 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  If you have any questions, ask your health care professional. This vaccine is injected into a muscle by a health care professional. It is usually given in the thigh or upper arm. Vaccines are usually given in a series of doses to provide the best protection. Closely follow the vaccination schedule provided by the health care professional. Keep all scheduled medical appointments. It may be helpful to mark a calendar as a reminder. There are various combinations of vaccines available. Discuss the risks and benefits of vaccination with the health care professional.The side effects of Quadracel (PF) Intramuscular: Pain/swelling/redness at the injection site may occur. Mild fever, drowsiness, tiredness, headache, nausea, and loss of appetite may also occur. If any of these effects last or get worse, tell the health care professional promptly. Consult the health care professional about the temporary use of acetaminophen to treat pain and fever due to this vaccine. Rarely, some people have symptoms such as fainting, dizziness, vision changes, or ringing in the ears just after getting a vaccine injection. Tell the health care professional right away if your child has any of these symptoms. Sitting or lying down may help, since these symptoms usually don't </s>