Hepatitis A vaccine has made this disease much less common in the United States. However, outbreaks of hepatitis A among unvaccinated people still happen. Older children and adolescents 2 through 18 years of age who were not vaccinated previously should be vaccinated. Adults who were not vaccinated previously and want to be protected against hepatitis A can also get the vaccine.
In addition, a person who has not previously received hepatitis A vaccine and who has direct contact with someone with hepatitis A should get hepatitis A vaccine within 2 weeks after exposure. Tell your vaccine provider if the person getting the vaccine has had an allergic reaction after a previous dose of hepatitis A vaccine , or has any severe, life-threatening allergies. In some cases, your health care provider may decide to postpone hepatitis A vaccination to a future visit.
People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting hepatitis A vaccine.
Soreness or redness where the shot is given, fever, headache, tiredness, or loss of appetite can happen after hepatitis A vaccine.
People sometimes faint after medical procedures, including vaccination. Tell your provider if you feel dizzy or have vision changes or ringing in the ears. As with any medicine, there is a very remote chance of a vaccine causing a severe allergic reaction, other serious injury, or death.
An allergic reaction could occur after the vaccinated person leaves the clinic. If you see signs of a severe allergic reaction hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness , call and get the person to the nearest hospital. The safety of vaccines is always being monitored. For more information, visit the vaccine safety site. Your health care provider will usually file this report, or you can do it yourself.
Visit the VICP website or call to learn about the program and about filing a claim. There is a time limit to file a claim for compensation. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. HepA vaccine is an inactivated vaccine and poses no harm to the nursing infant.
Can HepA vaccine be given to immunocompromised people? If any immunocompromised person has a risk factor that places them at increased risk of hepatitis A e. I have a patient on interferon for hepatitis C, but I want to give him HepA vaccine. Is it okay to vaccinate him against hepatitis A while he is on interferon? HepA vaccine should be given to all susceptible patients with chronic liver disease.
HepA vaccine is very immunogenic. The vaccine must not be frozen. Any vaccine exposed to freezing temperature should not be used. Do not use these or any other vaccines after the expiration date shown on the packaging. Any vaccine administered after its expiration date is not valid and should be repeated. Back to top This page was updated on October 22, This page was reviewed on July 31, Immunization Action Coalition.
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Travel Vaccines. Disease Issues. Immune Globulin. Travel - International. For Special Groups. Vaccine Storage and Handling. What is hepatitis A? People who are at increased risk for acquiring HAV infection include the following:.
Travelers to countries that have high or intermediate endemicity of HAV infection. Men who have sex with men MSM. Users of injection and noninjection drugs in other words, all who use illegal drugs. People with occupational risk of exposure non-human primates or researchers handling hepatitis A virus. People who anticipate close contact with an international adoptee coming from a country with high or intermediate endemicity of HAV infection.
People living with HIV infection. People experiencing homelessness, including temporary shelters and other unstable living arrangements. People living in group settings for those with developmental disabilities and other settings where hygiene is difficult to maintain. People who are incarcerated. I thought people with clotting factor disorders were at risk for hepatitis A due to their regular use of blood products.
Vaccination Recommendations. Back to top. What is the best way to prevent HAV infection? Recommended dosages and schedules of hepatitis A vaccines. Age group. Havrix GSK. Combination vaccine using hepatitis A and hepatitis B vaccines. Antigens used. Twinrix GSK. Havrix El. Are HepA vaccine brands interchangeable?
All children and adolescents age 2 through 18 years who have not previously received HepA should be vaccinated i. People living with HIV infection []. Travelers age 12 months and older to areas of the world with intermediate or high HAV endemicity.
Infants age 6 through 11 months traveling outside the United States should receive 1 dose when protection against HAV infection is recommended. Men who have sex with men. Users of illegal drugs, injectable or noninjectable.
People who are homeless or in unstable living arrangements, including shelters. Previously unvaccinated people who anticipate having close personal contact with an international adoptee from a country of high or intermediate endemicity during the first 60 days following the adoptee's arrival in the U.
People who work with nonhuman primates or with HAV in a research laboratory setting. People with chronic liver disease including but not limited to people with hepatitis B infection, hepatitis C infection, cirrhosis, fatty liver disease, alcoholic liver disease, autoimmune hepatitis, or an ALT or AST level persistently greater than twice the upper limit of normal.
Any person who wishes to be immune to hepatitis A. HepA vaccination is not routinely recommended for healthcare personnel, food handlers, sewage workers, or day care providers because there is no evidence that their occupational risks of HAV exposure are significantly higher than the general population. Should we give HepA to a person older than age 18 years who requests it? Explain the details regarding the recommendation for giving HepA vaccine to people who will be in contact with recently adopted children.
By what method should hepatitis A vaccine be administered? Could you please provide more information about Twinrix the combination hepatitis A and B vaccine and the two schedules for its use? Another way to consider this is as follows:. A dose of Twinrix contains a standard adult dose of hepatitis B vaccine and a pediatric dose of hepatitis A vaccine. Any combination of 3 doses of adult hepatitis B or 3 doses of Twinrix is a complete series of hepatitis B vaccine. What is immune globulin IG?
Below is a brief summary of the recommendations:. Preexposure prophylaxis with IG for travel to areas of intermediate or high hepatitis A endemicity:. Infants younger than age 6 months and other travelers for whom HepA vaccine is declined or contraindicated.
Previously unvaccinated people with chronic liver disease vaccinated within 2 weeks of departure may consider IG in addition to vaccination, based upon the clinician's risk assessment. Previously unvaccinated people who are immunocompromised may consider IG in addition to vaccination, based upon the clinician's risk assessment.
Previously unvaccinated people who are over age 40 years and vaccinated within 2 weeks of departure may consider IG in addition to vaccination, based upon the clinician's risk assessment. Infants under age 12 months. Previously unvaccinated adults with chronic liver disease, in addition to vaccination. Previously unvaccinated adults over age 40 years, consider IG in addition to vaccination, based upon clinician risk assessment.
People with HIV infection, previously vaccinated, consider IG following a high-risk exposure household or sexual contact , based upon clinician risk assessment.
Which travelers are recommended to receive HepA vaccine? What reactions might occur after administration of HepA vaccine?
What contraindications and precautions should be followed when administering HepA vaccine? How should HepA vaccine be stored? An outbreak is when a disease happens in greater numbers than expected in a particular area. Childcare centers are a common site of hepatitis A outbreaks. Some kids can be infected and not have symptoms. But they can still spread the virus to others.
Having many young kids vaccinated against hepatitis A can stop it from spreading in a community. Side effects usually are mild, and can include a mild fever and soreness or redness at the injection site. Allergic reactions to the vaccine are rare. Your child may have fever , soreness, and some swelling and redness at the shot site.
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