HEP BCDC recommends first dose at birth + second dose by 2 months old
Engerix-b can cause:
+ Herpes zoster (Shingles)
+ Meningitis
+ Thrombocytopenia
+ Allergic/anaphylactoid reaction,
anaphylaxis
+ Hypersensitivity syndrome (serum
sickness-like)
+ Arthralgia/arthritis
+ Fever
+ Urticaria (hives)
+ Erythema multiforme/nodosum
+ Ecchymoses
+ Encephalitis
+ Encephalopathy
+ Migraine
+ Multiple sclerosis
+ Neuritis
+ Paralysis
+ Paresis
+ Seizures
+ Syncope (fainting)
+ Transverse myelitis
+ Conjunctivitis (pink eye)
+ Keratitis
+ Visual disturbances
+ Earache
+ Tinnitus
+ Vertigo
+ Palpitations
+ Tachycardia
+ Vasculitis
+ Apnea
+ Bronchospasm including asthma-
like symptoms
+ Dyspepsia
+ Alopecia
+ Angioedema
+ Eczema
+ Erythema multiforme including
Stevens-Johnson syndrome
+ Lichen planus
+ Purpura
+ Arthritis
+ Muscular weakness
+ Injection site reaction
+ Abnormal liver function tests
+ Neuropathy: hypoesthesia,
paresthesia, Guillain-Barré
syndrome, Bell’s palsy, optic neuritis
sources from fda + GlaxoSmithKline
there are two manufacturers that make this product
RECOMBIVAX HB can cause:
+ Anaphylactic/anaphylactoid
reactions
+ Bronchospasm
+ Urticaria (Hives)
+ Hypersensitivity syndrome (serum-
sickness-like)
+ Arthralgia/arthritis
+ Fever
+ Erythema multiforme
+ Ecchymoses and erythema
nodosum
+ Systemic lupus erythematosus
(SLE)
+ Lupus-like syndrome
+ Vasculitis
+ Polyarteritis nodosa
+ Elevation of liver enzymes
+ Constipation
+ Guillain-Barré syndrome
+ Multiple sclerosis
+ Transverse myelitis
+ Seizure/febrile seizure
+ Radiculopathy
+ Herpes zoster (Shingles)
+ Migraine
RECOMBIVAX HB continued:
+ Muscle weakness
+ Hypesthesia
+ Encephalitis
+ Stevens-Johnson syndrome
+ Alopecia
+ Petechiae
+ Eczema
+ Pain in extremity
+ Increased erythrocyte
sedimentation rate
+ Thrombocytopenia
+ Irritability
+ Agitation
+ Somnolence
+ Optic neuritis
+ Tinnitus
+ Conjunctivitis (Pink eye)
+ Visual disturbances
+ Uveitis
+ Syncope (Fainting)
+ Tachycardia
+ Peripheral neuropathy including Bell's
Palsy
sources from fda + Merck & Co
this product alone has over 40 adverse
reactions listed by the manufacturer
how can a newborn baby
communicate any of these
symptoms within 24 hrs of birth?