Description
Smallpox mpox vaccine, live non-replicating is used as an active immunization against smallpox and mpox infection in patients who may be at high risk to have this disease. It works by causing your immune system to produce its own protection (antibodies) against the virus.
This vaccine is to be given only by or under the supervision of your doctor or other authorized health care professional.
Before Using
In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies have not been performed on the relationship of age to the effects of smallpox mpox vaccine, live non-replicating, in the pediatric population. Safety and efficacy have not been established. However, emergency use of this vaccine can be given in children who are at high risk for mpox infection.
Geriatric
Appropriate studies have not been performed on the relationship of age to the effects of smallpox mpox vaccine, live non-replicating in the elderly 65 years of age and older. Safety and efficacy have not been established.
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this vaccine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Receiving this vaccine with any of the following medicines is not recommended. Your doctor may decide not to use this vaccine or change some of the other medicines you take.
- Abarelix
- Abemaciclib
- Abiraterone
- Acalabrutinib
- Adagrasib
- Ado-Trastuzumab Emtansine
- Afamitresgene Autoleucel
- Afatinib
- Aldesleukin
- Alectinib
- Alemtuzumab
- Alpelisib
- Altretamine
- Aminoglutethimide
- Aminolevulinic Acid
- Amivantamab-vmjw
- Anastrozole
- Apalutamide
- Arsenic Trioxide
- Asciminib
- Asparaginase
- Atezolizumab
- Avapritinib
- Avelumab
- Axicabtagene Ciloleucel
- Axitinib
- Azacitidine
- Belantamab Mafodotin
- Belinostat
- Belumosudil
- Belzutifan
- Bendamustine
- Bevacizumab
- Bexarotene
- Bicalutamide
- Binimetinib
- Bleomycin
- Blinatumomab
- Bortezomib
- Bosutinib
Receiving this vaccine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Adalimumab
- Anifrolumab-fnia
- Ansuvimab-zykl
- Antithymocyte Globulin Rabbit
- Atidarsagene Autotemcel
- Atoltivimab
- Azathioprine
- Baricitinib
- Belatacept
- Betibeglogene Autotemcel
- Bimekizumab-bkzx
- Brodalumab
- Canakinumab
- Certolizumab Pegol
- Cyclosporine
- Deucravacitinib
- Deuruxolitinib
- Dupilumab
- Efgartigimod Alfa-fcab
- Elivaldogene Autotemcel
- Emapalumab-lzsg
- Etanercept
- Etrasimod
- Fidanacogene Elaparvovec-dzkt
- Fingolimod
- Golimumab
- Guselkumab
- Hyaluronidase
- Immune Globulin
- Inebilizumab-cdon
- Infliximab
- Ixekizumab
- Lebrikizumab-lbkz
- Leflunomide
- Leniolisib
- Lovotibeglogene Autotemcel
- Mirikizumab-mrkz
- Mycophenolate Mofetil
- Mycophenolic Acid
- Nemolizumab-ilto
Receiving this vaccine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Abatacept
- Cytomegalovirus Immune Globulin, Human
- Hepatitis B Immune Globulin
- Rabies Immune Globulin
- Respiratory Syncytial Virus Immune Globulin, Human
- Tetanus Immune Globulin
- Vaccinia Immune Globulin, Human
- Varicella-Zoster Immune Globulin
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Proper Use
A nurse or other trained health professional will give you this vaccine. It is given as a shot under your skin, usually in the outer thigh (for children younger than 1 year of age), upper arm (for children 1 to 17 years of age), or inner side of the arm (for adults).
This vaccine is given in 2 doses at least 4 weeks apart. If you miss the second shot, call your doctor to make another appointment as soon as possible.
Precautions
It is very important that you receive the second dose of the vaccine series at the right times and that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.
This vaccine may cause a serious allergic reaction, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after you receive the vaccine.
Fainting may occur after you receive this vaccine. Your doctor may want to observe you after you get the injection to prevent or manage fainting.
This vaccine may not protect everyone who receives it.
Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:
More common
- Chills
Less common
- Fever
Incidence not known
- Blindness
- blue-yellow color blindness
- blurred vision
- chest tightness
- cough
- difficulty with swallowing
- dizziness
- eye pain
- facial paralysis
- fainting
- fast heartbeat
- hives, itching, rash
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- trouble breathing
- unusual tiredness or weakness
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
- Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
- headache
- muscle pain
- nausea
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
DRG-20473664
