Special Warning : אזהרת שימוש

WARNINGS
Neomycin, streptomycin, polymyxin B, 2-phenoxyethanol, and formaldehyde are used in the production of this vaccine. Although purification procedures eliminate measurable amounts of these substances, traces may be present (see DESCRIPTION section), and allergic reactions may occur in persons sensitive to these substances (see CONTRAINDICATIONS section).
Systemic adverse reactions reported in infants receiving IPV concomitantly at separate sites or combined with DTP have been similar to those associated with administration of DTP alone. Local reactions are usually mild and transient in nature.
Although no causal relationship between IMOVAX POLIO vaccine and Guillain-Barré Syndrome (GBS) has been established, GBS has been temporally related to administration of another inactivated poliovirus vaccine. Deaths have been reported in temporal association with the administration of IPV (see ADVERSE REACTIONS section).

PRECAUTIONS
GENERAL
Prior to an injection of any vaccine, all known precautions should be taken to prevent adverse reactions. This includes a review of the patient’s history with respect to possible sensitivity to the vaccine or similar vaccines.

Healthcare providers should question the patient, parent or guardian about reactions to a previous dose of this product, or similar product.
Epinephrine injection (1:1000) and other appropriate agents should be available to control immediate allergic reactions.
Healthcare providers should obtain the previous immunization history of the vaccinee, and inquire about the current health status of the vaccinee.
Immunodeficient patients or patients under immunosuppressive therapy may not develop a protective immune response against paralytic poliomyelitis after administration of IPV.
Administration of IMOVAX POLIO vaccine is not contraindicated in individuals infected with HIV.
Special care should be taken to ensure that the injection does not enter a blood vessel.
Syncope (fainting) has been reported following vaccination with IMOVAX POLIO. Procedures should be in place to avoid injury from fainting.

INFORMATION FOR PATIENTS
Patients, parents, or guardians should be instructed to report any serious adverse reactions to their healthcare provider.
The healthcare provider should inform the patient, parent, or guardian of the benefits and risks of the vaccine.
The healthcare provider should inform the patient, parent, or guardian of the importance of completing the immunization series.
The healthcare provider should provide the Vaccine Information Statements (VISs) which are required to be given with each immunization.

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