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        Notice to Readers FDA Approval of Change in Pediatric Formulation for Recombivax HB{Registered}

        Effective August 27, 1998, the Merck Vaccine Division (Merck & Co., Inc., West Point, Pennsylvania) discontinued distribution and production of the 2.5-ug dose of Recombivax HB{Registered} * pediatric hepatitis B vaccine, which was licensed by the Food and Drug Administration for infants of hepatitis B surface antigen (HBsAg)-negative mothers and children aged less than or equal to 10 years. The 2.5-ug dose was replaced with a 5.0-ug dose previously used for vaccination of adolescents and infants of HBsAg-positive mothers. To simplify the vaccination schedule for infants and children, the Advisory Committee on Immunization Practices recommends use of the 5.0-ug dose for all children and adolescents aged 0-19 years. Either the 2.5-ug dose or the 5.0-ug dose may be used to complete any vaccine series already started for children aged less than or equal to 10 years, regardless of the initiating dose of vaccine. Children who have completed the hepatitis B vaccination series with the 2.5-ug dose do not need to be revaccinated.

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