Meningitis, Meningococcal Meningitis, Meningococcal Infections
Conditions
Keywords
Meningitis, Meningococcal Meningitis, Meningococcal Infections, Menactra®, Meningococcal Vaccine
Brief summary
The aim of the study is to assess the safety of Menactra vaccine in infants, toddlers, children, adolescents, and adults Objective: * To describe the safety profile after each and any dose (when applicable) of Menactra vaccine in participants aged 9 months to 55 years for registration.
Detailed description
Infants and toddlers will receive 2 doses of vaccine 3 months apart. Children ≥ 2 years through adults aged 55 years will receive 1 dose of vaccine. All participants will be evaluated for safety up to 28 days post-vaccination.
Interventions
BIOLOGICALMeningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine
0.5 mL, Intramuscular. 2 doses 3 months apart
Sponsors
Sanofi Pasteur, a Sanofi Company
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Months to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Aged 9 months to 55 years on the day of the first study visit * For adults: Informed consent form had been signed and dated by the participant For minors: Informed consent form had been signed and dated by the parent or legally acceptable representative. In addition, in accordance with the Independent Ethics Committee /Institutional Review Board requirements and as appropriate for the age of the participant, the participant may be required to sign and date the informed consent form if aged 12 to 17 years or assent form if aged 8 to 11 years * Participant and/or parent/legally acceptable representative (if applicable) were able to attend all scheduled visits and to comply with all study procedures
Exclusion criteria
* Participation at the time of study enrollment (or in the 4 weeks preceding study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure * Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine in the 4 weeks following study vaccination * Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (\>=2 mg/kg/day prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) * Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the study or to a vaccine containing any of the same substances * Laboratory-confirmed, self-reported, or known (as reported by the parent/legally acceptable representative) thrombocytopenia, contraindicating intramuscular vaccination * Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination * Personal history of Guillain-Barré syndrome * Chronic illness that, in the opinion of the investigator, was at a stage where it might interfere with study conduct or completion * Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 37.5°C or ≤ 35.5°C). A prospective participant should not be included in the study until the condition has resolved or the febrile event had subsided * Identified as a natural or adopted child of the Investigator or employee with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study * Participant was pregnant, or lactating, or of childbearing potential (to be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, surgically sterile, or using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination and until at least 4 weeks after vaccination) * Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily * Current alcohol abuse or drug addiction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Within 7 days post-vaccination 1, Within 7 days post-vaccination 2 | Solicited injection (Inj.) site reactions: Tenderness/Pain (Grade 1: minor reaction when Inj. site touched; Grade 2: cries/protests when Inj. site touched; Grade 3: cries when injected limb moved, or the movement of the injected limb is reduced), Erythema and Swelling (Grade 1: \>0 to \<25 mm, Grade 2: \>=25 to \<50 mm, Grade 3: \>=50 mm). Number of participants with any of the Grade 1, 2 or 3 solicited injection-site reactions and Grade 3 solicited injection-site reactions were reported. |
| Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Within 7 days post-vaccination | Solicited injection (Inj.) site reactions in children (2-11 years), adolescents and adults (12-55 years): Tenderness/Pain (Grade 1: easily tolerated \[children\], no interference with activity \[adolescents and adults\]; Grade 2: sufficiently discomforting \[children\], some interference\[adolescents and adults\]; Grade 3: unable to perform usual activities\[children\]; significant interference with daily activities \[adolescents and adults\]), Erythema and Swelling (Grade 1: \>0 to\<25 mm \[children\], \>=25 to \<=50 mm \[adolescents and adults\]; Grade 2: \>=25 to \<50 mm \[children\], \>=51 to \<=100 mm \[adolescents and adults\], Grade 3: \>=50 mm \[children\]; \>100 mm\[adolescents and adults\]). Number of participants with any of Grade 1, 2 or 3 solicited injection-site reactions and Grade 3 solicited injection-site reactions were reported. |
| Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Within 7 days post-vaccination 1, Within 7 days post-vaccination 2 | Solicited systemic reactions: Fever (Grade 1: \>=38.0 degree Celsius to \<=38.5 degree Celsius; Grade 2: \>38.5 degree Celsius to \<=39.5 degree Celsius; Grade 3: \>39.5 degree Celsius), Vomiting (Grade 1: 1 episode per 24 hours, Grade 2: 2-5 episodes per 24 hours, Grade 3: \>=6 episodes per 24 hours), Crying abnormal (Grade 1: \<1 hour; Grade 2: 1-3 hours; Grade 3: \>3 hours), Drowsiness (Grade 1: sleepier than usual or less interested in surroundings; Grade 2: Not interested in surroundings or did not wake up for a feed / meal; Grade 3: Sleeping most of the time or difficult to wake up), Appetite loss (Grade 1: eating less than normal; Grade 2: missed 1 or 2 feeds / meals completely; Grade 3: refuses \>=3 feeds / meals or refuses most feeds / meals), Irritability (Grade 1: easily consolable; Grade 2: requiring increased attention; Grade 3: inconsolable). Number of participants with any of the Grade 1, 2 or 3 systemic reactions and Grade 3 systemic reactions were reported. |
| Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Within 7 days post-vaccination | Solicited systemic reactions: Fever (Grade 1: \>=38.0 degree Celsius to \<=38.4 degree Celsius; Grade 2: \>=38.5 degree Celsius to \<=38.9 degree Celsius; Grade 3: \>=39.0 degree Celsius), headache, malaise and myalgia (Grade 1: no interference with activity, Grade 2: some interference, Grade 3: significant interference). Number of participants with any of the Grade 1, 2 or 3 systemic reactions and Grade 3 systemic reactions were reported. |
Countries
Vietnam
Participant flow
Recruitment details
Participants were enrolled from 06 June 2016 through 16 June 2016 at a single center in Vietnam.
Pre-assignment details
A total of 224 participants (112 for each group) were enrolled and vaccinated in the study.
Participants by arm
| Arm | Count |
|---|---|
| Menactra® Vaccine (9 to 23 Months) Participants (infants and toddlers) received 2 doses of 0.5 mL Menactra® Vaccine, intramuscularly, with 3-month interval (first dose at Day 0 and second dose, 3 months after dose 1). | 112 |
| Menactra® Vaccine (2 to 55 Years) Participants (children, adolescents and adults) received 1 dose of 0.5 mL Menactra® Vaccine, intramuscularly at Day 0. | 112 |
| Total | 224 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Protocol Violation | 1 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | Total | Menactra® Vaccine (2 to 55 Years) | Menactra® Vaccine (9 to 23 Months) |
|---|---|---|---|
| Age, Customized 12 to 17 years | 33 Participants | 33 Participants | 0 Participants |
| Age, Customized 18 to 55 years | 36 Participants | 36 Participants | 0 Participants |
| Age, Customized 2 to 11 years | 43 Participants | 43 Participants | 0 Participants |
| Age, Customized 9 to 23 months | 112 Participants | 0 Participants | 112 Participants |
| Region of Enrollment Vietnam | 224 participants | 112 participants | 112 participants |
| Sex: Female, Male Female | 109 Participants | 57 Participants | 52 Participants |
| Sex: Female, Male Male | 115 Participants | 55 Participants | 60 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 112 | 0 / 112 |
| other Total, other adverse events | 86 / 112 | 49 / 112 |
| serious Total, serious adverse events | 16 / 112 | 0 / 112 |
Outcome results
Primary
Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years)
Solicited injection (Inj.) site reactions in children (2-11 years), adolescents and adults (12-55 years): Tenderness/Pain (Grade 1: easily tolerated \[children\], no interference with activity \[adolescents and adults\]; Grade 2: sufficiently discomforting \[children\], some interference\[adolescents and adults\]; Grade 3: unable to perform usual activities\[children\]; significant interference with daily activities \[adolescents and adults\]), Erythema and Swelling (Grade 1: \>0 to\<25 mm \[children\], \>=25 to \<=50 mm \[adolescents and adults\]; Grade 2: \>=25 to \<50 mm \[children\], \>=51 to \<=100 mm \[adolescents and adults\], Grade 3: \>=50 mm \[children\]; \>100 mm\[adolescents and adults\]). Number of participants with any of Grade 1, 2 or 3 solicited injection-site reactions and Grade 3 solicited injection-site reactions were reported.
Time frame: Within 7 days post-vaccination
Population: Safety analysis set included all participants who received at least 1 dose of study vaccine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Inj site pain | 28 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Inj site pain | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Erythema | 2 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Erythema | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Swelling | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Swelling | 0 Participants |
Primary
Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months)
Solicited injection (Inj.) site reactions: Tenderness/Pain (Grade 1: minor reaction when Inj. site touched; Grade 2: cries/protests when Inj. site touched; Grade 3: cries when injected limb moved, or the movement of the injected limb is reduced), Erythema and Swelling (Grade 1: \>0 to \<25 mm, Grade 2: \>=25 to \<50 mm, Grade 3: \>=50 mm). Number of participants with any of the Grade 1, 2 or 3 solicited injection-site reactions and Grade 3 solicited injection-site reactions were reported.
