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Safety and Immunogenicity of Simultaneous Tdap and IIV in Pregnant Women

A Prospective, Randomized, Open-label Clinical Trial to Assess the Safety and Immunogenicity of Simultaneous vs Sequential Administration of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine and Inactivated Influenza Vaccine in Pregnant Women - Pilot

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02783170
Acronym
Tdap/IIV
Enrollment
81
Registered
2016-05-26
Start date
2016-09-30
Completion date
2018-05-10
Last updated
2025-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pregnancy

Keywords

Tdap vaccine, Flu vaccine, vaccines in pregnancy, immunizations in pregnancy, Whooping Cough, Pertussis, Influenza

Brief summary

This is a pilot, prospective, randomized, open-label clinical trial. During the study, pregnant women will be randomized (1:1) to receive co-administration of a single intramuscular (IM) 0.5 mL dose of US-licensed inactivated influenza vaccine (IIV) and a single intramuscular (IM) 0.5 mL dose of US-licensed Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine adsorbed (Tdap) or sequential administration of the vaccines (IIV followed by Tdap \ 21 days later). Vaccines will be administered by licensed study personnel. Prior Tdap/Td/TT and influenza vaccine history will be verified by medical record review when possible. Injection-site (local) and systemic reaction data will be assessed on vaccination day and during the 7 days following vaccination using either identical web-based or paper diaries, depending on study participant preference. Maternal serum samples will be collected for antibody titers relevant to the Tdap and Influenza at time points that include: prior to vaccination(s), \ 21 days post vaccination(s), and at delivery. Additionally, cord blood serum will be analyzed for the same antibody titers. Pregnant women will be followed with comprehensive obstetric and neonatal outcomes obtained from medical record review.

Interventions

BIOLOGICALTetanus, Diphtheria, and Pertussis Vaccine
BIOLOGICAL2016-2017 Quadrivalent Inactivated Influenza Vaccine
BIOLOGICAL2017-2018 Quadrivalent Inactivated Influenza Vaccine

Sponsors

Children's Hospital Medical Center, Cincinnati
CollaboratorOTHER
Centers for Disease Control and Prevention
CollaboratorFED
Duke University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

1. Pregnant, as determined by medical history; 18 - 45 years of age inclusive 2. Intention of receiving Tdap and IIV vaccines based on Advisory Committee on Immunization Practices (ACIP) recommendations 3. Willing to provide written informed consent prior to initiation of any study procedures 4. Singleton gestation ≥ 26 weeks 0 days gestation - ≤32 weeks 0 days gestation at the time of Visit 1 vaccination based on reconciliation of last menstrual period and ultrasound dating. Estimated due date (EDD) and Gestational Age (GA) - EDD will be based on reconciliation of a sure first day of the last menstrual period (LMP) and earliest dating ultrasound. If the LMP is uncertain, then the earliest dating ultrasound will be used to determine EDD and GA. If the ultrasound derived-EDD is in agreement with sure-LMP derived EDD, then the LMP-derived EDD is used to determine GA. If the ultrasound derived EDD is not in agreement with the LMP-derived EDD, the ultrasound-derived EDD is used to determine GA. 5. English or Spanish literate 6. Intention of being available for entire study period and complete all relevant study procedures, including follow-up phone calls and collection of delivery information.

