Skip to Content

Recombivax HB Dialysis Formulation Side Effects

Generic Name: hepatitis b adult vaccine

Note: This page contains side effects data for the generic drug hepatitis b adult vaccine. It is possible that some of the dosage forms included below may not apply to the brand name Recombivax HB Dialysis Formulation.

It is possible that some side effects of Recombivax HB Dialysis Formulation may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.

For the Consumer

Applies to hepatitis b adult vaccine: intramuscular suspension

As well as its needed effects, hepatitis b adult vaccine (the active ingredient contained in Recombivax HB Dialysis Formulation) may cause unwanted side effects that require medical attention.

If any of the following side effects occur while taking hepatitis b adult vaccine, check with your doctor or nurse immediately:

More common
  • Fever of 37.7 degrees C (100 degrees F) or higher
  • Aches or pain in the joints, fever, or skin rash or welts (may occur days or weeks after receiving the vaccine)
  • blurred vision or other vision changes
  • confusion
  • difficulty with breathing or swallowing
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • hives
  • itching, especially of the feet or hands
  • muscle weakness
  • numbness or tingling of the arms and legs
  • reddening of the skin, especially around the ears
  • sweating
  • swelling of the eyes, face, or inside of the nose
  • unusual tiredness or weakness (sudden and severe)

Some hepatitis b adult vaccine side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

More common
  • Dizziness
  • headache
  • soreness at the injection site
Less common
  • Hard lump, redness, swelling, pain, itching, purple spot, tenderness, or warmth at the injection site
  • unusual tiredness or weakness
  • Aches or pain in the muscles
  • agitation
  • back pain or stiffness or pain in neck or shoulder
  • chills
  • constipation
  • diarrhea
  • difficulty with moving
  • feeling of warmth
  • general feeling of discomfort or illness
  • headache (mild), sore throat, runny nose, or fever (mild)
  • increased sweating
  • itching
  • lack of appetite or decreased appetite
  • nausea or vomiting
  • redness of the face, neck, arms, and occasionally, upper chest
  • sleepiness or unusual drowsiness
  • sleeplessness
  • stomach cramps or pain
  • sudden redness of skin
  • swelling of glands in the armpit or neck
  • trouble with sleeping
  • unable to sleep
  • welts
  • weight loss

For Healthcare Professionals

Applies to hepatitis b adult vaccine: intramuscular suspension


Hepatitis B vaccine is generally well-tolerated. Most side effects were mild and primarily included injection site reactions and fatigue.[Ref]


Respiratory side effects have included rhinitis, cough, pharyngitis, upper respiratory tract illness, influenza-like symptoms, and bronchospasm including asthma-like symptoms.[Ref]


Other side effects have included fatigue, fever, chills, flushing, lightheadedness, sweating, weakness, malaise, tinnitus, and earache.[Ref]


Ocular side effects have included optic neuritis, conjunctivitis, keratitis, and visual disturbances.[Ref]

Nervous system

Nervous system side effects have included headache, dizziness, vertigo, somnolence, insomnia, irritability, agitation, migraine, syncope, paresis, neuropathy, hypoesthesia, paresthesia, convulsions, encephalitis, Guillain-Barre syndrome, radiculopathy, herpes zoster, muscle weakness, multiple sclerosis, exacerbation of multiple sclerosis, Bell's palsy, optic sclerosis, myelitis, and transverse myelitis.[Ref]


Musculoskeletal side effects have included arthritis, arthralgia, myalgia, back pain, and pain or stiffness in the arm, shoulder, or neck.[Ref]


Local side effects have included soreness, redness, swelling, induration, pain, pruritus, warmth, nodule formation, and ecchymosis at the injection site.[Ref]


Hypersensitivity reactions have included anaphylaxis, anaphylactoid reactions, rash, pruritus, urticaria, edema, dyspnea, chest discomfort, bronchial spasm, palpitation, hypotension, erythema multiforme, Stevens-Johnson syndrome, angioedema, arthritis, and serum sickness-like syndrome (arthralgia, arthritis, fever, urticaria, erythema multiforme, ecchymoses, and erythema nodosum).[Ref]


Hepatic side effects have included abnormal liver function tests.[Ref]


Hematologic side effects have included lymphadenopathy, thrombocytopenia, and increased erythrocyte sedimentation rate.[Ref]


Gastrointestinal side effects have included diarrhea, nausea, vomiting, abdominal pain, cramps, anorexia, constipation, and dyspepsia.[Ref]


Dermatologic side effects have included rash, urticaria, petechiae, erythema, hyperhidrosis, angioedema, eczema, herpes zoster, erythema nodosum, purpura, alopecia, and Stevens-Johnson syndrome.[Ref]


Cardiovascular side effects have included syncope, hypotension, tachycardia, and palpitations.[Ref]


Immunologic side effects including liver transplant rejection, diarrhea infections, pneumonia, and sepsis have been reported in greater than 10% of patients.[Ref]


Genitourinary side effects have included dysuria.[Ref]


1. "Product Information. Recombivax HB (hepatitis B vaccine)." Merck & Company Inc, West Point, PA.

2. "Product Information. Engerix-B (hepatitis B vaccine)." SmithKline Beecham, Philadelphia, PA.

More about Recombivax HB Dialysis Formulation (hepatitis b adult vaccine)

Consumer resources

Professional resources

Related treatment guides

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.