Hypersensitivity. Not to be inj intravascularly, intradermally, SC or into buttocks. Not to be used for diseases caused by
Bordetella pertussis,
Corynebacterium diphtheriae or
Clostridium tetani infections. Not to be administered in persons w/ bleeding disorders eg, hemophilia or thrombocytopenia or those on anticoagulant therapy; progressive or unstable neurological disorders, uncontrolled epilepsy or progressive encephalopathy. Postpone vaccination in acute or febrile disease. Syncope; Guillain-Barre syndrome. Immunocompromised patients. Pregnancy & lactation. Not to be used for immunization of childn <4 yr.