders

Very common: Irritability

Nervous system disorders:

Very common: Headache

Common: Drowsiness

Uncommon: Dizziness

Rare: Hypoaesthesia, paraesthesia

Gastrointestinal disorders

Common: Gastrointestinal symptoms (such as diarrhoea, nausea, vomiting)

Skin and subcutaneous tissue disorders

Uncommon: Rash

Rare: Pruritus

Musculoskeletal and connective tissue disorders

Uncommon: Myalgia, musculoskeletal stiffness

General disorders and administration site conditions

Very common: Pain and redness at the injection site, fatigue

Common: Malaise, fever (³ 37,5 °C), injection site reaction (such as swelling or induration)

Uncommon: Influenza like illness Rare: chills.


Active immunisation of infants and children from 6 weeks up to 5 years of age against disease caused by Streptococcus pneumoniae vaccine serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F and cross-reactive serotype 19A (including sepsis, meningitis, pneumonia, bacteraemia and acute otitis media) and against acute otitis media caused by Non-Typeable Haemophilus influenzae.

SIDE EFFECTS:

Immune system disorders:

Rare: Allergic reactions (such as allergic dermatitis, atopic dermatitis, eczema)

Very rare: Angioedema

Metabolism and nutrition disorders

Very common: Appetite lost

Psychiatric disorders

Very common: Rrritability

Uncommon: Crying abnormal

Nervous system disorders

Very common: Drowsiness

Rare: Convulsions (including febrile convulsions)

Vascular disorders

Very rare: Kawasaki disease

Respiratory, thoracic and mediastinal disorders

Uncommon: Apnoea (see WARNINGS AND SPECIAL PRECAUTIONS for apnoea in very premature infants (≤ 28 weeks of gestation))

Gastro-intestinal disorders

Uncommon: Diarrhoea, vomiting

Skin and subcutaneous tissue disorders

Uncommon: Rash

Rare: Uticaria

General disorders and administration site conditions

Very common: Pain, redness, swelling at the injection site, fever ≥ 38 °C rectally (age < 2 years) Common: injection site reactions like injection site induration, fever > 39 °C rectally (age < 2 years)

Uncommon: Injection site reactions like injection site haematoma, haemorrhage and nodule The following adverse reactions have additionally been reported after booster vaccination of primary series and/or catch-up vaccination: Nervous system disorders: Uncommon: headache (age 2 to 5 years)


INFANRIX HEXA is indicated for primary and booster vaccination against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Haemophilus influenzae type b in infants from the age of 6 weeks and may be given to infants who received a first dose of hepatitis B vaccine at birth.

SIDE EFFECTS:

Infections and infestations

Uncommon: Upper respiratory tract infection

Metabolism and nutrition disorders

Very common: Appetite loss

Psychiatric disorders

Very common: Irritability, crying abnormal, restlessness

Common: Nervousness

Nervous system disorders

Uncommon: Somnolence

Very rare: Convulsions (with or without fever)

Respiratory, thoracic and mediastinal disorders

Uncommon: Cough*

Rare: Bronchitis

Gastrointestinal disorders

Common: Vomiting, diarrhoea

Skin and subcutaneous tissue disorder

Common: Pruritus*

Rare: Rash

Very rare: Dermatitis, urticaria*

General disorders and administration site conditions

Very common: Pain, redness, local swelling at the injection site (≤50 mm), fever ≥38 °C, fatigue

Common: Local swelling at the injection site (>50 mm)**, fever >39,5 °C, injection site reactions, including induration

Uncommon: Diffuse swelling of the injected limb, sometimes involving the adjacent joint


SIDE EFFECTS:

In children 6 weeks through 5 years of age (prior to the 6th birthday), Prevnar 13 is indicated for

Active immunization for the prevention of invasive disease caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F. (1.1)

Active immunization for the prevention of otitis media caused by S. pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F. No otitis media efficacy data are available for serotypes 1, 3, 5, 6A, 7F, and 19A. (1.1)

In children 6 years through 17 years of age (prior to the 18th birthday), Prevnar 13 is indicated for

Active immunization for the prevention of invasive disease caused by S. pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F. (1.2)

Adverse Reactions

In infants and toddlers vaccinated at 2, 4, 6, and 12–15 months of age in US clinical trials, the most commonly reported solicited adverse reactions (>5%) were irritability (>70%), injection site tenderness (>50%), decreased appetite (>40%), decreased sleep (>40%), increased sleep (>40%), fever (>20%), injection site redness (>20%), and injection site swelling (>20%). (6.1)

In children aged 5 through 17 years, the most commonly reported solicited adverse reactions (>5%) were injection site tenderness (>80%), injection site redness (>30%), injection site swelling (>30%), irritability (>20%), decreased appetite (>20%), increased sleep (>20%), fever (>5%), and decreased sleep (>5%). (6.1)


Avaxim is a vaccine. Vaccines are used to protect you against infectious diseases. This vaccine helps to protect against hepatitis A infection in people 16 years of age and older. Hepatitis A infection is due to a virus that attacks the liver. It may be caught from food or drink that contains the virus. Symptoms include yellowing of the skin (jaundice) and feeling generally unwell. When you are given an injection of Avaxim, your body’s natural defences will produce protection against hepatitis A infection.

