Not to be inj intravascularly, intradermally or SC. Not for prevention of diseases caused by pathogens other than Corynebacterium diphtheriae
, Clostridium tetani
, Bordetella pertussis
, HBV, poliovirus or HIB nor for protection against infection by other agents eg, HAV, HCV, hepatitis E virus or other liver pathogens; other types of H influenzae
or meningitis of other origins. Postpone immunization in patients w/ moderate to severe acute febrile illness or infection. Temp ≥40°C, collapse or shock-like state, persistent inconsolable crying lasting ≥3 hr w/in 48 hr of vaccination; convulsions w/ or w/o fever occurring w/in 3 days of vaccination. History of febrile convulsions or Sudden Infant Death Syndrome; Guillain-Barre syndrome or brachial neuritis; thrombocytopenia or bleeding disorder; syncope; immunosuppressive treatment or immunodeficiency; impaired hepatitis B response; phenylketonuria. Interference w/ lab urine test. Chronic renal failure. Not intended for women of childbearing age. Pregnancy & lactation. Childn >24 mth. Resp monitoring for 48-72 hr in very premature infants (≤28 wk of gestation) & w/ previous history of resp immaturity.