Adjuvant vaccines

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Introduction

An adjuvant is an ingredient used in some vaccines that helps create a stronger immune response in people receiving the vaccine. In other words, adjuvants help vaccines work better. Some vaccines that are made from weakened or killed germs contain naturally occurring adjuvants and help the body produce a strong protective immune response. However, most vaccines developed today include just small components of germs, such as their proteins, rather than the entire virus or bacteria. Adjuvants help the body to produce an immune response strong enough to protect the person from the disease he or she is being vaccinated against. Adjuvanted vaccines can cause more local reactions (such as redness, swelling, and pain at the injection site) and more systemic reactions (such as fever, chills and body aches) than non-adjuvanted vaccines.

Adjuvants Used:

  1. Aluminum      

Composition: Amorphous aluminum hydroxyphosphate sulfate (AAHS), aluminum hydroxide,   aluminum phosphate, potassium aluminum sulfate (Alum)         

Vaccines with aluminum: Anthrax, DT, DTaP (Daptacel), DTaP (Infanrix), DTaP-IPV (Kinrix), DTaP-IPV (Quadracel), DTaP-HepB-IPV (Pediarix), DTaP –IPV/Hib (Pentacel), Hep A (Havrix), Hep A (Vaqta), Hep B (Engerix-B), Hep B (Recombivax), HepA/Hep B (Twinrix), HIB (PedvaxHIB), HPV (Gardasil 9), Japanese encephalitis (Ixiaro), MenB (Bexsero, Trumenba), Pneumococcal (Prevnar 13), Td (Tenivac), Td (Mass Biologics), Tdap (Adacel), Tdap (Boostrix)

  1.  AS04

Composition: Monophosphoryl lipid A (MPL) + aluminum salt         

Vaccine with AS04: Cervarix

 

  1. MF59 

Composition: Oil in water emulsion composed of squalene   

Vaccines with MF59: Fluad

  1. AS01B

Composition: Monophosphoryl lipid A (MPL) and QS-21, a natural compound extracted from the Chilean soapbark tree, combined in a liposomal formulation

Vaccines with AS01B: Shingrix

  1. CpG 1018      

Composition: Cytosine phosphoguanine (CpG), a synthetic form of DNA that mimics bacterial and viral genetic material           

Vaccines with CpG 1018: Heplisav-B

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