SC Adult & adolescent ≥13 yr 0.5 mL dose, then a 2nd 0.5 mL dose 4-8 wk later. Childn 12 mth to 12 yr 0.5 mL dose. If 2nd dose is administered, allow a min interval of 3 mth between doses.
History of anaphylactic or severe allergic reaction to any component of the vaccine (including neomycin & gelatin) or to a previous dose of a varicella-containing vaccine. Immunodeficient or immunosuppressed individuals due to disease or medical therapy. Active febrile illness w/ fever >101.3°F (>38.5°C). Active, untreated TB. Pregnancy. Women planning on becoming pregnant in the next 3 mth.
Defer vaccination in individuals w/ family history of congenital or hereditary immunodeficiency until immunocompetence is confirmed. Caution w/ use in HIV-infected individuals. Risk of vaccine virus transmission. For up to 6 wk following vaccination, vaccine recipients should avoid close association w/ susceptible high-risk individuals, including immunocompromised individuals, pregnant women w/o documented history of varicella or lab evidence of prior infection, newborn infants of mothers w/o documented history of varicella or lab evidence of prior infection & all newborn infants born at <28 wk gestation regardless of maternal varicella immunity. Do not concomitantly administer w/ Ig & other blood products. Avoid use of salicylates (aspirin) or salicylate-containing products in childn & adolescents 12 mth to 17 yr of age for 6 wk following vaccination due to association of Reye syndrome w/ salicylate therapy & wild-type varicella infection. Consider developmental & health benefits of breastfeeding along w/ mother's clinical need for Varivax, & any potential adverse effects on breastfed child. No clinical data available on safety or efficacy in childn <12 mth.
Concurrent administration w/ Ig & other blood products may interfere w/ expected immune response. Risk of temporary depression of tuberculin skin test sensitivity leading to false -ve results. Tuberculin skin testing w/ tuberculin purified protein derivative (PPD) may be performed before Varivax is administered or on the same day, or at least 4 wk following vaccination w/ Varivax. Can be administered concurrently w/ other live viral vaccines. If not given concurrently, at least 1 mth should elapse between a dose of live attenuated measles virus-containing vaccine & a dose of Varivax. May be concomitantly administered w/ MMR II, HIB conjugate (meningococcal protein conjugate), hepatitis B (recombinant), inactivated diphtheria-tetanus & acellular pertussis vaccines.
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