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Vaccines Containing Thimerosal
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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
- 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.
- 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.
- OmniHIB is manufactured by Aventis Pasteur but distributed by
GlaxoSmithKline.
- COMVAX is not licensed for use under 6 weeks of age because of
decreased response to the Hib component.
- Merck’s Hepatitis B vaccine for adults still contains
thimerosal as a preservative.
- Children under 3 years of age receive a half-dose of vaccine,
i.e., 0.25 mL (12.5 µg mercury/dose.)
- 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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