Anaphylactic reactions. Not to be inj intravascularly or intradermally. Not for prevention against diseases caused by pathogens other than
Corynebacterium diphtheriae,
Clostridium tetani,
Bordetella pertussis, HBV, poliovirus or HIB. Postpone vaccination in patients w/ acute severe febrile illness. Temp ≥40°C; collapse or shock-like state; persistent, inconsolable crying lasting ≥3 hr occurring w/in 48 hr of vaccination; convulsions w/ or w/o fever occurring w/in 3 days of vaccination. Thrombocytopenia or bleeding disorder; history of febrile convulsions or Sudden Infant Death Syndrome; syncope. Resp monitoring for 48-72 hr in very preterm infants (≤28 wk of gestation) & w/ previous history of resp immaturity. Immunosuppressed patients. Co-administration w/ pneumococcal conjugate vaccine. Defer pertussis immunization in childn w/ progressive neurological disorders.