diphtheria and tetanus toxoids combined (pediatric) - injection (cont.)
HOW TO USE: Read the Vaccine Information Statement available from your health care provider before receiving the vaccine. If you have any questions, consult your health care provider.This vaccine is usually given by injection into a muscle by a health care professional. Before giving this medication, learn all directions for preparation and usage. Use the full recommended dose of the vaccine. Discard any remaining vaccine left in single-dose vials.This vaccine should appear as a cloudy, whitish-gray liquid. Shake the container well before giving this medication, and inspect it visually for large particles or discoloration. If either is present, or if the vaccine cannot be mixed, do not use the liquid.For infants 6 weeks through 12 months, 3 injections are given 4 to 8 weeks apart. A fourth dose is given 6 to 12 months after the third injection.For children 1 to 6 years (up to the seventh birthday), 2 injections are given 4 to 8 weeks apart. A third dose is given 6 to 12 months after the second injection.A booster dose is required for all children between 4 to 6 years of age if all of the injections of the series were given before the age of 4 years.The same dosage is used for all injections in the series.Booster doses should be given every 10 years for all children 7 years of age or older and adults. Only the vaccine for adults should be used in these cases.
SIDE EFFECTS: Pain/redness/warmth/bruising/swelling at the injection site, tiredness, temporary/low fever, nausea, and temporary joint aches may occur. Less common side effects may include a persistent lump at the site of injection and muscle aches. If any of these effects persist or worsen, tell your child's doctor or pharmacist promptly.Remember that the doctor has prescribed this medication because he or she has judged that the benefit to your child is greater than the risk of side effects. Many children using this medication do not have serious side effects. However, report all side effects to the doctor.Tell the doctor immediately if any of these unlikely but serious side effects occur: dizziness, high fever over 103 degrees F (39.4 degrees C).Tell the doctor immediately if any of these rare but very serious side effects occur: hearing problems, difficulty with vision focusing, tingling/numbness/weakness in the arm or hand, sudden/extreme pain in one shoulder followed a few weeks later by muscle weakness/shrinkage, voice hoarseness, swallowing/choking problems, often inhaling substances into the breathing tubes, inability to make muscles of the legs/arms/hand/body work (paralysis), mental/mood changes (e.g., unusual behavior, severe/persistent drowsiness), seizures.A severe reaction at the injection site may rarely occur. Tell the doctor if your child develops any of the following side effects: severe pain, large area of swelling/redness/bruising, blackish discoloration.Booster injections may cause more severe side effects or injection site reactions. Be especially watchful for these effects after getting a booster injection, and report all side effects to the doctor.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice your child having 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 your child's doctor or pharmacist.Contact your doctor 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 report side effects to Health Canada at 1-866-234-2345.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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