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Pain/swelling/redness at the injection site, fever, fussiness, and loss of appetite may occur. If any of these effects last or get worse, tell the health care professional promptly. Rarely, some people have symptoms such as fainting, dizziness, vision changes, or ringing in the ears just after getting a vaccine injection. Tell the health care professional right away if your child has any of these symptoms. Sitting or lying down may help, since these symptoms usually don't last long. Remember that this vaccine has been prescribed because the health care professional has judged that the benefit to your child is greater than the risk of side effects. Many people using this vaccine do not have serious side effects. Tell your health care professional right away if your child has any serious side effects, including: high fever (105 degrees F/40 degrees C or higher), nonstop crying (beginning within 48 hours of the injection and lasting longer than 3 hours), seizures, little or no response to sound/touch, weak/floppy muscles, severe pain/swelling at the injection site. A very serious allergic reaction to this vaccine is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact the health care professional. Contact the health care professional for medical advice about side effects. The following numbers do not provide medical advice, but in the US you may report side effects to the Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967. In Canada, you may call the Vaccine Safety Section at Public Health Agency of Canada at 1-866-844-0018.

Keep a list of all the products your child uses (including prescription/nonprescription drugs and herbal products) and share it with the health care professional. Do not start, stop, or change the dosage of any medicines without the doctor's approval. Some products that may interact with this vaccine are: drugs that weaken the immune system (including cyclosporine, tacrolimus, cancer chemotherapy, corticosteroids such as prednisone).