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hep B vir vacc recomb and Haemoph B polysac conj-mening intramusc.

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.


(hep-uh-TIE-tuss B/hee-MOF-ill-us B vack-SEEN)



This vaccine helps protect children from certain types of infections (Haemophilus influenzae type b and hepatitis B virus) that can cause serious or life-threatening disease (e.g., meningitis, pneumonia, hepatitis).

How To Use

This medication is given by injection into a muscle (IM). Three doses of the shot are given, usually at 2, 4, and 12- 15 months of age; or as directed by your doctor. It is very important to receive all three shots as directed by your doctor or the medicine/vaccine may not work as well. Keep all scheduled medical appointments. Follow all directions for proper use. Shake the vial well before using the vaccine. Consult your pharmacist. This medication should be checked visually before use for any discoloration or other changes. If present, or if you are unsure if you should use the vaccine, consult your pharmacist.

Side Effects

Drowsiness, irritability/crying, fever (e.g., 101- 103 degrees F or 38-39 degrees C), or pain/redness/mild swelling at the injection site may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: loss of appetite, vomiting, diarrhea, cough, trouble breathing. Tell your doctor immediately if any of these unlikely but serious side effects occur: seizures, unusual muscle weakness, fainting, high fever (greater than 103 degrees F or 39.4 degrees C). In the unlikely event the child experiences an allergic reaction to this medication seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice any other effects not listed above, contact your doctor or pharmacist.


Tell your doctor the child's medical history, especially of: bleeding problems, recent illness, immune system problems, tumors/cancer, previous exposure to hepatitis B (especially during birth), any allergies. Avoid the use of alcohol or alcohol-containing nonprescription drugs as it may aggravate certain side effects of this medication (e.g., drowsiness). Consult your pharmacist. This medication is not recommended for use in children less than 6 weeks of age, because it may have a decreased effect. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug is passed into breast milk. Consult your doctor before breast-feeding.

Drug Interactions

Tell your doctor of all prescription and nonprescription medication you may use, especially: drugs that impair the immune system (e.g., cyclosporine, prednisone, cancer drugs), "blood thinners" (e.g., warfarin, heparins). Tell the doctor if you use any drowsiness-causing medicine such as: medicine for sleep, sedatives/tranquilizers, anti-anxiety drugs, narcotic pain relievers (e.g., codeine), psychiatric medicine, anti-seizure drugs, muscle relaxants, certain antihistamines (e.g., diphenhydramine). Check all nonprescription medicine labels carefully, especially cough and cold preparations, since many contain antihistamines that can cause drowsiness (e.g., diphenhydramine). Consult your pharmacist if you are uncertain of the use of any of these products. Do not start or stop any medicine without doctor or pharmacist approval.


If overdose is suspected, contact your local poison control center or emergency room immediately.


Consult your doctor or pharmacist regarding the temporary use of acetaminophen to treat pain and fever due to this medication.

Missed Dose

It is important the child receives each vaccination as scheduled. If you miss a dose, contact your doctor immediately to establish a new dosing schedule.


Store in a refrigerator between 36 and 46 degrees F (2 to 8 degrees C) away from light and moisture. Do not freeze.