{"id":17946,"date":"2022-12-14T18:34:39","date_gmt":"2022-12-14T18:34:39","guid":{"rendered":"https:\/\/msdconecta.co.cr\/es\/?page_id=17946"},"modified":"2023-02-24T02:05:09","modified_gmt":"2023-02-24T02:05:09","slug":"nombre-qa-recomendation-guide-for-gardasil-9-vaccine","status":"publish","type":"page","link":"https:\/\/msdconecta.co.cr\/es\/nombre-qa-recomendation-guide-for-gardasil-9-vaccine\/","title":{"rendered":"Nombre: Q&A Recomendation Guide for Gardasil 9 vaccine"},"content":{"rendered":"<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-full mhh-mcn-v1-image--d65075fd6fdfd4256c888bac0b2c090f\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17947\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1027_Gardasil9_QA_Reconnendation_Guide_WPP-copia-01.png?quality=80&#038;lossy=1\"\n        width=\"1024\"\n        height=\"421\"\n                alt=\"\"\n            \/>\n            <\/figure>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--3fe2aa7af5e95fbb4c68d22ab1517fe3 mhh-mcn-v1-columns mhh-mcn-columns--gutter-s\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9aacb182bd120fb0226a6229357f2898 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e1aab7611fabf78acd9296a2aa2c83aa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-white-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a26b1071d4f3c6ce3fd5f865f997b249\">Your recommendation matters, so start off strong<sup>1,2<\/sup>?<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9aacb182bd120fb0226a6229357f2898 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--398b890def0c82c6ce2039a33f0f29ed mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0d42fbdde7bdf2192ec9b343d8a37e92 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--42124f076cee5b2f7a83f2a85e0efac9\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17932\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-Gui\u0301a-de-recomendacio\u0301n-para-la-vacuna-Gardasil-9-copia-03.png?quality=80&#038;lossy=1\"\n        width=\"608\"\n        height=\"356\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--119aac96759cdaa26087f5fc608bf9bc mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--9c7e3808193ccddbd54f8d73791a3a9a\"><em>&#8220;<\/em>While you\u2019re here, I strongly recommend vaccinating with GARDASIL 9 to help protect you against certain HPV-related cancers and diseases.<em>&#8220;<\/em><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-center mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--214904a40d213e5069a5bd27455af7da mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--99e3e4bc2358b350df3febc2c9f119e9 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--6745b93b4b8c0e49df95a0adb2cc9d82\"><strong>Have your answers ready if your patients have questions<br><\/strong><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--130d9ff709ad1c81a6fb4362892c6fd5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--8b981feed394b272c667741abaa6596f\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17931\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-Gui\u0301a-de-recomendacio\u0301n-para-la-vacuna-Gardasil-9-copia-02.png?quality=80&#038;lossy=1\"\n        width=\"562\"\n        height=\"707\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<figure class=\"wp-block-table mhh-mcn-v1-table mhh-mcn-v1-table--7f24833a5e95eb7b23d8ffd564cd79ab\"><table class=\"has-black-color has-text-color has-fixed-layout\"><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><strong>QUESTION<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>ANSWER<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>What are the chances that I\u2019ll get HPV?<\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\">HPV doesn\u2019t discriminate by age or gender,\u00b3 and up to 80% of sexually active people will have been infected with HPV in their lifetime.\u2074 <strong>For most people, HPV will clear on its own<\/strong>. But for those who don\u2019t clear the virus, it can cause certain HPVrelated cancers and diseases.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>What will GARDASIL 9 help protect me against?<br><\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\">GARDASIL 9 can help protect against certain HPV-related cervical, vulvar, and vaginal cancers in women, and anal cancers, and genital warts in men and women.\u00b3<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>I thought I was too old for <br>GARDASIL 9. Can I still get it?<\/em><br><\/td><td class=\"has-text-align-center\" data-align=\"center\">GARDASIL 9 is indicated for active immunization of individuals from the age of 9 years.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>I thought HPV vaccination only worked if you got it before being sexually active?