Exclusion criteria

1. For subjects enrolling during the 2016-2017 influenza season: IIV/LAIV receipt during 2016-2017 influenza season prior to study enrollment 2. For subjects enrolling during the 2017-2018 influenza season: IIV/LAIV receipt during 2017-2018 influenza season prior to study enrollment 2\. Tdap/Td/TT receipt during current pregnancy prior to study enrollment 3. Has immunosuppression as a result of an underlying illness or treatment, or use of anti-cancer chemotherapy or radiation therapy within the preceding 36 months. 4\. Has an active neoplastic disease (excluding non-melanoma skin cancer), a history of any hematologic malignancy, current bleeding disorder, or taking anticoagulants (daily low dose aspirin may be acceptable). 5\. Has a history of receiving immunoglobulin or other blood product (with exception of Rhogam) within the 3 months prior to enrollment in this study. 6\. Known to have pre-existing diabetes mellitus or an autoimmune disorder. 7. Febrile illness within the last 24 hours or an oral temperature \>/= 100.4°F (\>/= 38.0°C) prior to IIV or Tdap administration 8. Contraindication to IIV receipt including history of severe allergic reaction after a previous dose of any influenza vaccine; or to a vaccine component, including egg protein 9. Contraindication to Tdap receipt including history of severe allergic reaction after a previous dose of any tetanus toxoid-, diphtheria toxoid-, or pertussis antigen-containing vaccine or encephalopathy within 7 days of administration of a previous dose of a pertussis antigen-containing vaccine that is not attributable to another identifiable cause 10. Arthus-type hypersensitivity reaction following a prior dose of a tetanus toxoid-containing vaccine within the last 10 years 11. Any condition that may interfere with assessment of local injection site reactions, e.g. lymphadenectomy or obscuring tattoos 12. History of Guillain-Barré syndrome within 6 weeks of a prior dose of any tetanus toxoid-, diphtheria toxoid- or pertussis antigen-containing vaccine or influenza vaccine 13. Known or suspected impairment of immunologic function including infection with HIV, hepatitis B or C 14. Use of immunosuppressive or cytotoxic drugs except receipt of oral or parenteral (intravenous, subcutaneous or intramuscular) corticosteroids 30 or more days prior to enrollment. Persons who have used oral or parenteral corticosteroids within 12 months prior to enrollment may be enrolled if the longest course of therapy was less than 14 consecutive days and no dose was given within 30 days of enrollment. Intraarticular, bursal, tendon, or epidural injections of corticosteroids are permissible if the most recent injection was 30 or more days prior to enrolment. Persons applying topically corticosteroid in either upper arm (i.e. injection site) may be enrolled 1 or more days after their therapy is completed. Corticosteroids administered topically at non-injection sites, by inhalation or intranasally are permissible 15. Receipt of any licensed vaccine within 14 days prior to study vaccination or planning receipt of any vaccines (except study vaccines) prior to Visit 7 follow up. 16\. Receipt of live vaccine during current pregnancy. 17. High risk for preterm birth (active preterm labor, short cervix, cervical cerclage, receipt of antenatal corticosteroids for fetal lung maturity prior to Visit 1) 18. Antenatal ultrasound diagnosis of fetal growth restriction, defined as \< 10th percentile estimated fetal weight for gestational age 19. Known fetal congenital anomaly, e.g. genetic abnormality or malformation based on antenatal ultrasound 20. Any condition which, in the opinion of the investigators, may pose a health risk to the subject or interfere with the evaluation of the study objectives. 21\. Anyone who is a relative of any research study personnel 22. Anyone who is an employee of any research study personnel 23. Anyone who is already enrolled or plans to enroll in another clinical trial with an investigational product. Co-enrollment in observational or behavioral intervention studies are allowed at any time. 24\. Previous participation in the study.

Design outcomes

Primary

MeasureTime frameDescription
Feasibility as Measured by Participant Retention (Percentage of Participants Who Complete All Visits)Approximately 1 yearPercentage of participants that completed all in-person and delivery visits
Percentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 18 days post vaccine administrationPercentage of systemic reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid
Percentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 48 days post vaccine administrationPercentage of systemic reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid
Pertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-vaccination and approximately 21 days post vaccination and at DeliveryMeasurement of serum antibody levels to pertussis antigens, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery
Percentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Pre vaccination and approximately 21 days post vaccination and at DeliveryMeasurement of serum antibody levels to diphtheria toxoids, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery
Percentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)21 days post vaccinationMeasurement of serum antibody levels to tetanus toxoids, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery
Percentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )Pre and 21 days post vaccination and at DeliveryMeasurement of serum antibody levels to influenza antigens in maternal blood and infant cord blood obtained at delivery
Percentage of Subjects Recruited Enrollment PeriodApproximately 1 yearPercentage of subjects recruited during 4 month enrollment period
Feasibility Reported as Percentage of Reactogenicity Data CollectedApproximately 1 yearPercentage of reactogenicity data days reported (days reported / total possible days)
Feasibility Reported as Percentage of Timely Collected BiospecimensApproximately 1 yearTimeliness is defined as collected within the visit window
Feasibility Reported as Percentage of Adequate Biospecimens CollectedApproximately 1 yearPercentage of samples collected (sample timepoints collected / total possible sample timepoints)
Percentage of Participants With Injection-site Reactions Post Tdap and IIV4 Administration8 days post vaccine administrationPercentage of injection-site reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid

