Bulletin of the World Health Organization

Safety profile of pneumococcal conjugate vaccines: systematic review of pre- and post-licensure data

Frank DeStefano, Dina Pfeifer, Hanna Nohynek

Volume 86, Number 5, May 2008, 373-380

Table 2. Reactogenicity of moderate or greater severity for PCV7 according to age at dose administration: randomized trials in healthy children under 2 years of age

Reactogenicitya Age at dose administration (months) Study
Black et al.5 Eskola et al.6 Knuf et al.12 Scheifele et al.13 Schmitt et al.14 Tichmann-Schumann et al.15
PCV7 (n) 693 831 125 376 118 175

Comparison Men C Hep B Hexa No PCV Other vaccines Other vaccines

Redness (%) 2 0.3 0 0.8 1.2 0 (3 months)
4 0 0.2 3.3 1.6 1.9
6 0.2 0.4 3.4 1.6 0 (5 months)
12–15 0.6 0.9 7.3 4.4

Swelling (%) 2 0.1 1.1 2.5 4.8 0 (3 months)
4 0.4 1.0 5.0 1.2 1.0
6 0.5 0.5 5.2 3.2 0 (5 months)
12–15 0.6 1.3 8.1 2.2

Fever (%) 2 0.9 0.4 0.8 3.8 (3 months) 4.6
4 2.5b 1.0 0.8 2.9 4.1 (3 months)
6 1.7 2.0b 1.7 4.7 (5 months) 2.4 (4 months)
12–15 1.3 1.6 2.7 8.3 11.2

Hep B, hepatitis B; Hexa, INFANRIX® hexa; Men C, meningitis C; PCV7, 7-valent pneumococcal polysaccharide-protein conjugate vaccine.a Local reactions > 2.0 cm, > 2.4 cm or > 3.0 cm according to study; fever > 39 ºC.b Significantly (P < 0.05) higher with PCV7 than comparison vaccination.