Pneumococcal Disease
Conditions
Brief summary
This study is designed to evaluate the safety and tolerability of 20vPnC in healthy infants.
Interventions
Pneumococcal conjugate vaccine
Pneumococcal conjugate vaccine
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female infants born at ≥34 weeks of gestation and who are 2 months of age (≥42 to ≤98 days) at the time of consent (the day of birth is considered day of life 1). * Healthy infants determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study.
Exclusion criteria
* Previous vaccination with any licensed or investigational pneumococcal vaccine, or planned receipt through study participation. * Major known congenital malformation or serious chronic disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Within 7 Days after Dose 1 | Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild: greater than (\>) 0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement. |
| Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Within 7 Days after Dose 2 | Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement. |
| Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Within 7 Days after Dose 3 | Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement. |
| Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Within 7 Days after Dose 4 | Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement. |
| Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Within 7 Days after Dose 1 | Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature greater than or equal to (\>=) 38.0 degrees Celsius (C) and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted). |
| Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Within 7 Days after Dose 2 | Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted). |
| Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Within 7 Days after Dose 3 | Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted). |
| Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Within 7 Days after Dose 4 | Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted). |
| Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3 | From Dose 1 to 1 Month after Dose 3 | An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure. |
| Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4 | From Dose 4 to 1 Month after Dose 4 | An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure. |
| Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4 | From Dose 1 to 6 Months after Dose 4 | A SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect and other important medical events. |
| Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4 | From Dose 1 to 6 Months after Dose 4 | An NDCMC was defined as a significant disease or medical condition, not previously identified, that is expected to be persistent or was otherwise long-lasting in its effects. |
Countries
Argentina, Canada, Chile, Czechia, Finland, Germany, Greece, Hungary, Puerto Rico, Spain, United States
Participant flow
Pre-assignment details
A total of 1511 participants were enrolled and randomized to receive 4 doses of 20-valent pneumococcal conjugate vaccine (20vPnC) or 13vPnC of which 7 participants were not vaccinated and 1504 were vaccinated with either 20vPnC or 13vPnC.
Participants by arm
| Arm | Count |
|---|---|
| 20vPnC Infants 42 to 98 days of age were enrolled to receive 4 doses of 0.5 mL 20vPnC intramuscularly. Dose 1 was given at enrollment. Dose 2 was given 42 to 63 days later. Dose 3 was given 42 to 63 days after Dose 2. Dose 4 was administered between 12 to 15 months of age. | 1,000 |
| 13vPnC Infants 42 to 98 days of age were enrolled to receive 4 doses of 0.5 mL 13vPnC intramuscularly. Dose 1 was given at enrollment. Dose 2 was given 42 to 63 days later. Dose 3 was given 42 to 63 days after Dose 2. Dose 4 was administered between 12 to 15 months of age. | 503 |
| Total | 1,503 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 2 | 0 |
| Overall Study | Lost to Follow-up | 31 | 21 |
| Overall Study | No longer met eligibility criteria | 14 | 11 |
| Overall Study | Physician Decision | 2 | 1 |
| Overall Study | Protocol Violation | 11 | 6 |
| Overall Study | Withdrawal by parent/guardian | 36 | 15 |
Baseline characteristics
| Characteristic | 13vPnC | Total | 20vPnC |
|---|---|---|---|
| Age, Continuous | 65.0 Days STANDARD_DEVIATION 8.95 | 64.8 Days STANDARD_DEVIATION 8.66 | 64.6 Days STANDARD_DEVIATION 8.51 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 193 Participants | 560 Participants | 367 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 303 Participants | 924 Participants | 621 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 7 Participants | 19 Participants | 12 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 5 Participants | 4 Participants |
| Race (NIH/OMB) Asian | 10 Participants | 31 Participants | 21 Participants |
| Race (NIH/OMB) Black or African American | 15 Participants | 70 Participants | 55 Participants |
| Race (NIH/OMB) More than one race | 21 Participants | 56 Participants | 35 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants | 4 Participants | 2 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 9 Participants | 24 Participants | 15 Participants |
| Race (NIH/OMB) White | 445 Participants | 1313 Participants | 868 Participants |
| Sex: Female, Male Female | 259 Participants | 742 Participants | 483 Participants |
| Sex: Female, Male Male | 244 Participants | 761 Participants | 517 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 1,000 | 0 / 503 |
| other Total, other adverse events | 960 / 1,000 | 481 / 503 |
| serious Total, serious adverse events | 44 / 1,000 | 28 / 503 |
Outcome results
Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.