Secondary

MeasureTime frameDescription
Number of Participants With Adverse Infant Outcomes Based on Medical Record Reviewapproximately 2 monthsNumber of participants with adverse infant outcomes. Missing data is data not collected or unavailable.
Percentage of Participants With Clinical Chorioamnionitisat the time of deliveryPercentage of participants with clinical chorioamnionitis
Percentage of Participants With Histologic Chorioamnionitis on Surgical Pathology Examination of Placental Tissueafter delivery, approximately up to 2 weeksPercentage of participants with histologic chorioamnionitis on surgical pathology examination of placental tissue
Feasibility as Measured by Percentage of Blood Samples in Testable ConditionApproximately 1 yearPercentage of blood samples received in testable condition (sufficient volume and quality)
Feasibility as Measured by Percentage of Blood Samples in With Sufficient Volume for TestingApproximately 1 yearPercentage of blood samples received with sufficient volume for testing
Feasibility as Measured by Percentage of Testable Blood Samples CompletedApproximately 1 yearPercentage of testable (sufficient volume and quality) blood samples completed
Number of Participants With Adverse Maternal OutcomesUp to the 6-week postpartum visitThe number of participants with adverse maternal outcomes at delivery. Missing data is data not collected or unavailable.

Countries

United States

Participant flow

Participants by arm

ArmCount
Simultaneous Vaccination Arm
In the study arm,subjects will receive both Tdap and IIV vaccines during study visit 1. Tetanus, Diphtheria, and Pertussis Vaccine 2016-2017 Quadrivalent Inactivated Influenza Vaccine 2017-2018 Quadrivalent Inactivated Influenza Vaccine
42
Sequential Vaccination Arm
In this study arm, subjects will receive the IIV vaccine during study visit 1. Approximately 21 days later, they will receive the Tdap vaccine during study visit 4. Tetanus, Diphtheria, and Pertussis Vaccine 2016-2017 Quadrivalent Inactivated Influenza Vaccine 2017-2018 Quadrivalent Inactivated Influenza Vaccine
38
Total80

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyRandomized but not Vaccinated10

Baseline characteristics

CharacteristicSequential Vaccination ArmTotalSimultaneous Vaccination Arm
Age, Customized
Maternal Age
25.5 Years26 Years27 Years
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants12 Participants7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants67 Participants34 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Gestational Age in Weeks at Visit 128 Weeks28.7 Weeks29.1 Weeks
Gestational Age in Weeks at Visit 431.9 Weeks32.3 Weeks32.6 Weeks
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Black or African American
17 Participants34 Participants17 Participants
Race (NIH/OMB)
More than one race
2 Participants5 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants0 Participants
Race (NIH/OMB)
White
17 Participants39 Participants22 Participants
Recent Flu Vaccine within 2 years7 Participants15 Participants8 Participants
Recent Tdap Vaccine within 2 years5 Participants10 Participants5 Participants
Region of Enrollment
United States
38 Participants80 Participants42 Participants
Sex: Female, Male
Female
38 Participants80 Participants42 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 420 / 38
other
Total, other adverse events
2 / 422 / 38
serious
Total, serious adverse events
1 / 420 / 38

Outcome results

Primary

Feasibility as Measured by Participant Retention (Percentage of Participants Who Complete All Visits)

Percentage of participants that completed all in-person and delivery visits

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility as Measured by Participant Retention (Percentage of Participants Who Complete All Visits)98.6 percentage of participants
Sequential Vaccination ArmFeasibility as Measured by Participant Retention (Percentage of Participants Who Complete All Visits)97.7 percentage of participants
Primary

Feasibility Reported as Percentage of Adequate Biospecimens Collected

Percentage of samples collected (sample timepoints collected / total possible sample timepoints)

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility Reported as Percentage of Adequate Biospecimens Collected94.0 percentage of samples
Sequential Vaccination ArmFeasibility Reported as Percentage of Adequate Biospecimens Collected95.4 percentage of samples
Primary

Feasibility Reported as Percentage of Reactogenicity Data Collected

Percentage of reactogenicity data days reported (days reported / total possible days)

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility Reported as Percentage of Reactogenicity Data Collected92.6 percentage of days
Sequential Vaccination ArmFeasibility Reported as Percentage of Reactogenicity Data Collected93.1 percentage of days
Primary

