Does Fever Medication Affect the Efficacy of the HPV Vaccine? - Obstetrics and Gynecology

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HPV Vaccine and Medication Issues


Hello, doctor.
I received the third dose of the HPV nine-valent vaccine at the clinic on Tuesday.
On Wednesday morning, I developed a fever and went to the emergency room that evening.
The emergency physician believed that the fever was not a side effect of the vaccine since I had already received the third dose, so they diagnosed it as a cold and administered an antipyretic injection along with medication.
(I did not experience any adverse reactions or discomfort after the first two doses of the nine-valent vaccine.) I am now a bit concerned whether the antipyretic injection and medication will affect the efficacy of the vaccine.

The antipyretic injection contains the active ingredient Lysine Acetylsalicylate, sterile 0.9g (equivalent to Acetylsalicylic acid 0.5g) and Glycine, sterile 0.1g, dissolved in 5ml of sterile distilled water.

The medication is Cataflam, which contains the active ingredient potassium-[o-[(2, 6-dichlorophenyl)-amino]-phenyl]-acetate (diclofenac potassium).
The sodium ion in Voltaren® is replaced by potassium ion, but the active ingredient remains the same as Voltaren.
Each coated tablet contains 25mg of diclofenac potassium.

Given this information, could you please advise whether the antipyretic injection and medication will have any impact on the vaccine? Thank you once again.

Gao, 20~29 year old female. Ask Date: 2019/05/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology


After receiving the third dose of the HPV nine-valent vaccine at the clinic, I developed a fever on Wednesday morning and went to the emergency room that evening.
The emergency physician concluded that the fever was likely not a side effect of the vaccine since I had already received the first two doses without any adverse reactions or discomfort.
They diagnosed me with a cold and administered an antipyretic injection along with a prescription for medication.
I am now a bit concerned whether the antipyretic injection and medication will affect the efficacy of the vaccine.

The antipyretic injection contains the active ingredient Lysine Acetylsalicylate, sterile 0.9g (equivalent to Acetylsalicylic acid 0.5g), Glycine, sterile 0.1g, dissolved in 5ml of sterile distilled water.
The medication is Cataflam, which contains the active ingredient potassium-[o-[(2, 6-dichlorophenyl)-amino]-phenyl]-acetate (diclofenac potassium).
In Cataflam, the sodium ion from Voltaren® is replaced by potassium ion, but the active ingredient remains the same.
Each coated tablet contains 25mg of diclofenac potassium.

Answer: The antipyretic injection and medication will not affect the efficacy of the vaccine.

Reply Date: 2019/05/23

More Info


When it comes to the efficacy of the HPV vaccine, particularly after receiving the third dose of the nine-valent HPV vaccine, concerns about fever medications and their potential impact on vaccine effectiveness are common. Based on the information provided, it appears that you experienced a fever shortly after vaccination, which led to a visit to the emergency room where you were treated with a fever-reducing injection and medication.

Firstly, it is important to understand that the HPV vaccine is designed to stimulate the immune system to produce antibodies against specific strains of the human papillomavirus (HPV). The immune response is crucial for the vaccine's effectiveness, and any factors that might interfere with this response are worth considering.

In general, the use of fever-reducing medications, such as those containing acetylsalicylic acid (aspirin) or diclofenac potassium, does not significantly affect the immune response generated by vaccines. Studies have shown that mild to moderate fever following vaccination is a normal immune response and does not indicate a failure of the vaccine. In fact, the presence of a fever can be a sign that the body is responding appropriately to the vaccine.

The specific medications you mentioned—Lysine Acetylsalicylate (which is a form of acetylsalicylic acid) and diclofenac potassium—are both non-steroidal anti-inflammatory drugs (NSAIDs). While there has been some debate about whether NSAIDs can blunt the immune response to vaccines, current evidence suggests that their use in the short term, especially for managing mild symptoms like fever, is unlikely to have a significant negative impact on vaccine efficacy.

Moreover, the emergency physician's assessment that your fever was likely due to a common cold rather than a direct reaction to the vaccine is consistent with clinical observations. It is not uncommon for individuals to develop mild illnesses shortly after vaccination, which can be coincidental rather than causative.

In summary, taking fever medication after receiving the HPV vaccine, particularly in the context of managing a mild fever or discomfort, should not adversely affect the vaccine's effectiveness. It is always advisable to consult with your healthcare provider regarding any concerns about medications and vaccinations, especially if you have a history of sensitivity or adverse reactions to vaccines.

Additionally, if you continue to experience symptoms or have concerns about your health following vaccination, it is important to follow up with your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your medical history and current health status.

In conclusion, while it is natural to worry about the potential interactions between medications and vaccines, the current understanding in the medical community suggests that the use of fever-reducing medications in the context you described should not compromise the efficacy of the HPV vaccine. Your health and well-being are paramount, so maintaining open communication with your healthcare provider is key to addressing any ongoing concerns.

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