This vaccine is used to prevent both typhoid fever and
hepatitis A infection.
This vaccine is recommended for persons traveling to
areas where the risk of typhoid fever and hepatitis A is high; for persons
at increased risk due to their jobs, such as institutional or day care
workers, animal handlers, lab workers, and military personnel; and
residents of communities with an outbreak of hepatitis A or typhoid.
Discuss the risks and benefits of vaccination with your health care
professional.
Read all vaccine information available from your health
care professional before receiving the vaccine. If you have any questions,
ask your health care professional.
This vaccine is given by injection into the muscle of
the upper arm by a health care professional. For patients who cannot
receive an injection into a muscle, this vaccine may be injected under the
skin.
This vaccine should be given at least 14 days before you
may be exposed to typhoid fever or hepatitis A (for example, before
traveling to high-risk area, or starting work).
This vaccine can be given at the same time as most other
vaccines as long as separate injection sites and separate syringes are
used.
Pain/swelling/redness at the injection site may occur.
Headache, nausea, diarrhea, muscle/joint pain, tiredness, or fever may also
occur. If any of these effects last or get worse, notify your 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 your health care professional right away if you
have any of these symptoms. Sitting or lying down may help, since these
symptoms usually don't last long.
Remember that this medication has been prescribed
because your health care professional has judged that the benefit to you is
greater than the risk of side effects. Many people using this medication do
not have serious side effects.
A very serious allergic reaction to this drug 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 your 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.
Before you receive this vaccine, tell the health care
professional if you are allergic to it; or to neomycin; or if you have any
other allergies. This product may contain inactive ingredients, which can
cause allergic reactions or other problems. Talk to your health care
professional for more details.
Before receiving this vaccine, tell your health care
professional your medical history, especially of:
- illness or infection with high fever
- immune system disorders (such as due to HIV infection,
certain cancers such as leukemia/lymphoma, cancer or radiation
treatment)
- vaccination history including previous reactions to any
vaccines
This vaccine is not recommended for use during
pregnancy. The risks of the vaccine should be weighed against the risks of
getting typhoid fever or hepatitis A during pregnancy. Consult your health
care professional for more details.
It is unknown if this vaccine passes into breast milk.
Consult your health care professional before breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your health care professional. Do not start, stop, or change
the dosage of any medicines without your doctor's approval.
Some products that may interact with this vaccine
include:
- drugs that weaken the immune system (including cyclosporine,
tacrolimus, cancer chemotherapy, corticosteroids such as
prednisone)
Take all necessary precautions to avoid being exposed to
typhoid or hepatitis A (such as by contact with infected persons,
eating/drinking possibly contaminated foods/beverages). Consult your health
care professional for more information.
This vaccine reduces your risk of infection for a
limited time only. If there is a continued risk of getting typhoid fever,
you should receive another typhoid vaccine about every 3 years. To get
long-term protection against hepatitis A, you should receive a separate
hepatitis A vaccine shot (booster shot) between 6-12 months after receiving
this medication. This is believed to provide protection from hepatitis A
for up to 10 years after the booster shot.
Lab tests (such as antibody testing) may be done to
monitor the effectiveness of this vaccine in patients who have weakened
immune systems (such as due to cancer therapy, HIV). Consult your health
care professional for more details.
Make a note in your medical record of having received
this vaccine.
Store in the refrigerator. Do not freeze. Keep all
medications away from children and pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.