Feasibility Reported as Percentage of Timely Collected Biospecimens

Timeliness is defined as collected within the visit window

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility Reported as Percentage of Timely Collected Biospecimens94.0 percentage of samples
Sequential Vaccination ArmFeasibility Reported as Percentage of Timely Collected Biospecimens95.4 percentage of samples
Primary

Percentage of Participants With Injection-site Reactions Post Tdap and IIV4 Administration

Percentage of injection-site reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid

Time frame: 8 days post vaccine administration

Population: Safety Population - subjects that were randomized and received the study intervention

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : None55.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Mild37.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Moderate15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : None32.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Mild55.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Moderate12.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : None47.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Mild30.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Moderate10.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Severe5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : None37.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Mild37.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Moderate22.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Severe2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : None92.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Mild7.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : None92.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Mild7.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : None85.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Mild15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : None82.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Mild17.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : None48.6 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : None83.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Mild45.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : None82.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Moderate5.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Mild13.5 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : None85.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : None54.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Moderate2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Mild37.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Mild11.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Moderate8.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Redness : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Tenderness : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Moderate2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : None70.6 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : None89.2 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Mild14.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Moderate5.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Moderate14.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Mild8.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Swelling : Mild11.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : None50.0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Moderate2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Mild17.6 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Redness : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Moderate29.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationFlu Swelling : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Injection-site Reactions Post Tdap and IIV4 AdministrationTdap Tenderness : Severe2.9 percentage of participants
Primary

Percentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1

Percentage of systemic reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid

Time frame: 8 days post vaccine administration

Population: Safety Population - subjects that were randomized and received the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : None85.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : None100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : None90.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Mild7.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Moderate2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : None65.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Mild20.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Moderate15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : None90.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Mild5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Moderate2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Severe2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : None90.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Mild5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Moderate5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : None87.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Mild10.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Moderate2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : None65.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Mild20.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Moderate15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : None70.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Mild15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Moderate15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : None82.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Mild15.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Moderate2.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : None87.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Mild7.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Moderate5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Mild5.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Moderate10 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Mild10.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : None94.6 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Mild2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fever : Severe5.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : None97.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : None78.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Mild2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Moderate5.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Mild16.2 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Abdominal Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : None78.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Moderate5.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Mild18.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Moderate2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Fatigue : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Aches : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : None97.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : None97.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : None75.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : None89.2 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Moderate2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Mild18.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Body Rash : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : None91.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Moderate5.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Mild8.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Nausea : Mild10.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Headache : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Chills Shivering : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Vomiting : Mild2.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Diarrhea : None89.2 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 1Joint Pain : None91.9 percentage of participants
Primary

Percentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4

Percentage of systemic reactions will be compared in simultaneous and sequential groups as determined by self-assessment via memory aid

Time frame: 8 days post vaccine administration

Population: Safety Population - subjects that were randomized and received the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Moderate2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : None84.2 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Severe2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Mild2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Mild5.3 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : None100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Moderate10.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Moderate2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : None92.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Mild2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Moderate2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Severe2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : None100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : None94.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : None97.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Mild5.3 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : None92.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : None94.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Mild2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : None97.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Moderate2.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : None94.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : None97.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Mild5.3 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Moderate0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Mild0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Severe0 percentage of participants
Simultaneous Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Moderate5.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Severe2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : None100.0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fever : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : None100.0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Abdominal Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : None82.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Mild11.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Moderate5.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Aches : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : None97.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Mild2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Chills Shivering : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : None97.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Mild2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Moderate0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Diarrhea : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : None85.3 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Mild11.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Moderate2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Fatigue : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : None79.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Mild14.7 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Moderate5.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Headache : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : None94.1 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Mild0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Moderate5.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Joint Pain : Severe0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : None82.4 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Mild8.8 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Moderate5.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Nausea : Severe2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : None91.2 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Mild2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Vomiting : Moderate2.9 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Systemic Reactions Post Tdap and IIV4 Administration - Visit 4Body Rash : None100.0 percentage of participants
Primary

Percentage of Subjects Recruited Enrollment Period

Percentage of subjects recruited during 4 month enrollment period

Time frame: Approximately 1 year

Population: All subjects recruited and enrolled in the study

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Subjects Recruited Enrollment Period100.0 percentage of participants
Primary

Percentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)

Measurement of serum antibody levels to diphtheria toxoids, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery

