Biothrax Side Effects
Generic name: anthrax vaccine adsorbed
Note: This document contains side effect information about anthrax vaccine adsorbed. Some of the dosage forms listed on this page may not apply to the brand name Biothrax.
Some side effects of Biothrax may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
For the Consumer
Applies to anthrax vaccine adsorbed: suspension
Along with its needed effects, anthrax vaccine adsorbed (the active ingredient contained in Biothrax) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur while taking anthrax vaccine adsorbed:More common
- Pain, redness, tenderness, or limited movement of the arm where the injection is given
- Swollen, painful, or tender lymph glands in the neck, armpit, or groin
- Blistering, peeling, or loosening of the skin
- difficulty with swallowing
- fast heartbeat
- hives or welts
- joint or muscle pain
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- red skin lesions, often with a purple center
- red, irritated eyes
- redness of the skin
- shakiness in the legs, arms, hands, or feet
- shortness of breath
- skin rash
- sores, ulcers, or white spots in the mouth or on the lips
- trembling or shaking of the hands or feet
- unusual tiredness or weakness
Some side effects of anthrax vaccine adsorbed may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
- muscle aches and pains
- Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- dark-colored urine
- difficulty with moving
- feeling of warmth
- hair loss or thinning of the hair
- muscle cramps or spasms
- muscle pain or stiffness
- redness of the face, neck, arms, and occasionally, upper chest
- swollen joints
- trouble sleeping
For Healthcare Professionals
Applies to anthrax vaccine adsorbed: subcutaneous suspension
Local side effects are reported most commonly and have included tenderness, erythema, subcutaneous nodule, induration, warmth, local pruritus, arm motion limitation, and edema. Local reactions tended to occur more often in females.
Severe local reactions defined as edema or induration >120 mm diameter , marked arm motion limitation, or marked axillary node tenderness have been reported in 0.15% of vaccinees (n=15,907). Moderate local reactions defined as edema or induration 30 mm to 120 mm have been reported in 0.94%. Mild reactions have been reported in 8.63%.
Gastrointestinal side effects have included anorexia, nausea, and vomiting.
Musculoskeletal side effects have included transient myalgia and arthralgia. Inflammatory arthritis has rarely been reported; however, causality has not been established.
Systemic reactions have included transient headache, fever, fatigue, malaise, and chills. In post-licensure studies, systemic reactions were reported in 5% to 35% of vaccinees and occurred more often in women.
Respiratory side effects have included transient respiratory difficulty. Asthma has been reported rarely; however, causality has not been established.
One case of delayed hypersensitivity has been reported. A vaccinee developed lesions by day 3 after the first dose, diffuse hives by day 17 (3 days after the second dose), and swollen hands, face, and feet, and discomfort swallowing by day 18.
Hypersensitivity reactions have included delayed hypersensitivity and anaphylaxis.
Nervous system side effects have included dizziness. Seizure, tremors, aseptic meningitis, encephalitis, transverse myelitis, cerebrovascular accident, facial palsy, hearing and visual disorders, Guillain-Barre Syndrome, and multiple sclerosis have been reported rarely; however, causality has not been established.
Dermatologic side effects have included pruritus. Cysts, pemphigus vulgaris, and cellulitis have rarely been reported; however, causality has not been established.
Other side effects have rarely included sepsis, systemic lupus erythematosus, polyarteritis nodosa, and spontaneous abortion; however, causality has not been established.
Hematologic side effects have rarely included aplastic anemia, neutropenia, idiopathic thrombocytopenia purpura, lymphoma, leukemia; however, causality has not been established.
Psychiatric side effects have rarely included mental status changes, psychiatric disorders, and mood-cognition disorders; however, causality has not been established.
Cardiovascular side effects have rarely included myocarditis, cardiomyopathy, atrial fibrillation, syncope, endocarditis, angioedema, and collagen vascular disease; however, causality has not been established.
Hepatic side effects have rarely included liver abscess; however, causality has not been established.
Renal side effects have rarely included glomerulonephritis and renal failure; however, causality has not been established.
Immunologic side effects have rarely included immune deficiency; however, causality has not been established.
More Biothrax resources
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