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Vaccines Containing Thimerosal

Updated Fall 2002

 

 

Table 1. Thimerosal and Routine Pediatric Vaccines

 

Vaccine Tradename (Manufacturer)* Thimerosal Status
DTaP Infanrix (GSK) Free
Tripedia (AP) Trace** (single dose)
Pneumococcal conjugate Prevnar (WL) Free
Inactivated Poliovirus IPOL (AP) Free
Varicella (chicken pox) Varivax (M) Free
Mumps, measles, and rubella M-M-R-II (M) Free
Hepatitis B Recombivax HB (M) Free
Engerix B (GSK) Trace**
Haemophilus influenzae type b conjugate (Hib) ActHIB (AP)/OmniHIB (GSK) Free
PedvaxHIB (M) Free
HibTITER (WL) Free (single dose vials)
Hib/Hepatitis B combination Comvax (M) Free

*Manufacturer abbreviations:
GSK = GlaxoSmithKline; WL = Wyeth Lederle; AP = Aventis Pasteur; M = Merck.

**Less than 1 microgram thimerosal per 0.5 mL dose (equivalent to less than 0.5 microgram of mercury per 0.5 mL dose.)

 

 

Table 2: Preservatives Used in U.S. Licensed Vaccines-- 2001

 

Preservative Vaccine Examples (Tradename; Manufacturer*)
Thimerosal DT
Td (several)
TT (several)
Influenza (several)
Pneumococcal Polysaccharide (Pnu-Imune 23; WL)
2-phenoxyethanol and formaldehyde IPV (IPOL; AP)
Phenol Typhoid Vi Polysaccharide (Typhim Vi; AP)
Pneumococcal Polysaccharide (Pneumovax 23; M)
Benzethonium chloride (Phemerol) Anthrax (B)
2-phenoxyethanol DTaP (Infanrix; GSK)
Hepatitis A (Havrix; GSK)
Hepatitis A/Hepatitis B (Twinrix; GSK)
Lyme (Lymerix; GSK) [Labeled bacteriostatic agent]

*Manufacturer abbreviations:
GSK = Glaxo SmithKline; WL = Wyeth Lederle; AP = Aventis Pasteur; M = Merck; B=Bioport.

 

 

Table 3: Thimerosal and Expanded List of Vaccines

 

Thimerosal Content in Some Currently Manufactured U.S. Licensed Vaccines

Vaccine Trade Name Manufacturer Thimerosal Concentration1 Mercury
Anthrax Anthrax vaccine BioPort Corporation 0 0
DTaP Tripedia2 Aventis Pasteur <0.0002% (single dose) <0.5 µg/dose
Infanrix GlaxoSmithKline 0 0
DT All Products   0.01% 25 µg/dose
Td All Products Mass Public Health 0.003% 8 µg/dose
All other manufacturers 0.01% 25 µg/dose
TT All Products   0.01% 25 µg/dose
Hib ActHIB/OmniHIB3 Aventis Pasteur 0 0
HibTITER (Single dose) Wyeth-Lederle 0 0
PedvaxHIB liquid Merck 0 0
Hib/HepB COMVAX4 Merck 0 0
Hepatitis B5 Engerix-B GlaxoSmithKline <0.0002% <0.5 µg/dose
Recombivax HB Merck 0 0
Hepatitis A Havrix GlaxoSmithKline 0 0
Vaqta Merck 0 0
IPV IPOL Aventis Pasteur 0 0
Poliovax Aventis Pasteur 0 0
Influenza6 All Aventis Pasteur, Wyeth-Lederle 0.01% 25 µg/0.5 mL dose
(12.5 µg/0.25 mL dose)
Evans 0.0004% <=0.98 µg/0.5ml unit dose
Japanese Encephalitis7 JE-VAX BIKEN 0.007% 35 µg/1.0mL dose
(17.5 µg/0.5 mL dose
MMR MMR-II Merck 0 0
Meningococcal Menomune A, C, AC and A/C/Y/W-135 Aventis Pasteur 0.01% (multidose)
0 (single dose)
25 µg/dose
Pneumococcal Prevnar (Pneumo Conjugate) Lederle Laboratories 0 0
Pneumovax 23 Merck 0 0
Pnu-Imune 23 Wyeth-Lederle 0.01% 25 µg/dose
Rabies IMOVAX Aventis Pasteur 0 0
Rabavert Chiron 0 0
Typhoid Fever Typhim Vi Aventis Pasteur 0 0
Typhoid Ty21a Swiss Serum and Vaccine Institute 0 0
Varicella Varivax Merck 0 0
Yellow Fever Y-F-Vax Aventis Pasteur 0 0
Table Footnotes

 

  1. Thimerosal is 50% mercury (Hg) by weight. A 0.01% solution (1 part per 10,000) of thimerosal contains 50 µg of Hg per 1 ml dose or 25 µg of Hg per 0.5 ml dose.
  2. Aventis Pasteur’s Tripedia may be used to reconstitute ActHib to form TriHIBit. TriHIBit is indicated for use in children 15 to 18 months of age.
  3. OmniHIB is manufactured by Aventis Pasteur but distributed by GlaxoSmithKline.
  4. COMVAX is not licensed for use under 6 weeks of age because of decreased response to the Hib component.
  5. Merck’s Hepatitis B vaccine for adults still contains thimerosal as a preservative.
  6. Children under 3 years of age receive a half-dose of vaccine, i.e., 0.25 mL (12.5 µg mercury/dose.)
  7. JE-VAX is manufactured by BIKEN and distributed by Aventis Pasteur. Children 1 to 3 years of age receive a half-dose of vaccine, i.e., 0.5 mL (17.5 µg mercury/dose).

Source: Food and Drug Administration

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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.