Diphtheria, Tetanus, Acellular Pertussis, Polio Vaccine (Intramuscular Route)

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Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

• Abdominal or stomach pain
• Blurred vision
• Confusion
• Decreased urination
• Diarrhea
• Difficulty having a bowel movement (stool)
• Dizziness
• Dry mouth
• Fainting
• Fast heartbeat
• Fever
• High blood pressure
• Inability to speak
• Increase in heart rate
• Irritability
• Itching, pain, redness, swelling, tenderness, or warmth on the skin
• Lightheadedness
• Loss of appetite
• Muscle twitching
• Nausea
• Rapid breathing
• Restlessness
• Seizures
• Severe or sudden headache
• Slurred speech
• Sunken eyes
• Swelling of the feet or lower legs
• Temporary blindness
• Thirst
• Unusual tiredness or weakness
• Weakness
• Weakness in the arm and/or leg on one side of the body, sudden and severe
• Wrinkled skin

• Black, tarry stools
• Bleeding gums
• Blood in the urine or stools
• Bluish lips or skin
• Collapse or shock-like state
• Cough
• Difficulty swallowing
• Hives
• Large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
• Pinpoint red spots on the skin
• Puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• Shortness of breath
• Skin rash
• Slow breathing
• Swollen, painful, or tender lymph glands in neck, armpit, or groin
• Tightness in the chest
• Unusual bleeding or bruising
• Wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Loss of appetite
• Pain, redness, or swelling at the injection site
• Sleepiness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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