HPV Vaccine: Can You Get the Second Dose with Dizziness Symptoms? - Obstetrics and Gynecology

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HPV nine-valent vaccine


On March 27, I received the first dose of the cervical cancer vaccine, and I am scheduled to get the second dose on May 27.
I had originally booked an appointment for June 1, but I have recently been experiencing symptoms of dizziness and lightheadedness (I have had these symptoms occasionally over the past two years, but ENT examinations have not found any issues; sometimes I feel dizzy, and sometimes I do not).
However, I have been experiencing these symptoms again in the past few days.

1.
Can I still receive the second dose under these circumstances?
2.
If I cannot get the vaccine, what is the maximum time I can postpone it? Since the two-month interval has already passed, will this affect the vaccine's efficacy?
3.
Can I receive the vaccine during my ovulation period or menstrual cycle, or should I avoid those times?

Lü, 20~29 year old female. Ask Date: 2023/05/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you feel very dizzy, please postpone it.
If not, you can proceed with the injection.
The timing is approximate and is not related to ovulation or menstruation.
Wishing you good health.

Reply Date: 2023/05/29

More Info


When considering the administration of the HPV vaccine, particularly in the context of experiencing dizziness or lightheadedness, it's essential to approach the situation with caution and informed decision-making.
1. Can You Get the Second Dose with Dizziness Symptoms?
If you are experiencing dizziness or lightheadedness, it is advisable to consult with your healthcare provider before proceeding with the second dose of the HPV vaccine. While dizziness is not a common side effect of the HPV vaccine, individual reactions can vary. Your healthcare provider will assess your symptoms, medical history, and any underlying conditions that may contribute to your dizziness. They may recommend postponing the vaccination until you are feeling well and your symptoms have been evaluated.
2. If You Cannot Get the Vaccine, How Long Can You Delay?
The HPV vaccination series is typically administered in three doses, with the second dose ideally given 1-2 months after the first dose. If you need to delay the second dose due to health concerns, it is generally acceptable to postpone it for a few months. However, it is crucial to complete the series within a reasonable timeframe to ensure optimal protection against HPV. The Centers for Disease Control and Prevention (CDC) suggests that if the second dose is delayed, it can be given as soon as you are able, and you do not need to restart the series. It is important to maintain communication with your healthcare provider to determine the best course of action.

3. Impact on Vaccine Efficacy:
Delaying the second dose beyond the recommended timeframe may affect the overall efficacy of the vaccine. However, studies indicate that even if the second dose is administered later than the recommended schedule, the vaccine can still provide significant protection against HPV. The key is to complete the series as soon as possible.
4. Timing of the Vaccine with Menstrual Cycle:
Regarding the timing of the vaccine in relation to your menstrual cycle, there is no specific contraindication for receiving the HPV vaccine during your menstrual period. You can receive the vaccine during your ovulation or menstrual phase without any adverse effects. However, if you are experiencing severe menstrual symptoms, such as significant pain or discomfort, you may choose to postpone the vaccination until you feel better.

In summary, if you are experiencing dizziness, it is crucial to consult with your healthcare provider before proceeding with the second dose of the HPV vaccine. If you need to delay the vaccination, it can typically be done without restarting the series, but it is essential to complete it as soon as you are able. Additionally, receiving the vaccine during your menstrual cycle is generally safe, and you should prioritize your overall health and well-being when making decisions about vaccination. Always keep an open line of communication with your healthcare provider to ensure that you receive the best possible care tailored to your individual needs.

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