<\/em><br><\/td><td class=\"has-text-align-center\" data-align=\"center\">It may not be too late to help protect yourself against HPV. If you\u2019re already infected with one type of the virus, GARDASIL 9 may still help protect against other types of HPV that you haven\u2019t been exposed to.\u2074<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>Do I really need to get vaccinated? I\u2019ve only ever slept with one person.<\/em><br><\/td><td class=\"has-text-align-center\" data-align=\"center\">You can be at risk even if you only have one sexual partner, because they may have been infected by a previous partner and the virus has no symptoms. Vaccination with GARDASIL 9 may also help protect you if you change sexual partners one day.<sup>4<\/sup><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>I use condoms, isn\u2019t that enough to protect me from HPV?<\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\">HPV is most commonly transmitted through sexual intercourse, but because it can also spread through other intimate skin and mucous membrane contact, condom use may not fully protect you against HPV infection. <sup>3,4<\/sup><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>Is GARDASIL 9 safe?<\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\">GARDASIL 9 was studied in 15,776 males and females worldwide and was generally well tolerated. The most common side effects were pain, swelling, redness, itching, and bruising; and headache, fever, nausea, dizziness and tiredness. Fainting can happen after getting the vaccine.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--align-center mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--1c999f8797ba3eb3cb996903b01c79a7 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--fdd1f15268e5c2396ac65f2018836160 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-9 mhh-mcn-column--l-9\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--289558f01fd41c0a841adc324e95e34f\">Parents may have specific questions about GARDASIL 9 and their child<br><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1e3fd01bca04fb68ca76bb87d8f8c686 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-3 mhh-mcn-column--l-3\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--8da3b37bbd84a2d9958909ecb913f912\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17936\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-Gui\u0301a-de-recomendacio\u0301n-para-la-vacuna-Gardasil-9-copia-04.png?quality=80&#038;lossy=1\"\n        width=\"617\"\n        height=\"417\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<figure class=\"wp-block-table mhh-mcn-v1-table mhh-mcn-v1-table--a89a784911df00359c9b21e149058748\"><table class=\"has-black-color has-text-color has-fixed-layout\"><thead><tr><th class=\"has-text-align-center\" data-align=\"center\"><strong>QUESTION<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>ANSWER<\/strong><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><em>Isn\u2019t my child too young for the<br>HPV vaccine?<\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\">GARDASIL 9 can be given to children as young as 9 years, and can be given to your child at the same time as other routine vaccinations.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">I have plenty of time before I need to worry about HPV. Can\u2019t we wait until my child is older?<br><\/td><td class=\"has-text-align-center\" data-align=\"center\">It may seem early, but the ideal time to vaccinate your child against certain HPV related cancers is before they are exposed to the virus.<sup>3<\/sup><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">I\u2019m still not sure if GARDASIL 9 is right for my child at their age.<br><\/td><td class=\"has-text-align-center\" data-align=\"center\">Vaccines are recommended to be given before your child is exposed to a disease. This gives the immune system enough time to develop protection.\u2074<br><br>That\u2019s why we give the HPV vaccine earlier rather than later, to help protect them long before they are ever exposed.\u2074 <br><br>Also, if your child gets the shot between the ages of 9 and 14 years, they will only need two doses rather than three.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--a5b5a270c1be7642b9bd514f1ab673d1 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--6bc0b3691ae618b8834122b87516a4eb mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--49e9a2099b56614e09b3bab3e9533a58 with-aspect-ratio with-aspect-ratio--square\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17877\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-04.png?quality=80&#038;lossy=1\"\n        width=\"203\"\n        height=\"405\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--b58186b5e0f966365410526f3cf67d55 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<h2 class=\"has-teal-500-color has-text-color has-object-object-font-size wp-block-heading mhh-mcn-v1-heading--center mhh-mcn-v1-heading mhh-mcn-v1-heading--2e253a54ff2f3ee6ed9b5299afa13f74\">When it comes to deciding to vaccinate, <strong>you play an important role!