A combined hepatitis A and typhus vaccine (Vivaxim, Sanofi-Aventis) licensed in Australia for use in patients aged > 16 years was shown to be well-tolerated in children aged 2 to 16 years, according to a brief report in the Journal of the Pediatric Infectious Diseases Society. Vivaxim has been available in Australia since 2006 and is used.. Vaccination schedule; Vivaxim: ≥16: 160 antigen U: 1.0: 1(+ 1 monovalent hepatitis A vaccine) 1st dose: single dose of Vivaxim (mixed vaccine) on day 0 (day of vaccination) 2nd dose: 2nd dose of hepatitis A-containing vaccine (monovalent hepatitis A vaccine) 6-36 months after the dose of Vivaxim, for long-term protection against hepatitis A

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A combination inactivated vaccine, TWINRIX, is also licensed in the United States; it contains both hepatitis A (HAVRIX) and hepatitis B (Engerix-B). Combined hepatitis A virus and typhoid vaccine formulations (Viatim and Vivaxim) are available in some areas outside the United States.. This vaccine is given by injection into the muscle of the upper arm by a health care professional. For patients who cannot receive an injection into a muscle, this vaccine may be injected under the skin. This vaccine should be given at least 14 days before you may be exposed to typhoid fever or hepatitis A (for example, before traveling to high.