Traceability In order to improve the traceability of biological medicinal products, the name and the batch number of the administered product should be clearly recorded. Prior to immunisation Vaccination should be preceded by a review of the medical history, in particular adverse reactions after past vaccinations.
Pertussis containing-vaccine If any of the following events have occurred after administration of a pertussis-containing vaccine, the decision to administer further doses of a pertussis-containing vaccine should be carefully considered: • Temperature of ≥ 40 °C within 48 hours, not attributable to another identifiable cause • Collapse or shock-like state (hypotonic-hyporesponsive episode [HHE]) within 48 hours of vaccination • Persistent crying lasting ≥ 3 hours, occurring within 48 hours of vaccination • Convulsions with or without fever, occurring within 3 days of vaccination.
There may be some circumstances, such as high incidence of pertussis, when the potential benefits outweigh the possible risks. 4 Hypersensitivity and anaphylaxis As with all injectable vaccines, appropriate medical care should be readily available in case of an anaphylactic event following the administration of the vaccine.
Anxiety-related reactions Anxiety-related reactions, including vasovagal reactions (syncope), hyperventilation or stress‐related reactions may occur in association with vaccination as a psychogenic response to the needle injection.
It is important that precautions are in place to avoid injury from fainting. Concurrent illness Vaccination should be postponed in individuals suffering from acute severe febrile illness or acute infection. The presence of a minor infection and/or low-grade fever should not delay vaccination.
Thrombocytopenia and coagulation disorders As with other intramuscular injections, the vaccine should be given with caution in individuals receiving anticoagulant therapy or those with thrombocytopenia or any coagulation disorder (such as haemophilia).
Bleeding or bruising may occur following an intramuscular administration in these individuals. Immunocompromised individuals There are no clinical data with VacPertagen in immunocompromised individuals. The immunogenicity of the vaccine may be reduced by immunosuppressive treatment or immunodeficiency.