Time frame: From Dose 1 to 1 Month after Dose 3
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3 | 29.6 Percentage of participants | 95% Confidence Interval 26.8 |
| 13vPnC | Percentage of Participants With Adverse Events (AEs) From Dose 1 to 1 Month After Dose 3 | 27.6 Percentage of participants | 95% Confidence Interval 23.8 |
Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.
Time frame: From Dose 4 to 1 Month after Dose 4
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants who received Dose 4.
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| 20vPnC | Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4 | 15.1 Percentage of participants | 95% Confidence Interval 12.8 |
| 13vPnC | Percentage of Participants With AEs From Dose 4 to 1 Month After Dose 4 | 15.8 Percentage of participants | 95% Confidence Interval 12.6 |
Percentage of Participants With Local Reactions Within 7 Days After Dose 1
Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 centimeter (cm). Redness and swelling were graded as mild: greater than (\>) 0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Time frame: Within 7 Days after Dose 1
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 1.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Moderate | 3.7 Percentage of participants | 95% Confidence Interval 2.6 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Mild | 13.8 Percentage of participants | 95% Confidence Interval 11.7 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Mild | 24.8 Percentage of participants | 95% Confidence Interval 22.1 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Moderate | 15.5 Percentage of participants | 95% Confidence Interval 13.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Moderate | 6.1 Percentage of participants | 95% Confidence Interval 4.7 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Severe | 0.2 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Mild | 18.0 Percentage of participants | 95% Confidence Interval 15.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Mild | 16.5 Percentage of participants | 95% Confidence Interval 13.3 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Moderate | 3.0 Percentage of participants | 95% Confidence Interval 1.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Mild | 11.2 Percentage of participants | 95% Confidence Interval 8.6 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Moderate | 5.4 Percentage of participants | 95% Confidence Interval 3.6 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Mild | 25.3 Percentage of participants | 95% Confidence Interval 21.5 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 1 | Pain at injection site: Moderate | 16.7 Percentage of participants | 95% Confidence Interval 13.5 |
Percentage of Participants With Local Reactions Within 7 Days After Dose 2
Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Time frame: Within 7 Days after Dose 2
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 2.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Moderate | 3.2 Percentage of participants | 95% Confidence Interval 2.1 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Mild | 13.4 Percentage of participants | 95% Confidence Interval 11.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Mild | 20.8 Percentage of participants | 95% Confidence Interval 18.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Moderate | 10.7 Percentage of participants | 95% Confidence Interval 8.8 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Moderate | 4.4 Percentage of participants | 95% Confidence Interval 3.2 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Severe | 0.7 Percentage of participants | 95% Confidence Interval 0.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Mild | 20.4 Percentage of participants | 95% Confidence Interval 17.9 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Severe | 0.8 Percentage of participants | 95% Confidence Interval 0.2 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Mild | 19.4 Percentage of participants | 95% Confidence Interval 16 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Moderate | 3.9 Percentage of participants | 95% Confidence Interval 2.4 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Mild | 13.4 Percentage of participants | 95% Confidence Interval 10.5 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Moderate | 5.6 Percentage of participants | 95% Confidence Interval 3.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Mild | 20.2 Percentage of participants | 95% Confidence Interval 16.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 2 | Pain at the injection site: Moderate | 11.8 Percentage of participants | 95% Confidence Interval 9 |
Percentage of Participants With Local Reactions Within 7 Days After Dose 3
Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Time frame: Within 7 Days after Dose 3
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 3.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Moderate | 3.8 Percentage of participants | 95% Confidence Interval 2.7 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Mild | 12.2 Percentage of participants | 95% Confidence Interval 10.2 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Mild | 16.3 Percentage of participants | 95% Confidence Interval 14 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Moderate | 8.3 Percentage of participants | 95% Confidence Interval 6.6 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Moderate | 4.1 Percentage of participants | 95% Confidence Interval 3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Severe | 0.1 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Mild | 19.4 Percentage of participants | 95% Confidence Interval 16.9 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Mild | 17.0 Percentage of participants | 95% Confidence Interval 13.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Moderate | 3.1 Percentage of participants | 95% Confidence Interval 1.8 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Redness: Severe | 0.2 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Mild | 13.0 Percentage of participants | 95% Confidence Interval 10.1 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Moderate | 3.1 Percentage of participants | 95% Confidence Interval 1.8 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Swelling: Severe | 0.2 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Mild | 16.6 Percentage of participants | 95% Confidence Interval 13.3 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 3 | Pain at the injection site: Moderate | 10.3 Percentage of participants | 95% Confidence Interval 7.7 |
Percentage of Participants With Local Reactions Within 7 Days After Dose 4
Local reactions included pain at injection site, redness and swelling, recorded by parent's/legal guardians of participants in an e-diary. Redness and swelling were measured and recorded in measuring device (caliper) units. 1 measuring device unit =0.5 cm. Redness and swelling were graded as mild: \>0.0 to 2.0 cm; moderate: \>2.0 to 7.0 cm; and severe: \>7.0 cm. Pain at injection site was graded as mild: hurt if gently touched; moderate: hurt if gently touched with crying; severe: limited limb movement.