<\/strong> <sup>1,2<\/sup><br><\/h2>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--4872a5ad74e48893aa3412fa035af982 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--6d64573965082c428df09fee73684c92 with-aspect-ratio with-aspect-ratio--square\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17878\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-05.png?quality=80&#038;lossy=1\"\n        width=\"252\"\n        height=\"405\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--8c9b0adc370e883a092de39f73ef31eb mhh-mcn-v1-columns mhh-mcn-columns--gutter-s\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9aacb182bd120fb0226a6229357f2898 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--37332a98bc478a220b95c00bb12c8325 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--783eba078f13e010205299ef1821e127\">HELP PROTECT YOUR PATIENTS TODAY<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9aacb182bd120fb0226a6229357f2898 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-links mhh-mcn-v1-links--align-center mhh-mcn-v1-links--justified-center mhh-mcn-v1-links--cec2b9e6e7c618bc161087ece6ec6b4e\">\n    <a class=\"mhh-mcn-v1-link mhh-mcn-v1-link--center mhh-mcn-v1-link--vertical-alignment-center mhh-mcn-v1-link--ced56635275a523e921528ce020c7722 mhh-mcn-v1-link--is-variation mhh-mcn-v1-link--button-custom\" href=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2023\/01\/IP-GARDASIL-9-Caribbean-WP-0040.pdf?utm_source=WHATSAPP&#038;utm_medium=TEXT&#038;utm_campaign=AN-GSL-00129&#038;utm_content=FW-0167\" target=\"_self\">\n                    <span class=\"mhh-mcn-v1-link__label\">Learn more<\/span>\n                <\/a><\/div>\n\n\n\n<p class=\"has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--eb1052d661aebc351962d65922e2a01c\"><br><br>HPV=human papillomavirus<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--859810b40a8ff7305adf064d231ce3c0\"><strong>References:<\/strong><\/p>\n\n\n\n<ol class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--32d2b7feb20ec85cfcd82daa687f485b mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>Gilkey MB, Calo WA, Moss JL, Shah PD, Marciniak MW, Brewer NT. Provider communication and HPV vaccination: the impact of recommendation quality. Vaccine. 2016;34(9):1187-1192. doi:10.1016\/j.vaccine.2016.01.023.<\/li><li>Wheldon CW, Garg A, Galvin AM, Moore JD, Thomson EL. Decision support needs for shared clinical decision-making regarding HPV vaccination among adults 27-45 years of age. Patient Educ Couns. 2021. doi.org\/10.1016\/j.pec.2021.04.016i.<\/li><li>World Health Organization (WHO). Human papillomavirus vaccines: WHO position paper. Wkly Epidemiol Rec. 2017;19(92):241-268.<\/li><li>World Health Organization. Questions and answers about HPV vaccination. http:\/\/www.euro.who.int\/data\/assets\/pdf_file\/0009\/356841\/Q-andA_HPV_Parents_EN.pdf.Published December 2017. Accessed September 7, 2021.<br><br><\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\" \/>\n\n\n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e5ecb36e1652cd5ba9b72d257c2111ec\"><br><strong>GARDASIL 9 &#8211; SELECTED SAFETY INFORMATION<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f5bdfa55d5748a5972098bc226f984da\">Based on:<br>Gardasil 9 HC 3852-II-040-PI eng EMA 052021(CARIBBEAN)<br><br><strong>Therapeutic uses<br><\/strong>Gardasil 9 is indicated for active immunization of individuals from the age of 9 years against the following HPV diseases:<br>\u2022 Premalignant lesions and cancers affecting the cervix, vulva, vagina, and anus caused by vaccine HPV types.<br>\u2022 Genital warts (Condyloma acuminata) caused by specific HPV types.<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--26e1947d1e5a2dc190a3ec4e0483b771\"><strong>Dosage and administration<br><\/strong>GARDASIL 9 should be administered intramuscularly as 3 separate 0.5-mL doses according to the following schedule: Individuals 9 to and including 14 years of age at time of first injection Gardasil 9 can be administered according to a 2-dose (0, 6 \u2013 12 months) schedule. The second dose should be administered between 5 and 13 months after the first dose. If the second vaccine 2 dose is administered earlier than 5 months after the first dose, a third dose should always be administered. GARDASIL 9 can be administered according to a 3-dose (0, 2, 6 months) schedule. The second dose should be administered at least one month after the first dose and the third dose should be administered at least 3 months after the second dose. All three doses should be given within a 1-year period.