Time frame: Pre vaccination and approximately 21 days post vaccination and at Delivery

Population: Safety Population - subjects that were randomized and received the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Pre-Vaccination62.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Post-Vaccination92.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Maternal Blood92.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Cord Blood94.7 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Cord Blood100.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Pre-Vaccination76.3 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Maternal Blood100.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Diphtheria Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Post-Vaccination100 percentage of participants
Primary

Percentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )

Measurement of serum antibody levels to influenza antigens in maternal blood and infant cord blood obtained at delivery

Time frame: Pre and 21 days post vaccination and at Delivery

Population: Safety Population - subjects receiving the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Pre-Vaccination Seroprotection58.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Post-Vaccination Seroprotection90.2 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Seroconversion39.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Pre-Vaccination Seroprotection53.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Post-Vaccination Seroprotection95.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Seroconversion63.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Pre-Vaccination Seroprotection14.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Post-Vaccination Seroprotection63.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Seroconversion53.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Pre-Vaccination Seroprotection29.3 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Post-Vaccination Seroprotection78.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Seroconversion58.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Maternal Seroprotection89.5 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Cord Blood Seroprotection97.4 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Maternal Seroprotection92.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Cord Blood Seroprotection100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Maternal Seroprotection42.1 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Cord Blood Seroprotection76.3 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Maternal Seroprotection73.7 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Cord Blood Seroprotection81.6 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Cord Blood Seroprotection78.1 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Pre-Vaccination Seroprotection71.1 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Post-Vaccination Seroprotection81.6 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Post-Vaccination Seroprotection94.7 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Cord Blood Seroprotection100.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Seroconversion50.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Seroconversion42.1 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Pre-Vaccination Seroprotection60.5 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Cord Blood Seroprotection87.5 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Post-Vaccination Seroprotection92.1 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Maternal Seroprotection94.6 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Seroconversion65.8 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Maternal Seroprotection51.4 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Pre-Vaccination Seroprotection13.2 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H1N1: Cord Blood Seroprotection93.8 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Post-Vaccination Seroprotection63.2 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Maternal Seroprotection67.6 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Brisbane: Seroconversion50.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )A/H3N2: Maternal Seroprotection94.6 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Influenza Serum Antibody Levels (≥1:40) (Pre- and Post-immunization) and Seroconversion (4-fold Rise From Baseline or a Change From <1:10 to ≥1:40) )B/Phuket: Pre-Vaccination Seroprotection47.4 percentage of participants
Primary

Percentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)

Measurement of serum antibody levels to tetanus toxoids, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery

Time frame: 21 days post vaccination

Population: Safety Population - all subjects receiving the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Maternal Blood100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Post-Vaccination97.6 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Cord Blood100.0 percentage of participants
Simultaneous Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Pre-Vaccination82.5 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Cord Blood100.0 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Post-Vaccination100 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Maternal Blood97.3 percentage of participants
Sequential Vaccination ArmPercentage of Subjects With Seroprotection as Determined by Tetanus Serum Antibody Levels (Defined as ≥ 0.1 IU/mL)Pre-Vaccination84.2 percentage of participants
Primary

Pertussis Serum Antibody Levels, as Measured by Geometric Mean Titers

Measurement of serum antibody levels to pertussis antigens, in maternal blood pre- and post-vaccination, maternal blood at delivery and infant cord blood obtained at delivery

Time frame: Pre-vaccination and approximately 21 days post vaccination and at Delivery

Population: Safety Population - subjects that were randomized and received the study intervention. Participants analyzed include those that provided data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - FHA27.5 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - FIM87.3 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - PRN44.8 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - PT7.8 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - FHA171.3 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - FIM99.9 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - PRN242.1 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - PT37.6 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - FHA118.3 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - FIM81.2 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - PRN174.1 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - PT26.8 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - FHA182 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - FIM122.2 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - PRN245.4 Concentration (IU/mL)
Simultaneous Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - PT46 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - PT43.4 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - FHA37.0 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - FHA199.8 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - FIM20.8 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - FHA265.6 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - PRN47.1 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - FIM18.9 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPre-Vaccination - PT5.9 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - PRN352.1 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - FHA262.1 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - PRN297.1 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - FIM19.7 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersCord Blood - FIM32.2 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - PRN360.4 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersMaternal - PT27.9 Concentration (IU/mL)
Sequential Vaccination ArmPertussis Serum Antibody Levels, as Measured by Geometric Mean TitersPost-Vaccination - PT38.6 Concentration (IU/mL)
Secondary

