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human papillomavirus (HPV) vaccine, 9-valent

Pronunciation: HYOO man pap il OH ma VYE rus vax EEN, 9-VAY lent

Brand: Gardasil 9

What is the most important information I should know about human papillomavirus 9-valent vaccine?

You should not receive a booster vaccine if you have had a life-threatening allergic reaction after the first shot.

You may feel faint during the first 15 minutes after receiving this vaccine. Some people have had seizure-like reactions after receiving this vaccine.

What is human papillomavirus (HPV) 9-valent vaccine?

Human papillomavirus (HPV) can cause genital warts, cancer of the cervix, anal cancer, and various cancers of the vulva or vagina.

HPV 9-valent vaccine is used in girls and young women ages 9 through 45 to prevent cervical/vaginal/anal cancers or genital warts caused by certain types of HPV.

HPV 9-valent vaccine is also used in boys and young men ages 9 through 45 to prevent anal cancer or genital warts caused by certain types of HPV.

You may receive this vaccine even if you have already had genital warts, or had a positive HPV test or abnormal pap smear in the past. However, this vaccine will not treat active genital warts or HPV-related cancers, and it will not cure HPV infection.

HPV 9-valent vaccine prevents diseases caused only by HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58. It will not prevent diseases caused by other types of HPV.

The Centers for Disease Control and Prevention (CDC) recommends HPV vaccine for all boys and girls ages 11 or 12 years old. The vaccine is also recommended in teenage boys and girls who have not already received the vaccine or have not completed all booster shots.

Like any vaccine, the HPV 9-valent vaccine may not provide protection from disease in every person.

HPV 9-valent vaccine may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before receiving HPV 9-valent vaccine?

You should not receive a booster vaccine if you have had a life-threatening allergic reaction after the first shot. You may not be able to receive this vaccine if you have a high fever.

HPV 9-valent vaccine will not protect against sexually transmitted diseases such as chlamydia, gonorrhea, herpes, HIV, syphilis, and trichomoniasis.

Tell your doctor if you have ever had:

  • an allergy to yeast, polysorbate 80, or to other vaccines;
  • a weak immune system (caused by conditions such as HIV or cancer); or
  • treatment with cancer medicine, steroids, or other drugs that can weaken your immune system.

Tell your doctor if you are pregnant or breast-feeding.

If you are pregnant, your name may be listed on a pregnancy registry to track the effects of HPV 9-valent vaccine on the baby.

How is HPV 9-valent vaccine given?

HPV 9-valent vaccine is given as an injection (shot) into a muscle in your upper arm or thigh. A healthcare provider will give you this injection.

HPV 9-valent vaccine is given in a series of 2 or 3 shots. You may have the first shot at any time as long as you are between the ages of 9 and 45 years old. The second dose is given 2 to 6 months after your first shot. A third dose may be given 6 to 12 months after your first shot.

Be sure to receive all recommended doses of this vaccine or you may not be fully protected against disease.

HPV 9-valent vaccine should not be used in place of having a routine pelvic exam, Pap smear, or anal exam to screen for cervical or anal cancer.

What happens if I miss a dose?

Contact your doctor if you miss a booster dose or if you get behind schedule. The next dose should be given as soon as possible. There is no need to start over.

What happens if I overdose?

An overdose of this vaccine is unlikely to occur.

What should I avoid before or after receiving HPV 9-valent vaccine?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

What are the possible side effects of HPV 9-valent vaccine?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Keep track of any and all side effects you have after receiving this vaccine. When you receive a booster dose, you will need to tell the doctor if the previous shot caused any side effects.

You may feel faint after receiving this vaccine. Some people have had seizure like reactions after receiving this vaccine. Your doctor may want you to remain under observation during the first 15 minutes after the injection.

Developing cancer from HPV is much more dangerous to your health than receiving the vaccine to protect against it. However, like any medicine, this vaccine can cause side effects but the risk of serious side effects is extremely low.

Common side effects may include:

  • pain, swelling, itching, bruising, bleeding, redness, or a hard lump where the shot was given;
  • headache;
  • nausea;
  • fever; or
  • dizziness.

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

What other drugs will affect HPV 9-valent vaccine?

Other drugs may affect HPV 9-valent vaccine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Your doctor or pharmacist can provide more information about this vaccine. Additional information is available from your local health department or the Centers for Disease Control and Prevention.

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

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