Age and Allergies for the HPV Vaccine: Key Considerations - Obstetrics and Gynecology

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How is the age for the cervical cancer vaccine determined? If there were suspected adverse reactions after receiving the hepatitis B vaccine, can the cervical cancer vaccine still be administered?


Hello, Doctor: I apologize, but I will be turning 27 next month.
Recently, I am considering getting the 9-valent HPV vaccine, but I read online that after turning 27, there is no longer any compensation for vaccine-related injuries.
If I receive the first dose while I am still 26 in January, and then experience an adverse reaction after the second dose, will the age be calculated based on my age at the time of the reaction or my age at the time of the first dose? Additionally, I had an unknown fever and developed a rash that required a two-week hospitalization after receiving the hepatitis B vaccine in middle school.
Although I am unsure if it was related to the vaccine, if I am indeed allergic to the hepatitis B vaccine, is it likely that I could also be allergic to other inactivated vaccines? Since middle school, I have only received the flu vaccine and have not received any other vaccines due to fear of another allergic reaction.
Thank you!

CC, 20~29 year old female. Ask Date: 2022/01/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the age definition should be based on the time of the event, but it ultimately depends on the regulations.
If someone is allergic to the Hepatitis B vaccine but not to other vaccines, it does not necessarily mean they will be allergic to the HPV vaccine.
It is advisable to have the treating physician evaluate the situation.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/01/09

More Info


When considering the HPV vaccine, especially for someone approaching or just past the age of 27, there are several important factors to keep in mind. First, let's address the age-related guidelines and the implications of receiving the vaccine just before turning 27.

The HPV vaccine, particularly the 9-valent vaccine (Gardasil 9), is recommended for individuals aged 9 to 45. However, the age limit for certain benefits, such as compensation for adverse effects, may be set at 26 years. This means that if you receive your first dose before turning 27, you may still be eligible for those benefits, even if you experience side effects after your birthday. In general, the age at which you receive the first dose is what matters for determining eligibility for any compensation related to adverse reactions. Therefore, if you receive the vaccine while you are still 26, you should be covered under the guidelines applicable to that age.

Now, regarding your previous experience with the Hepatitis B vaccine and the subsequent allergic reaction, it’s understandable to have concerns about potential allergies to other vaccines. Allergic reactions to vaccines can occur, but they are relatively rare. The fact that you experienced a reaction after the Hepatitis B vaccine does not automatically mean you will react to other inactivated vaccines, such as the HPV vaccine. Each vaccine has a different composition, and reactions can vary based on individual sensitivities.

If you have a history of severe allergic reactions, it is crucial to discuss this with your healthcare provider before receiving the HPV vaccine. They may recommend pre-vaccination assessments or monitoring after vaccination to ensure your safety. In some cases, individuals with a history of allergies may be advised to receive vaccines in a controlled setting, such as a clinic or hospital, where immediate medical assistance is available if needed.

In terms of the HPV vaccine's effectiveness, it is important to note that it is designed to protect against certain strains of the virus that are responsible for the majority of cervical cancers and genital warts. Even if you have been exposed to HPV, the vaccine can still provide protection against other strains you have not yet encountered. Therefore, getting vaccinated can still be beneficial, even if you are older or have had previous health concerns.

Moreover, if you are considering resuming vaccinations after a long hiatus, it is advisable to consult with your healthcare provider about your vaccination history and any potential risks. They can help determine the best course of action based on your medical history and current health status.

In summary, if you are 26 and planning to receive the HPV vaccine, you should proceed with the vaccination while you are still eligible for the associated benefits. Discuss any concerns about allergies with your healthcare provider, who can provide guidance tailored to your specific situation. Vaccination is a key preventive measure against HPV-related diseases, and it is never too late to take steps to protect your health.

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