SIDE EFFECTS:

Very common reactions (reported by more than 1 in 10 people)

Mild pain at the injection site

Generally feeling weak (asthenia) Common reactions (reported by less than 1 in 10 but more than 1 in a 100 people):

Headache

Feeling sick (nausea) or being sick (vomiting)

Loss of appetite

Diarrhoea and/or stomach ache (abdominal pain)

Pain in the muscles and joints (myalgia, arthralgia)

Mild fever

Uncommon reactions (reported by less than 1 in a 100 but more than 1 in a 1000 people)

Redness (erythema) at the injection site Rare reactions (reported by less than 1 in a 1000 but more than 1 in 10,000 people):

A lump formed at the injection site (injection site nodule)

Mild and temporary changes in blood tests that measure how the liver is working (transaminases increased)

Very rare reactions (reported by less than 1 in 10,000 people)

Fainting in response to injection

Rashes that have sometimes been lumpy and itchy (including urticaria)


VARIVAX is a vaccine indicated for active immunization for the prevention of varicella in individuals 12 months of age and older.

SIDE EFFECTS:

Frequently reported (≥10%) adverse reactions in children ages 1 to 12 years include

Fever ≥ (38.9°C) oral: 14.7%

Injection-site complaints: 19.3% (6.1)

Frequently reported (≥10%) adverse reactions in adolescents and adults ages 13 years and older include: o fever ≥ (37.8°C)

Other reported adverse reactions in all age groups include

Varicella-like rash (injection site)

Varicella-like rash (generalized)


Menactra is a vaccine. Vaccines are used to protect you against infectious diseases. Menactra is given to protect persons 9 months through 55 years of age against meningococcal disease caused by four groups of Neisseria meningitidis (A, C, Y and W-135).
The use of this vaccine should be in accordance with official recommendations. It allows the body to produce enough antibodies to provide a defence against the bacteriathat cause meningococcal disease. However, as with all vaccines, 100% protection cannot be guaranteed. Menactra will not prevent meningitis (an infection of the brain and spinal cord coverings) caused by other groups of Neisseria meningitidis or meningitis caused by different kinds of microbes.

SIDE EFFECTS:

Side effects

Pain, tenderness, redness, hardness and swelling at the injection site

Systemic side effects include

Headache, tiredness (fatigue), feeling unwell (malaise)

Joint pain (arthralgia)

Fever, chills

Loss of appetite, diarrhoea, vomiting

Rash

Irritability, drowsiness, abnormal crying (in children)


BOOSTRIX is a vaccine used for booster vaccination against diphtheria, tetanus and pertussis (whooping cough). The vaccine is sometimes called dTpa vaccine. BOOSTRIX is intended for use in children aged 4 years and older and adults.
Diphtheria, pertussis and tetanus are three life-threatening diseases caused by bacterial infection. The vaccine works by causing the body to produce its own protection (antibodies)against the disease.

SIDE EFFECTS:

MILD EFFECTS Tell your doctor if you notice any of the following that are troublesome or ongoing after vaccination

Redness, swelling, a hard lump, soreness, bruising or itching around the injection site, or a rash on your skin

Feeling generally unwell, fever (between 38˚C and 40°C), aches and pains

Loss of appetite, or feeling sick (nausea), vomiting, constipation or diarrhoea restlessness, irritability, loss of appetite.

SERIOUS EFFECTS As with all vaccines given by injection, there is a very small risk of serious allergic reaction. Contact your doctor immediately or go to the Accident and Emergency department of your nearest hospital if any of the following happens

Swelling of limbs, face, eyes, inside of nose, mouth or throat

Shortness of breath, or breathing or swallowing difficulties

Hives, itching (especially of the hands or feet), reddening of skin (especially around the ears), or severe skin reactions

Unusual tiredness or weakness that is sudden and severe, muscular aches and pains

Convulsions/fits, collapse or periods of unconsciousness

Fever over 40°C Those are signs of an allergic reaction. Allergy to BOOSTRIX is rare. Any such severe reactions will usually occur within the first few hours of vaccination.


Hexaxim (DTaP-IPV-HB-Hib) is indicated for primary and booster vaccination of infants and toddlers from six weeks of age against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and invasive diseases caused by Haemophilus influenzae type b (Hib).

SIDE EFFECTS:

Very common (more than 1 in 10 people)

Crying, somnolence, vomiting, pain redness and swelling at injection site, irritability, Fever (≥38°C

Common side effects (may affect upto 1 in 10 people)

Prolonged crying, diarrhoea, induration

Uncommon side effects (may affect up to 1 in 100 people)

Allergicreaction, lump at injection site, High fever (≥39°C).

Rare side effect (may affect up to 1 in 1,000 people) – Rash, Large injection-site reactions (>5 cm), including extensive limb swelling from the injection site beyond one or both joints, have been reported in children.

These reactions start within 24-72 hours after vaccination, may be associated with erythema, warmth, tenderness or pain at the injection site and resolve within 3-5 days without need of treatment.

Fits (convulsions) with or without fever, Very Rare side effects (may affect up to 1 in 10,000 people) – hypotonic reactions, hypotonic hyporesponsive episodes.

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