Vivotif Berna

Vivotif Berna

Vivotif Berna

What is a typhoid vaccine?

• People traveling to areas where typhoid fever is common (particularly Asia, Africa, and Central and South America);

• People living with someone who is a carrier of typhoid fever; And

• Laboratory workers who may come into contact with Salmonella typhi at work.

This vaccine exposes you to a small amount of the bacteria, causing your body to develop immunity to the disease.

A typhoid vaccine does not treat an active infection that has already developed in the body or prevent disease caused by bacteria other than Salmonella typhi.

Like any vaccine, the typhoid vaccine may not provide protection against disease in every person.

Side effects of typhoid vaccination

If necessary, get emergency medical helpSigns of an allergic reaction: hives; difficult breathing; Swelling of your face, lips, tongue, or throat.

Infection with typhoid fever is far more dangerous to your health than vaccination with this vaccine. However, like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.

Common side effects include:

• Fever;

• Headache;

• nausea, vomiting, diarrhea, stomach pain; or

• rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You can report vaccine side effects to the U.S. Department of Health and Human Services at 1-800-822-7967.

Warnings

Tell your doctor if you are taking other medicines or have any other medical conditions or allergies.

Before you take this medicine

You should not receive this vaccine if you have ever had an allergic reaction to the typhoid vaccine in the past or if you:

• Fever with any type of infection or illness; or

• weak immune system caused by illness or taking certain medications.

If you have any of these other conditions, your vaccination may need to be delayed or not given at all:

• stomach flu or other illnesses with vomiting or diarrhea;

• if you are taking an antibiotic, especially a sulfa drug; or

• if you plan to start taking antimalarial medication within 10 days of receiving an oral typhoid vaccine.

If you have a mild cold, you can still get vaccinated. In the event of a more severe illness with a fever or an infection of any kind, wait until you feel better before vaccinating.

Tell your doctor if you are pregnant or breastfeeding.

How should I get vaccinated against typhoid fever?

Follow all instructions on your prescription label and read any medication guides or instructions for use. Use the medicine exactly as directed.

Take each capsule according to the recommended schedule otherwise this vaccine may not be effective. Plan in advance to take all doses at least a week before traveling to a typhoid-risk area. The timing of this vaccination is very important for it to be effective.

Take the capsule every other day for 7 days on an empty stomach (4 capsules total), at least 1 hour before food. You must leave one day between capsules. Follow all instructions on the medicine package.

Take Vivotif Berna with a full glass of cool or lukewarm water. Avoid very hot or cold water as this could cause the capsule to dissolve too quickly.

Swallow the capsule as quickly as possible after putting it in your mouth.

Swallow the capsule whole and do not crush, chew, break, or open it.

You must store typhoid vaccine capsules in a cool place. When you receive the capsules, place them in the refrigerator as soon as possible. Store each capsule in the foil blister in the refrigerator until you are ready to take it. Do not allow the capsules to freeze.

This vaccine should be effective for up to 5 years. If you continue to be exposed to typhoid fever, you may need to take another series of 4 capsules every 5 years. Follow your doctor's instructions or the schedule recommended by the Centers for Disease Control and Prevention (CDC).

What happens if I miss a dose?

Call your doctor if you forget to take a capsule on the scheduled day. You may need to start over to make sure you are fully protected from the disease.

Be sure to receive another series of 4 capsules every 5 years if exposure to typhoid fever continues.

What happens if I overdose?

If taken as directed, an overdose of this vaccine is unlikely.

What should I avoid before or after the typhoid vaccination?

Avoid eating anything for at least 1 hour after taking a capsule.

When traveling, in addition to using this vaccine, take precautions to further prevent exposure to bacteria that cause typhoid fever:

• Avoid eating leafy vegetables like spinach or lettuce as they are harder to wash.

• Avoid eating raw fruits or vegetables that cannot be peeled or have been peeled by another person.

• Avoid drinks that contain ice, as well as frozen treats and flavored ice cream that may have been made with contaminated water.

• Avoid eating foods that you have not cooked or prepared yourself. Use clean surfaces and utensils when preparing food.

• Drink only bottled water (preferably carbonated) or water that has been boiled for at least one minute.

• Avoid food and drinks purchased from a street vendor.

What other drugs affect the typhoid vaccine?

Before using this vaccine, tell your doctor about any other vaccinations you have recently received.

You should not take any antimalarial medication that contains proguanil (such as Malarone) for at least 10 days after you receive your last dose of the typhoid vaccine. Proguanil may make the typhoid vaccine less effective.

Other medications can interfere with the typhoid vaccine, including prescription and over-the-counter medications, vitamins, and herbal products. Tell your doctor about all other medicines you are taking.

More information

• Ihr Impfanbieter, Apotheker oder Arzt kann Ihnen weitere Informationen zu diesem Impfstoff geben. Weitere Informationen erhalten Sie bei Ihrem örtlichen Gesundheitsamt oder den Centers for Disease Control and Prevention.

Remember to keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medicine only for the prescribed indication.