Feasibility as Measured by Percentage of Blood Samples in Testable Condition

Percentage of blood samples received in testable condition (sufficient volume and quality)

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility as Measured by Percentage of Blood Samples in Testable Condition100.0 percentage of samples
Sequential Vaccination ArmFeasibility as Measured by Percentage of Blood Samples in Testable Condition100.0 percentage of samples
Secondary

Feasibility as Measured by Percentage of Blood Samples in With Sufficient Volume for Testing

Percentage of blood samples received with sufficient volume for testing

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility as Measured by Percentage of Blood Samples in With Sufficient Volume for Testing100.0 percentage of samples
Sequential Vaccination ArmFeasibility as Measured by Percentage of Blood Samples in With Sufficient Volume for Testing100.0 percentage of samples
Secondary

Feasibility as Measured by Percentage of Testable Blood Samples Completed

Percentage of testable (sufficient volume and quality) blood samples completed

Time frame: Approximately 1 year

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmFeasibility as Measured by Percentage of Testable Blood Samples Completed100.0 percentage of samples
Sequential Vaccination ArmFeasibility as Measured by Percentage of Testable Blood Samples Completed100.0 percentage of samples
Secondary

Number of Participants With Adverse Infant Outcomes Based on Medical Record Review

Number of participants with adverse infant outcomes. Missing data is data not collected or unavailable.

Time frame: approximately 2 months

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathYes0 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaNo41 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaYes1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.No40 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaNo40 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathNo41 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalYes0 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryYes0 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalNo41 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.Missing0 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryNo41 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionYes1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionNo40 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyYes1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)Yes3 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaYes0 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)No38 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyNo40 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)Missing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.Yes2 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)Missing1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.Yes4 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.No34 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSmall Gestational Age (SGA): Olsen et al.Missing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathYes0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathNo38 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewNeonatal DeathMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaYes1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaNo37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHypoglycemiaMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryYes1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryNo37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewRespiratoryMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyYes1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyNo37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewJaundice Requiring PhototherapyMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaYes0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaNo38 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewTransient TachypneaMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalYes2 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalNo36 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewHematologicalMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionYes1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionNo37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewSepsis/Rule out InfectionMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)Yes2 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Infant Outcomes Based on Medical Record ReviewLow Birth Weight (< 2500 g)No35 Participants
Secondary

Number of Participants With Adverse Maternal Outcomes

The number of participants with adverse maternal outcomes at delivery. Missing data is data not collected or unavailable.

Time frame: Up to the 6-week postpartum visit

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesNo35 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)No38 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaYes3 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaNo38 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesYes6 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionYes5 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPYes1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)Missing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPNo40 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionNo36 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPMissing1 Participants
Simultaneous Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)Yes3 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)Yes0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)No37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPre-term Birth (<37 weeks)Missing1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesYes3 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesNo35 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational DiabetesMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionYes7 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionNo31 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesGestational HypertensionMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaYes1 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaNo37 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesPreeclampsiaMissing0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPYes0 Participants
Sequential Vaccination ArmNumber of Participants With Adverse Maternal OutcomesSevere Preeclampsia/HELLPNo38 Participants
Secondary

Percentage of Participants With Clinical Chorioamnionitis

Percentage of participants with clinical chorioamnionitis

Time frame: at the time of delivery

Population: Safety Population - subjects randomized and receiving study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Participants With Clinical Chorioamnionitis0.0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Clinical Chorioamnionitis0.0 percentage of participants
Secondary

Percentage of Participants With Histologic Chorioamnionitis on Surgical Pathology Examination of Placental Tissue

Percentage of participants with histologic chorioamnionitis on surgical pathology examination of placental tissue

Time frame: after delivery, approximately up to 2 weeks

Population: Safety Population - subjects randomized and received study intervention

ArmMeasureValue (NUMBER)
Simultaneous Vaccination ArmPercentage of Participants With Histologic Chorioamnionitis on Surgical Pathology Examination of Placental Tissue19.0 percentage of participants
Sequential Vaccination ArmPercentage of Participants With Histologic Chorioamnionitis on Surgical Pathology Examination of Placental Tissue15.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026