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Foods naturally high in vitamin K, like liver, Brussels sprouts, broccoli and other green vegetables, as well as vitamin K supplements, can affect how the anticoagulant warfarin works
Bivalent booster dosing is recommended at least 8 weeks after completion of the 3rd dose in the primary series
The medication should be transported in an insulated cooler with ice packs if refrigeration will not be available during travel, taking care to prevent direct contact with ice to avoid freezing
Sterile Practices for Injections: If injectable forms are used, strict adherence to sterile practices (e.g., using new sterile needles for each injection, cleaning vial tops and injection sites with alcohol, rotating injection sites) is crucial to minimize the risk of localized infections and tissue irritation
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