Time frame: Within 7 days post-vaccination 1, Within 7 days post-vaccination 2
Population: Safety analysis set included all participants who received at least 1 dose of study vaccine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Inj. site pain (post-vaccination 1) | 15 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Inj site pain (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Inj site pain (post-vaccination 2) | 15 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Inj site pain (post-vaccination 2) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Erythema (post-vaccination 1) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Erythema (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Erythema (post-vaccination 2) | 2 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Erythema (post-vaccination 2) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Swelling (post-vaccination 1) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Swelling (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Swelling (post-vaccination 2) | 2 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Injection-Site Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Swelling (post-vaccination 2) | 0 Participants |
Primary
Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years)
Solicited systemic reactions: Fever (Grade 1: \>=38.0 degree Celsius to \<=38.4 degree Celsius; Grade 2: \>=38.5 degree Celsius to \<=38.9 degree Celsius; Grade 3: \>=39.0 degree Celsius), headache, malaise and myalgia (Grade 1: no interference with activity, Grade 2: some interference, Grade 3: significant interference). Number of participants with any of the Grade 1, 2 or 3 systemic reactions and Grade 3 systemic reactions were reported.
Time frame: Within 7 days post-vaccination
Population: Safety analysis set included all participants who received at least 1 dose of study vaccine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Fever | 5 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Fever | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Headache | 17 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Headache | 3 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Malaise | 24 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Malaise | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Any Myalgia | 20 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (2 to 55 Years) | Grade 3 Myalgia | 1 Participants |
Primary
Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months)
Solicited systemic reactions: Fever (Grade 1: \>=38.0 degree Celsius to \<=38.5 degree Celsius; Grade 2: \>38.5 degree Celsius to \<=39.5 degree Celsius; Grade 3: \>39.5 degree Celsius), Vomiting (Grade 1: 1 episode per 24 hours, Grade 2: 2-5 episodes per 24 hours, Grade 3: \>=6 episodes per 24 hours), Crying abnormal (Grade 1: \<1 hour; Grade 2: 1-3 hours; Grade 3: \>3 hours), Drowsiness (Grade 1: sleepier than usual or less interested in surroundings; Grade 2: Not interested in surroundings or did not wake up for a feed / meal; Grade 3: Sleeping most of the time or difficult to wake up), Appetite loss (Grade 1: eating less than normal; Grade 2: missed 1 or 2 feeds / meals completely; Grade 3: refuses \>=3 feeds / meals or refuses most feeds / meals), Irritability (Grade 1: easily consolable; Grade 2: requiring increased attention; Grade 3: inconsolable). Number of participants with any of the Grade 1, 2 or 3 systemic reactions and Grade 3 systemic reactions were reported.
Time frame: Within 7 days post-vaccination 1, Within 7 days post-vaccination 2
Population: Safety analysis set included all participants who received at least 1 dose of study vaccine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Fever (post-vaccination 1) | 9 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Fever (post-vaccination 1) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Fever (post-vaccination 2) | 9 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Fever (post-vaccination 2) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Vomiting (post-vaccination 1) | 8 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Vomiting (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Vomiting (post-vaccination 2) | 10 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Vomiting (post-vaccination 2) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Crying Abnormal (post-vaccination 1) | 9 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Crying Abnormal (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Crying Abnormal (post-vaccination 2) | 8 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Crying Abnormal (post-vaccination 2) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Drowsiness (post-vaccination 1) | 6 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Drowsiness (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Drowsiness (post-vaccination 2) | 5 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Drowsiness (post-vaccination 2) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Appetite lost (post-vaccination 1) | 22 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Appetite lost (post-vaccination 1) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Appetite lost (post-vaccination 2) | 17 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Appetite lost (post-vaccination 2) | 0 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Irritability (post-vaccination 1) | 13 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Irritability (post-vaccination 1) | 1 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Any Irritability (post-vaccination 2) | 7 Participants |
| Menactra® Vaccine (9 to 23 Months) | Number of Participants Reporting Solicited Systemic Reactions Following Vaccination: Menactra® Vaccine (9 to 23 Months) | Grade 3 Irritability (post-vaccination 2) | 1 Participants |