- RotaTeq is indicated for the prevention
of rotavirus gastroenteritis in infants and children
caused by the serotypes G1, G2, G3, and G4 when administered
as a 3-dose series to infants between the ages of 6 to
32 weeks.
- The vaccination series consists of 3 ready-to-use liquid
doses of RotaTeq administered orally starting at 6 to 12 weeks of age,
with the subsequent doses administered at 4- to 10-week intervals. The
third dose should not be given after 32 weeks of age.
Select safety information
- RotaTeq should not be administered to infants
with a demonstrated history of hypersensitivity to the
vaccine or any component
of the vaccine.
- Infants who develop symptoms suggestive of hypersensitivity after receiving
a dose of RotaTeq should not receive further doses of RotaTeq.
- No safety or efficacy data are available
for the administration of RotaTeq to infants who are potentially
immunocompromised
or to infants
with
a history of
gastrointestinal disorders.
- Caution is advised when considering whether to administer RotaTeq to individuals
with immunodeficient contacts. RotaTeq is a solution of live reassortant
rotaviruses and can potentially be transmitted to persons who have contact
with the vaccine. The potential risk of transmission of vaccine virus should
be weighed against the risk of acquiring and transmitting natural rotavirus.
Transmission was not evaluated in clinical trials.
- Over 71,000 infants were
evaluated in 3 placebo-controlled clinical trials. Serious
adverse events occurred
in 2.4% of recipients
of RotaTeq when
compared to 2.6%
of placebo recipients within the 42-day period
of a dose of RotaTeq. Hematochezia reported as a serious
adverse
event for
RotaTeq
compared to placebo was <0.1%
vs <0.1%. The most frequently reported serious
adverse events for RotaTeq compared to placebo
were bronchiolitis (0.6% vs 0.7%),
gastroenteritis (0.2%
vs 0.3%), pneumonia (0.2% vs 0.2%), fever (0.1%
vs 0.1%), and urinary tract infection (0.1% vs
0.1%).
- In a subset of more than 11,000 infants
in these
trials, the presence of adverse events was reported
for 42
days after each
dose. Fever
was observed
at similar
rates in vaccine and placebo recipients (42.6%
vs 42.8%). Adverse events that occurred at a
statistically higher
incidence within
42 days of
any dose among
recipients of RotaTeq as compared with placebo
recipients
were diarrhea (24.1% vs 21.3%), vomiting (15.2%
vs 13.6%), otitis
media (14.5%
vs 13.0%), nasopharyngitis
(6.9% vs 5.8%), and bronchospasm (1.1% vs 0.7%).
- In
post-marketing experience, intussusception (including death)
and Kawasaki disease have been reported in infants
who have received
RotaTeq.
- RotaTeq may not protect all vaccine recipients
against rotavirus.
Before administering RotaTeq, please read the Prescribing
Information
and Patient Product Information.
RotaTeq is a registered trademark of Merck & Co.,
Inc.
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