Hepatitis B virus
affects the liver. It can cause a mild illness with fever, nausea, vomiting, and jaundice.that
last for a few weeks. Or it can cause a lifelong infection. Those who become lifelong
carriers of the virus may develop long-term liver problems, such as cirrhosis
(scarred and damaged liver) or cancer of the liver.
HepB Immunization Schedule
Hepatitis B vaccine (HepB) usually is given as a series of three injections:
shortly after birth
at 1–2 months of age
at 6–18 months of age
If the mother of a newborn carries the hepatitis B virus in her blood, her baby
must receive the vaccine within 12 hours after birth, along with another shot —
hepatitis B immune globulin (HBIG) — to immediately provide protection against
the virus. If a newborn's mother shows no evidence of the virus in her blood, the
baby can receive the HepB vaccine within 24 hours after birth.
Anyone can receive the vaccine series at any time if they missed it as a baby.
This is especially important for people who are at higher risk of getting infected,
such as health care and public safety workers, people with chronic liver or kidney
disease, people with HIV
infection, and people who inject drugs.
Why Is the HepB Vaccine Recommended?
The HepB injection usually creates long-term immunity. Infants who receive the
HepB series should be protected from hepatitis B infection not only throughout their
childhood but also into their adult years.
Eliminating the risk of infection also decreases risk for cirrhosis of the liver,
chronic liver disease, and liver
Possible Risks of HepB Vaccine
There is a very small chance of an allergic reaction with any vaccine. Serious
problems associated with receiving the vaccine are rare. Problems that do occur tend
to be minor, such as mild fever and soreness or redness at the injection site.
When to Delay or Avoid HepB Immunization
As long as the mother does not have the virus in her blood, immunization will be
delayed for babies who weigh less than 4 pounds, 7 ounces (2,000 grams) at birth.
The first dose will be given at 1 month of age or when the baby is discharged from
The vaccine is not recommended if your child:
is currently sick, although simple colds or other minor illnesses should not
had a severe allergic reaction (anaphylaxis)
after a previous dose of the vaccine or is allergic to baker's yeast
Caring for Your Child After HepB Immunization
The vaccine may cause mild fever and soreness or redness in the area where the
shot was given. Check with your doctor to see if you can give either acetaminophen
or ibuprofen for
pain or fever and to find out the appropriate dose. Very young infants should not
be given either of these medicines.
When Should I Call the Doctor?
Call if you're not sure of the recommended schedule for the HepB vaccine.
Call if you have concerns about your own hepatitis B carrier state.
Call if moderate or serious side effects appear after your child has received
a HepB injection.