The health-care provider should inform the parent or guardian of the benefits and risks of the vaccine.

Prior to administration of ActHIB^® reconstituted with AvP DTP or ActHIB^® reconstituted with Tripedia^® (TriHIBit^® ) or saline diluent (0.4% Sodium Chloride), the parent or guardian should be asked about the recent health status of the infant or child to be immunized.

The physician should inform the parent or guardian about the significant adverse reactions that have been temporally associated with the administration of ActHIB^® reconstituted with saline or DTP or ActHIB^® reconstituted with Tripedia^® (TriHIBit^® ). The parent or guardian should be instructed to report any serious adverse reactions to their health-care provider.

As proof of the child's immunization record, the date, lot number and manufacturer of the vaccine administered should be recorded. ^27,28,29

The US Department of Health and Human Services has established a new Vaccine Adverse Event Reporting System (VAERS) to accept all reports of suspected adverse events after the administration of any vaccine, including but not limited to the reporting of events required by the National Childhood Vaccine Injury Act of 1986. ²⁷ The toll-free number for VAERS forms and information is 1-800-822-7967.

The National Vaccine Injury Compensation Program, established by the National Childhood Vaccine Injury Act of 1986, requires physicians and other health-care providers who administer vaccines to maintain permanent vaccination records and to report occurrences of certain adverse events to the US Department of Health and Human Services. Reportable events include those listed in the Act for each vaccine and events specified in the package insert as contraindications to further doses of the vaccine. ^28,29

The health-care provider should inform the parent or guardian of the importance of completing the immunization series.

The health-care provider should provide the Vaccine Information Materials (VIMs) which are required to be given with each immunization.

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