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Pain/redness/swelling at the injection site, fever, or mild rash 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 the health care professional right away if your child has any serious side effects, including: joint pain/stiffness, easy bruising/bleeding, seizures, mental/mood changes (such as confusion). 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.

Drug interactions may change how your child's medications work or increase your child's risk for serious side effects. 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 your child's doctor's approval. Some products that may interact with this vaccine are: drugs that weaken the immune system (such as cyclosporine, tacrolimus, cancer chemotherapy, corticosteroids such as prednisone), immune globulin, certain antiviral drugs (such as acyclovir, famciclovir, and valacyclovir). Avoid giving your child aspirin or aspirin-like medications (such as salsalate) for 6 weeks after your child has been vaccinated. This vaccine may interfere with certain lab tests (such as TB skin test), possibly causing false test results. Make sure lab personnel and all the doctors know that your child has recently received this vaccine.