I have now found manufcturer’s details for the 5-in-1 jab. Here are a list of current ingredients and side-effects:
PEDIACEL BLACK DOWN-POINTING TRIANGLE (9660)
Suspension for Injection
Diphtheria, tetanus, five component acellular pertussis, inactivated poliomyelitis and Haemophilus influenzae type b conjugate vaccine (adsorbed).
2. QUALITATIVE AND QUANTITATIVE COMPOSITION To the top of the page
Each 0.5 millilitre dose contains:
Purified diphtheria toxoid
not less than 30 international units* (15 Lf)
Purified tetanus toxoid
not less than 40 international units* (5 Lf)
Purified pertussis toxoid (PT)
Purified filamentous haemagglutinin (FHA)
Purified fimbriae types 2 and 3 (FIM)
Purified pertactin (PRN)
Inactivated type 1 poliovirus (Mahoney)
40 D antigen units**
Inactivated type 2 poliovirus (MEF-1)
8 D antigen units**
Inactivated type 3 poliovirus (Saukett)
32 D antigen units**
Haemophilus influenzae type b polysaccharide
conjugated to tetanus toxoid (PRP-T)
For excipients, see 6.1.
* As lower confidence limit (p=0.95) of activity measured according to the assay described in the European Pharmacopoeia
** or equivalent antigenic quantity determined by a suitable immunochemical method.
Active components of the vaccine are inactivated with either formaldehyde or glutaraldehyde.
Inactivated poliovirus components are produced using the Vero cell line.
The Vero Cell line is tissue from the African Green Monkey.
Contraindications To the top of the page
PEDIACEL should not be given to children who:
• Are known to be hypersensitive to any component of the vaccine (including neomycin, streptomycin and polymyxin B which may be present in trace amounts).
• Have had a previous severe local or general reaction to this vaccine or to any other vaccine that contains one or more of the antigenic components.
• Have experienced encephalopathy (e.g., coma, decreased level of consciousness, prolonged seizures) within 7 days of a previous dose of a pertussis-containing vaccine that is not attributable to another identifiable cause.
• Have a progressive neurologic disorder, uncontrolled epilepsy, or progressive encephalopathy. Pertussis vaccine should not be administered to individuals with these common conditions until the treatment regimen has been established, the condition has stabilized, and the benefit clearly outweighs the risk.
• Have a fever or acute severe systemic illness. In this case vaccination should be postponed until the child has recovered. Minor infections without fever or systemic upset are not reasons to postpone vaccination.
4.4 Special warnings and precautions for use To the top of the page
As with all vaccines, appropriate facilities and medication such as epinephrine (adrenaline) should be readily available for immediate use in case of anaphylaxis or hypersensitivity following injection.
If any of the following events are known to have occurred in temporal relation to a previous dose of a pertussis-containing vaccine, the decision to give further doses of pertussis-containing vaccines should be carefully considered:
• Temperature of GREATER-THAN OR EQUAL TO (8805)40°C within 48 hours, not due to another identifiable cause.
• Hypotonic hyporesponsive episode (HHE): a syndrome characterised by acute diminution of sensory awareness or loss of consciousness, accompanied by pallor and muscle hypotonicity. The onset is usually 1-12 hours after vaccination and the episode may last from a few minutes up to 36 hours. Recovery is complete with no persistent sequelae.
• Persistent, inconsolable crying lasting more than 3 hours occurring within 48 hours of vaccination.
• Convulsions with or without fever occurring within 3 days of vaccination.
In children with a progressive, evolving or unstable neurological condition (including seizures), immunisation should be deferred until the condition is corrected or stable.
The immunogenicity of the vaccine may be reduced by immunosuppressive treatment or immunodeficiency. It is recommended to postpone vaccination until the end of such treatment or the resolution of disease. Nevertheless, vaccination of subjects with chronic immunodeficiency (such as those with HIV infection or on long-term immunosuppressive therapy) is recommended even though the immunological response may be impaired and the degree of protection may be limited.
Intramuscular injections should be given with care in patients with thrombocytopenia or bleeding disorders due to the risk of haemorrhage.
The vaccine should be given intramuscularly since subcutaneous administration increases the chances of an injection site reaction. Do not administer by intradermal or intravenous injection.
If Guillain-Barré syndrome or brachial neuritis has occurred following receipt of prior vaccine containing tetanus toxoid, the decision to give any vaccine containing tetanus toxoid should be based on careful consideration of the potential benefits and possible risks, such as whether or not the primary immunization schedule has been completed.
