Contraindicated in immunosuppressed children and in those with immunoglobulin abnormalities or severe hypersensitivity or neurologic reactions to the toxoid or its ingredients such as thimeros-al. Also contraindicated in children with throm-bocytopenia or any coagulation disorder that would contraindicate LM. injection unless poten-tial benefits outweigh risks. Vaccination should be deferred in children with acute illness and dur-ing polio outbreaks, except in emergencies. Use adsorbed form cautiously in infants or children with cerebral damage, neurologic disorders, or history of febrile seizures. |