HPV (Human Papillomavirus) vaccine - what you need to know: MedlinePlus Medical Encyclopedia

P All content below is taken in its entirety from the CDC HPV (Human Papillomavirus) Vaccine Information Statement (VIS): www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv.html.
P CDC review information for HPV (Human Papillomavirus) VIS:
- Page last reviewed: December 2, 2016
- Page last updated: December 2, 2016
- Issue date of VIS: December 2, 2016
P Content source: National Center for Immunization and Respiratory Diseases
P NOTE: Gardasil-9 (9-valent HPV vaccine) will soon be the only HPV vaccine available in the United States, and this will be the only HPV VIS. (That is why the brand name no longer appears on the VIS.)
P The last doses of Cervarix expired at the end of November, and the VIS has been removed. The Gardasil (quadrivalent HPV vaccine) VIS will be taken down when the last doses have expired in May of 2017. In the meantime, continue to use that VIS when administering Gardasil, and use this VIS when administering Gardasil-9.

T Information
P WHY GET VACCINATED?
P HPV vaccine prevents human papillomavirus (HPV) types that are associated with many cancers, including:
- Cervical cancer in females
- Vaginal and vulvar cancers in females
- Anal cancer in females and males
- Throat cancer in females and males
- Penile cancer in males
P In addition, HPV vaccine prevents infection with HPV types that cause genital warts in both females and males.
P In the U.S., about 12,000 women get cervical cancer every year, and about 4,000 women die from it. HPV vaccine can prevent most of these cases of cervical cancer.
P Vaccination is not a substitute for cervical cancer screening. This vaccine does not protect against all HPV types that can cause cervical cancer. Women should get regular pap tests.
P HPV infection usually comes from sexual contact, and most people will become infected at some point in their life. About 14 million Americans, including teens, get infected every year. Most infections will go away and not cause serious problems. But thousands of women and men get cancer and diseases from HPV.
P HPV VACCINE
P HPV vaccine is approved by the FDA and is recommended by the CDC for both males and females. It is routinely given at 11 or 12 years of age, but it may be given beginning at age 9 years through age 26 years.
P Most adolescents 9 through 14 years of age should get HPV vaccine as a two-dose series with the doses separated by 6 to 12 months. People who start HPV vaccination at 15 years of age and older should get the vaccine as a three-dose series with the second dose given 1 to 2 months after the first dose and the third dose given 6 months after the first dose. There are several exceptions to these age recommendations. Your health care provider can give you more information.
P SOME PEOPLE SHOULD NOT GET THIS VACCINE
- Anyone who has had a severe (life-threatening) allergic reaction to a dose of HPV vaccine should not get another dose.
- Anyone who has a severe (life-threatening) allergy to any component of HPV vaccine should not get the vaccine. Tell your doctor if you have any severe allergies that you know of, including a severe allergy to yeast.
- HPV vaccine is not recommended for pregnant women. If you learn that you were pregnant when you were vaccinated, there is no reason to expect any problems for you or your baby. Any woman who learns she was pregnant when she got the HPV vaccine is encouraged to contact the manufacturer's registry for HPV vaccination during pregnancy at 1-800-986-8999. Women who are breastfeeding may be vaccinated.
- If you have a mild illness, such as a cold, you can probably get the vaccine today. If you are moderately or severely ill, you should probably wait until you recover. Your doctor can advise you.
P RISKS OF A VACCINE REACTION
P With any medicine, including vaccines, there is a chance of side effects. These are usually mild and go away on their own, but serious reactions are also possible.
P Most people who get HPV vaccine do not have any serious problems with it.
P Mild or moderate problems following HPV vaccine:
P Reactions in the arm where the shot was given:
- Soreness (about 9 people in 10)
- Redness or swelling (about 1 person in 3)
P Fever:
- Mild (100°F or 37.8°C ) (about 1 person in 10)
- Moderate (102°F or 38.9°C) (about 1 person in 65)
P Other problems:
- Headache (about 1 person in 3)
P Problems that could happen after any injected vaccine:
- People sometimes faint after a medical procedure, including vaccination. Sitting or lying down for about 15 minutes can help prevent fainting, and injuries caused by a fall. Tell your doctor if you feel dizzy, or have vision changes or ringing in the ears.
- Some people get severe pain in the shoulder and have difficulty moving the arm where a shot was given. This happens very rarely.
- Any medicine can cause a severe allergic reaction. Such reactions from a vaccine are very rare, estimated at about 1 in a million doses, and would happen within a few minutes to a few hours after the vaccination.
P As with any medicine, there is a very remote chance of a vaccine causing a serious injury or death.
P The safety of vaccines is always being monitored. For more information, visit: www.cdc.gov/vaccinesafety/index.html
P WHAT IF THERE IS A SERIOUS REACTION?
P What should I look for?
P Look for anything that concerns you, such as signs of a severe allergic reaction, very high fever, or unusual behavior.
P Signs of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, and weakness. These would usually start a few minutes to a few hours after the vaccination.
P What should I do?
P If you think it is a severe allergic reaction or other emergency that can't wait, call 9-1-1 or get to the nearest hospital. Otherwise, call your doctor.
P Afterward, the reaction should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your doctor should file this report, or you can do it yourself through the VAERS web site at www.vaers.hhs.gov, or by calling 1-800-822-7967.
P VAERS does not give medical advice.
P THE NATIONAL VACCINE INJURY COMPENSATION PROGRAM
P The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.
P Persons who believe they may have been injured by a vaccine can learn about the program and about filing a claim by calling 1-800-338-2382 or visiting the VICP website at www.benefits.gov/benefits/benefit-details/641. There is a time limit to file a claim for compensation.
P HOW CAN I LEARN MORE?
P Ask your health care provider. He or she can give you the vaccine package insert or suggest other sources of information.
- Call your local or state health department.
P Contact the Centers for Disease Control and Prevention (CDC):
- Call 1-800-232-4636 (1-800-CDC-INFO).
- Visit CDC's web site at www.cdc.gov/hpv.

T References
P HPV (Human Papillomavirus) VIS. Centers for Disease Control and Prevention Web site. Updated December 2, 2016. www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv.html. Accessed July 5, 2017.

T Review Date 5/11/2017
P Updated by: Anita Sit, MD, Department of OB/GYN, Santa Clara Valley Medical Center, San Jose, California (for identification purposes only). Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