PEDIACEL does not protect against infectious diseases caused by Haemophilus influenzae other than type b, or against meningitis caused by other organisms.
As with any vaccine, immunisation with PEDIACEL may not protect all recipients from the infections that it is intended to prevent.
Applicable official recommendations for childhood immunisations should be consulted before administering this vaccine to children in or after the second year of life since this exact combination of antigens may not be considered appropriate and/or necessary after completion of the infant immunisation series.
The potential risk of apnoea and the need for respiratory monitoring for 48-72h should be considered when administering the primary immunization series to very premature infants (born LESS-THAN OR EQUAL TO (8804) 28 weeks of gestation) and particularly for those with a previous history of respiratory immaturity. As the benefit of vaccination is high in this group of infants, vaccination should not be withheld or delayed.
In controlled clinical studies performed with PEDIACEL, 71% of 451 infants immunised at 2, 4 and 6 months experienced a reaction (pain, erythema or oedema) at the injection site within the first 24 hours after vaccination. In 16% of infants the reaction was of moderate to severe intensity. Also, 64% of infants experienced a systemic reaction, which was of moderate to severe intensity in 16%.
There was a trend for an increased frequency of injection site reactions when a fourth dose of PEDIACEL was given to 401 children in the second year of life. Pain was reported in 33%, erythema in 23% and oedema in 16% compared to rates of 18%, 11% and 11%, respectively, during the primary series. The frequency of systemic reactions was similar whether PEDIACEL was administered in infancy or in the second year of life.
The reactions observed were as follows:
Nervous system disorders
Hypotonic hyporesponsive episodes (HHE) (see section 4.4).
Anorexia, diarrhoea and vomiting.
General disorders and administration site conditions
Very common (>10%):
Pain, erythema and oedema at the injection site.
Irritability, malaise, increased crying and fever.
Very rare (<0.01%):
High fever (>40.5°C).
Unusual high-pitched or inconsolable crying.
Extensive limb swelling.
Large injection site reactions (>50 mm), including extensive limb swelling from the injection site beyond one or both joints, have been reported following administration of acellular-pertussis contained in PEDIACEL. These reactions start within 24-72 hours after vaccination, may be associated with erythema, warmth, tenderness or pain at the injection site and resolve spontaneously within 3-5 days. The risk appeared to be dependent on the number of prior doses of acellular pertussis containing vaccine, with a greater risk following the 4th and 5th doses.
In a controlled clinical study of PEDIACEL, administered concomitantly with meningococcal group C conjugate vaccine, 71% of 121 infants immunised at 2, 3 and 4 months experienced a reaction (pain, erythema or oedema) at the PEDIACEL injection site within the first seven days after vaccination. Also, 92% of infants experienced a systemic reaction within the first seven days after vaccination. The rates of moderate to severe reactions were similar to those described at 2, 4 and 6 months.
Acute allergic reactions have been reported after diphtheria, tetanus and/or pertussis vaccines. Manifestations include dyspnoea, cyanosis, urticaria, angioneurotic oedema, hypotension and, rarely, anaphylaxis.
A persistent nodule at the site of vaccination may occur with all adsorbed vaccines, particularly if administered into the superficial layers of the subcutaneous tissue. Rarely aseptic abscesses have been reported.
Oedematous reaction affecting one or both lower limbs may occur following vaccination with Haemophilus Influenza type b containing vaccines. If this reaction occurs, it does so mainly after primary injections and is observed within the first few hours following vaccination. Associated symptoms may include cyanosis, redness, transient purpura and severe crying. All events resolve spontaneously without sequelae within 24 hours.
Data from Post Marketing Surveillance
Based on spontaneous reporting, the following additional adverse events have been reported during the commercial use of PEDIACEL. These events have been very rarely reported (<0.01%); however, the exact incidence rates cannot precisely be calculated.
Nervous system disorders
General disorders and administration site conditions
Additional Information on Special Populations
Apnoea in very premature infants (LESS-THAN OR EQUAL TO (8804)28 weeks of gestation). (See section 4.4.)
List of excipients To the top of the page
Water for Injections.
Source: Sanofi Pasteur manufacturer’s data sheet for DTaP/IPV/HIB vaccine, dated 4th September 2008.
Sanofi Pasteur MSD Limited