This is also an age when other vaccinations are given, and when children are likely to still be getting regular medical check-ups. The HPV vaccine is most effective in early adolescence, but this starts to decrease by age Because of this, it is unlikely to provide much benefit for cancer prevention as people get older.
Pregnant women should not get any HPV vaccine at this time, even though they appear to be safe for both mother and the unborn baby. Women who started a vaccine series before they learned they were pregnant should complete the series after the pregnancy. Make sure the health care provider knows about any severe allergies. The following should not get an HPV vaccine:. In fact, testing is not recommended because it cannot show if the HPV vaccine will be effective or not.
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. The patient received a properly spaced Gardasil series in when she was 25 years old.
Did the HPV vaccine she received in fail to protect her? The most likely explanation for this situation is that the patient was exposed to at least HPV types 16 and 18 prior to vaccination.
The HPV vaccine is not effective in preventing infection from HPV types a person has been exposed to prior to vaccination. Will patients who have already had genital warts benefit from receiving HPV vaccine? Vaccination will provide protection against infection with HPV serotypes the patient has not already acquired.
It is important, however, that patients receive a full age-appropriate series of HPV vaccine to get full protection from genital warts. The minimum interval between doses is 5 calendar months..
A 3-dose schedule is recommended for people who start the series on or after the 15th birthday and for people with certain immunocompromising conditions such as cancer, HIV infection, or taking immunosuppressive drugs. Has ACIP expressed a preference for the 2-dose over the 3-dose schedule for adolescents 9 through 14 years of age?
ACIP recommends the 2-dose schedule for people starting the HPV vaccination series before the 15th birthday, as long as they are immunocompetent. If a dose of HPV vaccine is significantly delayed, do I need to start the series over? No, do not restart the series.
You should continue where the patient left off and complete the series. Can the 4-day "grace period" be applied to the minimum intervals for HPV vaccine? A 16 year old received the third dose of HPV vaccine 12 weeks after the second dose but only 4 months after the first dose. Should the third dose be repeated? If an HPV vaccine dose is administered at less than the recommended minimum interval then the dose should be repeated.
The repeat third dose should be repeated 5 months after the first dose or 12 weeks after the invalid third dose, whichever is later.
Does the 2-dose HPV vaccine schedule need to be completed with the same vaccine, or can it include different vaccines such as bivalent or quadrivalent vaccine? The 2-dose schedule can be completed with any combination of HPV vaccine brands as long as dose 1 was given before age 15 years.
If dose 1 of HPV vaccine was given before the 15th birthday and it has been more than a year since that dose was given, would the series be complete with just one additional dose? Adolescents and adults who started the HPV vaccine series prior to the 15th birthday and who are not immunocompromised are considered to be adequately vaccinated with just one additional dose of HPV vaccine.
We have adolescents in our practice who have received the first 2 doses of the HPV series 1 or 2 months apart according to the 3-dose schedule. Can we consider their HPV vaccine series to be complete or do we need to give these patients a third dose? Is the 2-dose recommendation retroactive for children and teens vaccinated prior to ? Any person who ever received 2 doses of any combination of HPV vaccines can be considered fully vaccinated if dose 1 was given before the 15th birthday and the 2 doses were separated by at least 5 months.
I work with university students and many of them miss coming in on time for their next dose of HPV vaccine. What's the longest interval allowed before we need to start the series over? No vaccine series needs to be restarted because of an interval that is longer than recommended with the exception of oral typhoid vaccine in certain circumstances.
You should continue the series where it was interrupted. I have read that HPV vaccine should not be administered to pregnant women. Do we need to perform a pregnancy test prior to administering this vaccine to our patients? Currently, we ask about pregnancy prior to providing the vaccine. HPV vaccine is not recommended for use in pregnant women. 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. Back to top This page was updated on October 22, This page was reviewed on February 17, Immunization Action Coalition. Sign up for email newsletter. ACIP Recommendations. Package Inserts. Additional Immunization Resources.
Adult Vaccination. Screening Checklists. Ask the Experts. Shop IAC. CDC Schedules. Standing Orders for Vaccination. Clinic Tools. State Laws and Mandates. Handouts for Patients and Staff. Technically Speaking. Honor Rolls for Patient Safety. Unprotected People Stories. IAC Express. Vaccine Information Statements. View All Materials.
In addition, don't smoke. Smoking raises the risk of cervical cancer. To detect cervical cancer in the earliest stages, see your doctor for regular Pap tests beginning at age Seek prompt medical attention if you notice any signs or symptoms of cervical cancer — vaginal bleeding after sex, between periods or after menopause, pelvic pain, or pain during sex. There is a problem with information submitted for this request. Sign up for free, and stay up-to-date on research advancements, health tips and current health topics, like COVID, plus expert advice on managing your health.
Error Email field is required. Error Include a valid email address. To provide you with the most relevant and helpful information and to understand which information is beneficial, we may combine your e-mail and website usage information with other information we have about you. If we combine this information with your PHI, we will treat all of that information as PHI, and will only use or disclose that information as set forth in our notice of privacy practices.
You may opt-out of e-mail communications at any time by clicking on the Unsubscribe link in the e-mail. Our Housecall e-newsletter will keep you up-to-date on the latest health information. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission.
Mayo Clinic does not endorse any of the third party products and services advertised. A single copy of these materials may be reprinted for noncommercial personal use only. This content does not have an English version.
This content does not have an Arabic version. See more conditions. HPV vaccine: Who needs it, how it works. Products and services. By Mayo Clinic Staff. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Centers for Disease Control and Prevention. Accessed May 20,
0コメント