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measles & rubella combined vaccine (M-R-VAX II)
Indications:
1) simultaneous immunization against measles & rubella
2) measles-mumps-rubella vaccine (MMR) is the preferred vaccine for most children & many adults
Contraindications:
1) immunodeficiency
2) pregnancy
Dosage:
Children > 15 months & adults: 0.5 mL SC
Injection: 1000 TCID50 each of:
1) live attenuated measles virus vaccine
2) live rubella vaccine
Adverse effects:
1) common (> 10%)
- fever < 100 F
- burning at site of injection
- arthralgias
- local tenderness & erythema
- urticaria
- rash
2) less common (1-10%)
- fever 100-103 F, delayed-type allergic reaction, malaise, headache, sore throat, lymphadenopathy
3) uncommon (< 1%)
- difficulty breathing, hives, itching, reddening of skin (especially around eyes & ears), tiredness, convulsions, encephalitis, confusion, severe headache, stiff neck, vomiting, diplopia, thrombocytopenic purpura, prolonged fever > 103 F, optic neuritis, hypersensitivity
* Also see individual components:
Related
measles virus vaccine, live, attenuated (Attenuvax)
measles, mumps & rubella combined vaccine (MMR)
rubella virus vaccine, live (Meruvax II)
General
live virus vaccine
References
Kaiser Permanente Northern California Regional Drug
Formulary, 1998