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 4. Reactogenicity of PCV9 and PCV11 according to age at dose administration: schedules were compatible with the WHO Expanded Programme on Immunization

Reactogenicity Obaro et al.20 Capeding et al.21
Vaccine (n) PCV9 (104) PCV11 (50)
Comparison (n) IPV (102) DTwPHib (opposite thigh)

Reaction Age at dose administration (months) Percentage with reaction Age at dose administration (weeks) Percentage with reactiona

Redness(> 2 cm) 2 6 0
3 10 0
4 14 0
Swellingb 2 ns 6 7.8
3 6c 10 4.1
4 8c 14 0

Tenderness 2 ns 6
3 15c 10
4 18c 14

Fever(> 38.7 ºC) 2 6 8.0
3 10 12.2
4 14 8.5

DTwPHib, diphtheria, tetanus, pertussis (cellular antigens), and Haemophilus influenzae type b; IPV, inactivated polio vaccine; ns, not significant; PCV9, nonavalent pneumococcal polysaccharide-protein conjugate vaccine.a PCV11 site for local reactions.b Obaro: > 5 mm; Capeding: > 2 cm.c Significantly higher (P < 0.05) with PCV7 than IPV.