<br>Individuals 15 years of age and older at time of first injection Gardasil 9 should be administered according to a 3-dose (0, 2, 6 months) schedule. The second dose should be administered at least one month after the first dose and the third dose should be administered at least 3 months after the second dose. All three doses should be given within a 1-year period. It is recommended that individuals who receive a first dose of GARDASIL 9 complete the vaccination course with GARDASIL 9<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--98f20c6fc18f97b09d6ce922b67c7fcb\"><strong>Contraindications<br><\/strong>GARDASIL 9 is contraindicated in patients with hypersensitivity to either GARDASIL 9 or GARDASIL\u2122 or any of the inactive ingredients in either vaccine. Individuals who develop symptoms indicative of hypersensitivity after receiving a dose of GARDASIL 9 or GARDASIL should not receive further doses of GARDASIL 9.<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--bdfaa50bf010c59913e2e556ad7aac93\"><strong>Warnings and precautions<br><\/strong>As for any vaccine, vaccination with GARDASIL 9 may not result in protection in all vaccine recipients.<br>The vaccine is for prophylactic use only and has no effect on active HPV infections or established clinical disease. The vaccine has not been shown to have a therapeutic effect. The vaccine is therefore not indicated for treatment of cervical, vulvar, vaginal, and anal cancer, high-grade cervical, vulvar, vaginal, and anal dysplastic lesions, or genital warts. It is also not intended to prevent progression of other established HPV-related lesions. As with all injectable vaccines, appropriate medical treatment should always be readily available in case of rare anaphylactic reactions following the administration of the vaccine.<br>Syncope (fainting) may follow any vaccination, especially in adolescents and young adults. Syncope, sometimes associated with falling, has occurred after HPV vaccination. Therefore, vaccinees should be carefully observed for approximately 15 minutes after administration of GARDASIL 9.<br>The decision to administer or delay vaccination because of a current or recent febrile illness depends largely on the severity of the symptoms and their etiology. Low-grade fever itself and mild upper respiratory infection are not generally contraindications to vaccination.<br>Individuals with impaired immune responsiveness, whether due to the use of immunosuppressive therapy, a genetic defect, Human Immunodeficiency Virus (HIV) infection, or other causes, may have reduced antibody response to active immunization.<br>This vaccine should be given with caution to individuals with thrombocytopenia or any coagulation disorder because bleeding may occur following an intramuscular administration in these individuals.<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--001c743b018be5f00982ebb61362c490\"><strong>Use in special populations<br><\/strong>Pregnancy should be avoided during the vaccination regimen for GARDASIL 9. Gardasil 9 can be used during breast-feeding. The safety and efficacy of GARDASIL 9 have not been evaluated in children younger than 9 years. The safety immunogenicity, and efficacy of GARDASIL 9 have not been fully evaluated in HIV-infected individuals.<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2d0d0b5ec1ac73aabc7c9e4c41df4c1b\"><strong>Adverse reactions<br><\/strong>The most common (&gt;10%) vaccine-related adverse experiences were observed among recipients of GARDASIL 9 were temperature and injection-site pain, swelling, erythema, headache. And common (&gt;1%) vaccine-related adverse experiences observed reported were pruritus, bruising, pyrexia, nausea, dizziness, pain in extremity, hematoma, and fatigue.<\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--76e7e56e7960deaed5f27c69350a4c31\"><strong>Post-marketing reports:<br><\/strong>The following adverse experiences have been spontaneously reported during post-approval use of GARDASIL and may also be seen in post-marketing experience with GARDASIL9. Cellulitis, idiopathic thrombocytopenic purpura, lymphadenopathy, acute disseminated encephalomyelitis, dizziness, Guillain-Barr\u00e9 syndrome, headache, syncope sometimes accompanied by tonic-clonic movements; nausea, vomiting; arthralgia, myalgia; asthenia, chills, fatigue, malaise; hypersensitivity reactions including anaphylactic\/anaphylactoid reactions, bronchospasm, and urticaria. These experiences were reported voluntarily from a population of uncertain size. It is not possible to reliably estimate their frequency or to establish a causal relationship to vaccine exposure.<\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--6d570103f359f7bbe25b0e93864902bc\"><strong><strong>Before administering GARDASIL<sup>\u00ae<\/sup>9, please read the complete Prescribing Information.<\/strong><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>QUESTION ANSWER What are the chances that I\u2019ll get HPV? 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