Monograph Details

Immune System > Immunization
PROQUAD
Manufacturer
Merck & Co., Inc.
Legal Classification
Rx
Pharmacological Class
MMR+Var.
Generic Name
Measles, mumps, rubella, and varicella viruses live, attenuated; pwd for SC inj after reconstitution; contains neomycin (trace), human albumin; preservative-free.
Indications
Measles, mumps, rubella, and varicella immunization; it may be used if a 2nd dose of measles, mumps, and rubella vaccine is to be administered.
Children
<12 months: not recommended. 12 mos–12 yrs: 0.5mL SC once into upper outer arm or upper anterolateral thigh.
Adults
Not recommended.
Contraindications
Egg, gelatin, or neomycin hypersensitivity. Blood dyscrasias. Bone marrow or lymphatic malignancy. Immunosuppression. Active untreated tuberculosis. Fever >101.3°F. Pregnancy (Cat.C); avoid pregnancy for 3 months after vaccination. Nursing mothers.
Precautions
Have epinephrine inj (1:1000) available. History of febrile convulsions or cerebral injury. Thrombocytopenia. Avoid contact with high-risk persons susceptible to varicella for 6 wks after vaccination.
Interactions
Immunosuppressants (see Contraindications). Avoid salicylates for
6 weeks after vaccination. Defer vaccination for at least 3 months after blood or plasma transfusions or immune globulins. Avoid immune globulin administration for 1 month after vaccination. Separate dosing of measles-containing vaccine by 1 month. If 2nd dose of varicella-containing vaccine needed, separate by 3 months. Concomitant other vaccines: see literature. May interfere with tuberculin skin test.
Adverse Reactions
Inj site reactions, fever, irritability, rash; others.
Extra Text
Note: Register pregnant patients exposed to ProQuad by calling (800) 986-8999. Report adverse events to VAERS by calling (800) 822-7967.
How Supplied
Single-dose vials—1, 10 (w. diluent)
Additional Resources
Related Prescribing Note