Assessment, Release, And Consent Form - Tetanus And Diphtheria Vaccination (Page 3 of 3) in pdf

As with any medicine, there is a very remote chance of a

Risks

vaccine causing a serious injury or death.

The safety of vaccines is always being monitored. For

With any medicine, including vaccines, there is a chance

more information, visit:

of side effects. These are usually mild and go away on

their own. Serious reactions are also possible but are

What if there is a serious

rare.

problem?

Most people who get Tdap vaccine do not have any

problems with it.

What should I look for?

Mild problems following Tdap

• Look for anything that concerns you, such as signs of

(Did not interfere with activities)

a severe allergic reaction, very high fever, or unusual

behavior.

• Pain where the shot was given (about 3 in 4

adolescents or 2 in 3 adults)

• Signs of a severe allergic reaction can include hives,

• Redness or swelling where the shot was given (about

swelling of the face and throat, difficulty breathing, a

fast heartbeat, dizziness, and weakness. These would

1 person in 5)

usually start a few minutes to a few hours after the

• Mild fever of at least 100.4°F (up to about 1 in

vaccination.

25 adolescents or 1 in 100 adults)

• Headache (about 3 or 4 people in 10)

What should I do?

• Tiredness (about 1 person in 3 or 4)

• If you think it is a severe allergic reaction or other

• Nausea, vomiting, diarrhea, stomach ache (up to 1 in

emergency that can’t wait, call 9-1-1 or get the person

4 adolescents or 1 in 10 adults)

to the nearest hospital. Otherwise, call your doctor.

• Chills, sore joints (about 1 person in 10)

• Afterward, the reaction should be reported to the

• Body aches (about 1 person in 3 or 4)

Vaccine Adverse Event Reporting System (VAERS).

Your doctor might file this report, or you can do it

• Rash, swollen glands (uncommon)

yourself through the VAERS web site at

Moderate problems following Tdap

, or by calling 1-800-822-7967.

(Interfered with activities, but did not require medical

VAERS does not give medical advice.

attention)

• Pain where the shot was given (up to 1 in 5 or 6)

The National Vaccine Injury

• Redness or swelling where the shot was given (up to

Compensation Program

about 1 in 16 adolescents or 1 in 12 adults)

• Fever over 102°F (about 1 in 100 adolescents or 1 in

The National Vaccine Injury Compensation Program

250 adults)

(VICP) is a federal program that was created to

• Headache (about 1 in 7 adolescents or 1 in 10 adults)

compensate people who may have been injured by

• Nausea, vomiting, diarrhea, stomach ache (up to 1 or

certain vaccines.

3 people in 100)

Persons who believe they may have been injured by a

• Swelling of the entire arm where the shot was given

vaccine can learn about the program and about filing a

(up to about 1 in 500).

claim by calling 1-800-338-2382 or visiting the VICP

Severe problems following Tdap

website at There

(Unable to perform usual activities; required medical

is a time limit to file a claim for compensation.

attention)

How can I learn more?

• Swelling, severe pain, bleeding and redness in the arm

where the shot was given (rare).

• Ask your doctor. He or she can give you the vaccine

Problems that could happen after any vaccine:

package insert or suggest other sources of information.

• People sometimes faint after a medical procedure,

• Call your local or state health department.

including vaccination. Sitting or lying down for about

15 minutes can help prevent fainting, and injuries

• Contact the Centers for Disease Control and

caused by a fall. Tell your doctor if you feel dizzy, or

Prevention (CDC):

- Call 1-800-232-4636 (1-800-CDC-INFO) or

have vision changes or ringing in the ears.

- Visit CDC’s website at

• Some people get severe pain in the shoulder and have

difficulty moving the arm where a shot was given. This

Vaccine Information Statement

happens very rarely.

Tdap Vaccine

• Any medication can cause a severe allergic reaction.

Office Use

Such reactions from a vaccine are very rare, estimated

Only

at fewer than 1 in a million doses, and would

2/24/2015

happen within a few minutes to a few hours after the

vaccination.

42 U.S.C. § 300aa-26

Assessment, Release, And Consent Form - Tetanus And Diphtheria Vaccination Page 3

Related Articles

Related forms

Related Categories