Tetraxim Special Precautions

Ensure that the vaccine is not injected by the intravascular route (the needle must not enter a blood vessel) or by the intradermal route.
Vaccination should be postponed in children suffering from fever or acute disease, particularly infectious disease or progressive chronic disease.
If child has a history of febrile convulsions not related to a previous vaccination, it is particularly important to monitor the temperature within 48 hrs following the vaccination and administer an antipyretic treatment to reduce the fever regularly for 48 hrs.
If child is following an immunosuppressive treatment or suffers from immune deficiency, this may induce decrease in the immune response to the vaccine.
If child has experienced edematous reactions (or swelling) of the lower limbs occurring following an injection of a vaccine containing the Haemophilus influenzae type b component, the diphtheria-tetanus-pertussis-poliomyelitis vaccine and conjugated Haemophilus influenzae type b vaccine should be administered at 2 separate injection sites on 2 different days.
List of Excipients with Known Effect: Formaldehyde.
Use of Other Vaccines: For primary vaccination and for the 1st booster dose, Tetraxim may be administered by reconstituting conjugated Haemophilus influenzae type b vaccine (Act-HIB) or administered at the same time as this vaccine, at 2 separate injection sites.
If child is to be vaccinated with Tetraxim and vaccines other than those mentioned previously at the same time, ask the doctor or pharmacist for more information.
Inform the doctor or pharmacist if child is taking or has taken any other medicinal product, even in the case of nonprescription medicinal products.