Can You Get Hepatitis B After Vaccination? Common Concerns Explained - Gastroenterology and Hepatology

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Questions about Hepatitis B?


If I have received the hepatitis B vaccine for a year, will I still be at risk of contracting hepatitis B from someone who is currently infected? Thank you for your help!

Xiao Ling, 20~29 year old female. Ask Date: 2002/10/12

Dr. Lü Shaoren reply Gastroenterology and Hepatology


(Answered by Dr.
Tang Chieh-Ju) Hello, Ms.
Hsiao-Ling: 1.
The hepatitis B vaccine is typically administered in three doses: the first and second doses are given one month apart, and the third dose is given six months later, not seasonally throughout the year.
2.
After completing the vaccination, you should return to the hospital to check for the presence of antibodies (Anti-HBs Ab).
If the result is positive, it indicates that the vaccine has been effective, and you will not be at risk of infection.
If the result is still negative, you may receive a booster dose of the vaccine.

Reply Date: 2002/10/12

More Info


Hepatitis B is a significant public health concern worldwide, and vaccination is one of the most effective methods of prevention. To address your question about whether you can get Hepatitis B after vaccination, let’s delve into the details.

Firstly, the Hepatitis B vaccine is typically administered in a series of three doses. The standard schedule involves receiving the first dose, followed by a second dose one month later, and a third dose six months after the first. This vaccination series is designed to stimulate your immune system to produce antibodies against the Hepatitis B virus (HBV). After completing the vaccination series, most individuals develop immunity, indicated by the presence of Hepatitis B surface antibodies (anti-HBs).

If you have completed the vaccination series and have developed these antibodies, you are considered protected against Hepatitis B. The presence of anti-HBs in your blood means that you have a strong immune response to the virus, and the likelihood of contracting Hepatitis B from an infected individual is extremely low. However, it is important to note that not everyone responds to the vaccine, and some individuals may not develop adequate immunity even after completing the series. Therefore, it is advisable to have your antibody levels checked after vaccination to confirm that you are indeed protected.

In terms of your concern about being exposed to someone with Hepatitis B, if you have confirmed that you have developed a sufficient level of anti-HBs, you should not be at risk of contracting the virus. However, if your antibody levels are low or undetectable, you may be at risk and should consider receiving a booster dose of the vaccine.

Regarding the concerns about the vaccine being administered "four times a year," this is a misunderstanding. The Hepatitis B vaccination schedule is not designed to be administered frequently like that. Instead, it is crucial to follow the recommended schedule to ensure proper immunity. If you are unsure about your vaccination status or if you have not received the complete series, it is advisable to consult with a healthcare provider for guidance on whether you should receive additional doses.

Additionally, it is important to understand the nature of Hepatitis B transmission. The virus is primarily spread through contact with infectious body fluids, such as blood, semen, or vaginal secretions. This means that casual contact, such as hugging or sharing utensils, does not pose a risk for transmission. However, exposure to infected blood, such as through sharing needles or unprotected sexual contact, does carry a risk.

In summary, if you have completed the Hepatitis B vaccination series and have confirmed the presence of protective antibodies, you should be well-protected against the virus. Regular check-ups and antibody testing can help ensure that your immunity remains intact. If you have any concerns about your vaccination status or potential exposure, it is always best to consult with a healthcare professional for personalized advice and recommendations.

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