Typhoid VIS by wol78781



      WHAT YOU NEED TO                                                                                             K N O W

                   Many Vaccine Information Statements are available in Spanish and other languages. See www.immunize.org/vis.
                                                                          • Travelers to parts of the world where typhoid is
  1    What is typhoid?
                                                                            common. (NOTE: typhoid vaccine is not 100%
Typhoid (typhoid fever) is a serious disease. It is                         effective and is not a substitute for being
caused by bacteria called Salmonella Typhi.                                 careful about what you eat or drink.)

Typhoid causes a high fever, weakness, stomach                            • People in close contact with a typhoid carrier.
pains, headache, loss of appetite, and sometimes a                        • Laboratory workers who work with Salmonella
rash. If it is not treated, it can kill up to 30% of                        Typhi bacteria.
people who get it.
Some people who get typhoid become “carriers,”                            Inactivated Typhoid Vaccine (Shot)
who can spread the                                                        • Should not be given to children younger than 2
disease to                                                                  years of age.
                                                                          • One dose provides protection. It should be given
Generally,                                                                  at least 2 weeks before travel to allow the vaccine
people get                                                                  time to work.
typhoid from
contaminated                                                              • A booster dose is needed every 2 years for people
food or water. Typhoid is not common in the U.S.,                           who remain at risk.
and most U.S. citizens who get the disease get it
                                                                          Live Typhoid Vaccine (Oral)
while traveling. Typhoid strikes about 21 million
people a year around the world and kills about                            • Should not be given to children younger than 6
200,000.                                                                    years of age.
Typhoid vaccine can prevent typhoid.                                      • Four doses, given 2 days apart, are needed for
                                                                            protection. The last dose should be given at least
                                                                            1 week before travel to allow the vaccine time to
  2    Typhoid vaccines                                                     work.
There are two vaccines to prevent typhoid. One is                         • A booster dose is needed every 5 years for people
an inactivated (killed) vaccine gotten as a shot, and                       who remain at risk.
the other is live, attenuated (weakened) vaccine
which is taken orally (by mouth).                                         Either vaccine may be given at the same time as
                                                                          other vaccines.

       Who should get typhoid
  3    vaccine and when?                                                     4       Some people should not get
                                                                                     typhoid vaccine or should wait
Routine typhoid vaccination is not recommended                            Inactivated Typhoid Vaccine (Shot)
in the United States, but typhoid vaccine is
recommended for:                                                          • Anyone who has had a severe reaction to a
                                                                            previous dose of this vaccine should not get
 Typhoid                                               5/19/04              another dose.                             Over . . .
Live Typhoid Vaccine (Oral)
                                                                     What if there is a moderate or
•Anyone who has had a severe reaction to a
                                                                6    severe reaction?
 previous dose of this vaccine should not get
 another dose.                                                What should I look for?
                                                              • Any unusual condition, such as a high fever or
•Anyone whose immune system is weakened                         behavior changes. Signs of a serious allergic
 should not get this vaccine. They should get the               reaction can include difficulty breathing, hoarse­
 inactivated typhoid vaccine instead. These                     ness or wheezing, hives, paleness, weakness, a
 people include anyone who:                                     fast heart beat or dizziness.
 - Has HIV/AIDS or another disease that affects
   the immune system.                                         What should I do?
 - Is being treated with drugs that affect the                • Call a doctor, or get the person to a doctor right
   immune system, such as steroids, for 2 weeks                 away.
   or longer.
                                                              • Tell your doctor what happened, the date and
 - Has any kind of cancer.

                                                                time it happened, and when the vaccination was
 - Is taking cancer treatment with x-rays or drugs.

•Oral typhoid vaccine should not be given within              • Ask your doctor, nurse, or health department to
 24 hours of certain antibiotics.                               report the reaction by filing a Vaccine Adverse
                                                                Event Reporting System (VAERS) form.
Ask your doctor or nurse for more information.
                                                               Or you can file this report through the VAERS
                                                               web site at www.vaers.hhs.gov, or by calling
        What are the risks from                                1-800-822-7967.
  5     typhoid vaccine?
                                                               VAERS does not provide medical advice.
A vaccine, like any medicine, could possibly cause
serious problems, such as severe allergic reactions.            7    How can I learn more?
The risk of a vaccine causing serious harm, or
death, is extremely small. Serious problems from              • Ask your doctor or nurse. They can give you the
either of the two typhoid vaccines are very rare.               vaccine package insert or suggest other sources
                                                                of information.
Inactivated Typhoid Vaccine (Shot)
                                                              • Call your local or state health department.
Mild Reactions
•Fever (up to about 1 person per 100).                        • Contact the Centers for Disease Control and
•Headache (up to about 3 people per 100).                       Prevention (CDC):
                                                                - Visit CDC’s typhoid website at
•Redness or swelling at the site of the injection
 (up to 7 people per 100).

Live Typhoid Vaccine (Oral)
Mild Reactions
•Fever or headache (up to about 5 people per 100).
•Abdominal discomfort, nausea, vomiting, or rash
                                                               department of health and human services
Typhoid Vaccine (5/19/04)     Vaccine Information Statement     Centers for Disease Control and Prevention

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