HPV vaccines have not been associated causally with adverse outcomes of pregnancy or adverse events in the developing fetus. However, if a woman is found to be pregnant after initiating the vaccination series, the remainder of the series should be delayed until completion of pregnancy.
Pregnancy testing is not needed before vaccination. If a vaccine dose has been administered during pregnancy, no intervention is needed. We inadvertently gave HPV vaccine to a woman who didn't know she was pregnant at the time. How should we complete the schedule?
You should withhold further HPV vaccine until she is no longer pregnant. After the pregnancy is completed, administer the remaining doses of the series using the usual 2- or 3-dose schedule depending on the age at initiation of the series.
Can HPV vaccine be administered at the same time as other vaccines? Yes, administration of a different inactivated or live vaccine, either at the same visit or at any time before or after HPV vaccine, is acceptable because HPV is not a live vaccine.
If HPV vaccine is given subcutaneously instead of intramuscularly, does the dose need to be repeated? No data exist on the efficacy or safety of HPV vaccine given by the subcutaneous route.
All data on efficacy and duration of protection are based on a vaccine series administered by the intramuscular route. In the absence of data on subcutaneous administration, CDC and the manufacturer recommend that a dose of HPV vaccine given by any route other than intramuscular should be repeated. There is no minimum interval between the invalid subcutaneous dose and the repeat dose. Contraindications are the following: HPV vaccine is contraindicated for persons with a history of immediate hypersensitivity to any vaccine component, including yeast.
The precaution to HPV vaccine is a moderate or severe acute illness with or without fever. Vaccination should be deferred until the condition improves. HPV vaccines are not recommended for use in pregnant women. If a woman is found to be pregnant after starting the vaccination series, the remainder of the 2 or 3-dose series depending on the age of first HPV vaccination should be delayed until completion of pregnancy.
If a woman has had HPV infection, can she still be vaccinated? Women who have evidence of present or past HPV infection may be vaccinated. They should be advised that the vaccine will not have a therapeutic effect on existing HPV infection or cervical lesions. Can a woman who is breastfeeding receive HPV vaccine? Is the history of an abnormal Pap test a contraindication to the HPV vaccine series? Even a woman found to be infected with a strain of HPV that is present in the vaccine could receive protection from the other strains in the vaccine.
The rates and severity of adverse reactions following each dose of 9vHPV were similar between boys and girls. We've heard stories in the media about severe reactions to the HPV vaccine. Is there any substance to these stories? Among all reports to the Vaccine Adverse Event Reporting System VAERS following HPV vaccines, the most frequently reported symptoms overall were dizziness; fainting; headache; nausea; fever; and pain, redness, and swelling in the arm where the shot was given.
Although deaths have been reported among vaccine recipients none has been conclusively shown to have been caused by the vaccine. You can find complete information on this and other vaccine safety issues at www. Do HPV vaccines cause fainting? Nearly all vaccines have been reported to be associated with fainting syncope.
However, it is not known whether the vaccines are responsible for post-vaccination syncope or if the association with these vaccines simply reflects the fact that adolescents are generally more likely to experience syncope.
Syncope can cause serious injury. Falls that occur due to syncope after vaccination can be prevented by having the vaccinated person seated or lying down.
The person should be observed for 15 minutes following vaccination. The vaccine must not be frozen. Protect the vaccine from light. Administer as soon as possible after being removed from refrigeration. The manufacturer package insert contains additional information and can be found at www. For complete information on vaccine storage and handling best practices and recommendations please refer to CDC's Vaccine Storage and Handling Toolkit at www.
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What's New: VISs. Hepatitis A. Hepatitis B. Varicella chickenpox. Zoster shingles. How long a vaccine will protect people is never known when the vaccine is first introduced. Research will continue to look at how long protection against HPV lasts, and if booster shots will be needed. All of the HPV vaccines were tested in thousands of people around the world before they were approved. And they continue to be constantly monitored for safety. So far, all studies show no deaths have been linked to any HPV vaccine.
Common, mild side effects include headache, fever, nausea, and dizziness. Sometimes pain and redness can happen where the shot was given. As with any medication or injection, people may have an allergic reaction afterwards. Anyone who has a severe life threatening allergy to any ingredient in the HPV vaccine should not get the vaccine, including a severe allergy to yeast.
Some people may faint after getting any vaccine, including HPV vaccines. Fainting after getting a shot is more common in teens than in young children or adults. To keep people from getting hurt from fainting, a minute waiting period for people of all ages is recommended after any vaccination. Insurance plans will probably cover the HPV vaccine cost if it is given according to national guidelines.
But check with your insurance plan to be sure. The VFC program provides free vaccines to children and teens younger than 19 years of age, who are either Medicaid-eligible, American Indian or Alaska Native, or uninsured.
Find out more about HPV. There are more than different types of HPV, and around 40 that affect the genital area. HPV is very common and can be caught through any kind of sexual contact with another person who already has it.
Most people will get an HPV infection at some point in their lives and their bodies will get rid of it naturally without treatment. But some people infected with a high-risk type of HPV will not be able to clear it.
Over time, this can cause abnormal tissue growth as well as other changes, which can lead to cancer if not treated. High-risk types of HPV are linked to different types of cancer, including:. Gardasil 9 protects against 9 types of HPV: 6, 11, 16, 18, 31, 33, 45, 52 and These types of HPV also cause most anal cancers, and some genital and head and neck cancers. HPV vaccination does not protect against other infections spread during sex, such as chlamydia, and it will not stop girls getting pregnant, so it's still very important to practise safe sex.
The 1st dose of the HPV vaccine is routinely offered to girls and boys aged 12 and 13 in school Year 8. If you miss either of your HPV vaccine doses, speak to your school immunisation team or GP surgery and make an appointment to have the missed dose as soon as possible. It's important to have both doses of the vaccine to be fully protected.
People who were eligible for HPV vaccination in school Year 8 but who missed it can still be vaccinated on the NHS up to their 25th birthday. People who have the 1st dose of the HPV vaccine at 15 years of age or above will need to have 3 doses of the vaccine. This is because they do not respond as well to 2 doses as younger people do. Find out more about who can have the HPV vaccine. Read more about HPV vaccination safety and the possible side effects.
In July , it was announced that the HPV vaccine would be extended to boys aged 12 to 13 years in England. Since the to school year, both to year-old boys and girls in school Year 8 born after 1 September have been eligible for the HPV vaccine.
The HPV vaccination programme has been extended to prevent more boys and girls getting HPV-related cancers, such as head and neck cancers and anal and genital cancers.
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