Postpone vaccination in patients suffering from acute severe febrile illness. Not to be administered intravascularly. Patients w/ thrombocytopenia or bleeding disorder. Immunosuppressed patients (eg, on immunosuppressive therapy). History of febrile convulsions; family history of convulsions, sudden infant death syndrome & adverse event following DPT vaccination. Syncope. Perform review of medical history & clinical exam before vaccination. Carefully consider giving subsequent doses of pertussis-containing vaccines for temp ≥40°C (rectal) w/in 48 hr of vaccination, not due to another identifiable cause; collapse or shock-like state (hypotonic-hyporesponsive episode) w/in 48 hr of vaccination; 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. Defer pertussis immunisation in childn w/ progressive neurological disorders including infantile spasms, uncontrolled epilepsy or progressive encephalopathy. Lactation. Not for primary immunisation of childn <3 yr.
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