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What is the recommended hepatitis-B vaccine schedule for adults?

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Posted on Wed, 16 Dec 2015
Question: Hi,

I got first injection of Hepatitis B vaccine on 2011, i stopped the second and third one for long time, then I took the second one on 17 Nov 2015, should I count this last one as the second or i should ignore the one I took on 2011 and consider the one I had on 17 Nov 2015 as the first and I have to continue for another two injections?

Best Regards,
doctor
Answered by Dr. Kaushal Bhavsar (13 minutes later)
Brief Answer:
You should consider the dose taken on 17 Nov as first dose.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
You should consider dose of 17 Nov as first dose and don't consider dose of 2011 as first day.
So for you Hepatitis B schedule is started on 17 Nov and you should continue from this only.
Don't consider 2011 dose as first dose.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (9 hours later)
Since I got the first injection I have sweat and itching on my feet and hands till now, is this normal????
doctor
Answered by Dr. Kaushal Bhavsar (8 hours later)
Brief Answer:
Is it through out the day?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
No these symptoms are not normal after Hepatitis B vaccine.
Possibility of reaction is more.
Please let me know
1. Do you have these through out the day?
2. Do you have pain and redness of the skin?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (1 hour later)
Dear Dr.,

Please find hereunder the answers:

1. Do you have these through out the day?
Answer) No , sweat is more at night but itching somehow through the day
2. Do you have pain and redness of the skin?
Answer) No, none of these symptoms

Regards,
doctor
Answered by Dr. Kaushal Bhavsar (20 minutes later)
Brief Answer:
Do you have similar symptoms in the past?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
So you are having itching for whole day and sweating at night only.
Please let me know
1. Are these symptoms fir the first time?
2. Did you get similar symptoms in 2011 after vaccination?
3. Do you have any kind of allergies?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (20 minutes later)
Yes, itching is continuous, and started after the vaccine, sweat is on and off

for your questions:

1. Are these symptoms fir the first time?
Answer) started after vaccine
2. Did you get similar symptoms in 2011 after vaccination?
Answer) Cannot remember
3. Do you have any kind of allergies?
Answer) NO

Regards,
doctor
Answered by Dr. Kaushal Bhavsar (13 minutes later)
Brief Answer:
Possibility of allergy from the vaccine is more.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
So possibility of allergic reaction due to vaccine is more.
But no need to worry for this as it can be easily treated.
Please let me know if you are taking any drugs for this.
Is it increasing or stable?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (9 minutes later)
Dear Dr.,

Please find hereunder my answers:

Is it increasing or stable?
Answer) Stable, may be decreasing
Regards,
doctor
Answered by Dr. Kaushal Bhavsar (2 minutes later)
Brief Answer:
Are you taking any drugs for this?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
This is mostly allergy.
So drink plenty of fluids orally.
Are you taking any drugs for this symptoms?
Please reply me answer of above asked question, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (9 minutes later)
Dear Dr.,

I am not taking any drugs for this symptoms

Best Regards,
doctor
Answered by Dr. Kaushal Bhavsar (1 minute later)
Brief Answer:
Take antihistamine drug.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
No need to worry for this.
Drink plenty of fluids orally. Start antihistamine drug like levocetrizine or fexofenadine.
Take any of these for five days.
You will mostly improve.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (9 minutes later)
Assuming I will wait to recover naturally, it will take more time?

Do I still have to take second shot after a month?

Regards,
doctor
Answered by Dr. Kaushal Bhavsar (20 minutes later)
Brief Answer:
You can wait, no worries in it.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Yes, you can definitely wait for few days.
Drink plenty of fluids orally. Avoid dust and pollution.
Wait for 5-6 days. You will mostly improve.
If during this period you are worsening then take antihistamine drugs.
Regarding next vaccination, I advise you to discuss this symptom with your doctor.
Sometimes change of company can also prevent such reaction.
Do you know the name of vaccine or company you had received?
Please reply me answer of above asked question, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (27 minutes later)
Engerix- B
doctor
Answered by Dr. Kaushal Bhavsar (52 minutes later)
Brief Answer:
Did you felt pain after vaccine?

Detailed Answer:
Thanks for your follow up question on HCM.
This is also good company.
Talk with your doctor regarding this reaction at the time of second dose. Also ask for vaccine from different company like sanofi or lupin etc.
Please let me know
1. At which site vaccine was given?
2. Was it intra muscular?
3. Did you feel pain after vaccination?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar (20 hours later)
Dear Dr.,

1. At which site vaccine was given?
Answer) at specialty clinic during a normal follow up visit to my internal medicine Dr.
2. Was it intra muscular?
Answer) Yes, at my left shoulder
3. Did you feel pain after vaccination?
Answer) No, everything was normal

Regards,
doctor
Answered by Dr. Kaushal Bhavsar (11 minutes later)
Brief Answer:
No need to worry for this. You will improve in your symptoms with time.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
By putting all history togather, I think you are having mild allergic reaction due to the vaccine.
And since it is not progressive, rather subsiding, it will resolve by its own in 5-6 days.
But if it is worsening then you may need antihistamine drugs.
For next vaccine, you should discuss this reaction with your doctor. Try to change the manufacturer.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14646 Questions

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What is the recommended hepatitis-B vaccine schedule for adults?

Brief Answer: You should consider the dose taken on 17 Nov as first dose. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. You should consider dose of 17 Nov as first dose and don't consider dose of 2011 as first day. So for you Hepatitis B schedule is started on 17 Nov and you should continue from this only. Don't consider 2011 dose as first dose. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.