Time frame: Within 7 Days after Dose 4
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 4.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Moderate | 5.9 Percentage of participants | 95% Confidence Interval 4.5 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Mild | 10.1 Percentage of participants | 95% Confidence Interval 8.2 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Mild | 19.8 Percentage of participants | 95% Confidence Interval 17.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Severe | 0.1 Percentage of participants | 95% Confidence Interval 0 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Moderate | 10.2 Percentage of participants | 95% Confidence Interval 8.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Moderate | 4.7 Percentage of participants | 95% Confidence Interval 3.4 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Severe | 0.8 Percentage of participants | 95% Confidence Interval 0.3 |
| 20vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Mild | 15.1 Percentage of participants | 95% Confidence Interval 12.8 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Mild | 19.4 Percentage of participants | 95% Confidence Interval 15.8 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Moderate | 2.4 Percentage of participants | 95% Confidence Interval 1.2 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Redness: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Mild | 11.5 Percentage of participants | 95% Confidence Interval 8.7 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Moderate | 2.9 Percentage of participants | 95% Confidence Interval 1.5 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Swelling: Severe | 0 Percentage of participants | 95% Confidence Interval 0 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Mild | 21.8 Percentage of participants | 95% Confidence Interval 18.1 |
| 13vPnC | Percentage of Participants With Local Reactions Within 7 Days After Dose 4 | Pain at the injection site: Moderate | 10.1 Percentage of participants | 95% Confidence Interval 7.5 |
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4
An NDCMC was defined as a significant disease or medical condition, not previously identified, that is expected to be persistent or was otherwise long-lasting in its effects.
Time frame: From Dose 1 to 6 Months after Dose 4
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4 | 2.8 Percentage of participants | 95% Confidence Interval 1.9 |
| 13vPnC | Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Dose 1 to 6 Months After Dose 4 | 2.8 Percentage of participants | 95% Confidence Interval 1.5 |
Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4
A SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect and other important medical events.
Time frame: From Dose 1 to 6 Months after Dose 4
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis.
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4 | 4.4 Percentage of participants | 95% Confidence Interval 3.2 |
| 13vPnC | Percentage of Participants With Serious Adverse Events (SAEs) From Dose 1 to 6 Months After Dose 4 | 5.6 Percentage of participants | 95% Confidence Interval 3.7 |
Percentage of Participants With Systemic Events Within 7 Days After Dose 1
Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature greater than or equal to (\>=) 38.0 degrees Celsius (C) and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Time frame: Within 7 Days after Dose 1
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 1.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >38.9 degrees C to 40.0 degrees C | 0.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Mild | 48.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Mild | 14.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Moderate | 15.8 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >38.4 degrees C to 38.9 degrees C | 2.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Severe | 0.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Moderate | 10.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Mild | 22.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Moderate | 41.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Severe | 0.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Severe | 4.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >=38.0 degrees C to 38.4 degrees C | 6.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Severe | 4.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >=38.0 degrees C to 38.4 degrees C | 7.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >38.4 degrees C to 38.9 degrees C | 1.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >38.9 degrees C to 40.0 degrees C | 0.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Mild | 14.7 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Moderate | 8.6 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Decreased appetite: Severe | 0.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Mild | 47.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Moderate | 14.5 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Drowsiness: Severe | 0.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Mild | 22.9 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 1 | Irritability: Moderate | 41.4 Percentage of participants |
Percentage of Participants With Systemic Events Within 7 Days After Dose 2
Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Time frame: Within 7 Days after Dose 2
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 2.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >38.9 degrees C to 40.0 degrees C | 1.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Mild | 35.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Mild | 13.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Moderate | 13.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >38.4 degrees C to 38.9 degrees C | 3.6 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Severe | 0.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Moderate | 9.6 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Mild | 23.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Moderate | 37.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Severe | 0.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Severe | 4.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >=38.0 degrees C to 38.4 degrees C | 10.6 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Severe | 5.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >=38.0 degrees C to 38.4 degrees C | 8.5 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >38.4 degrees C to 38.9 degrees C | 2.7 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >38.9 degrees C to 40.0 degrees C | 0.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Mild | 12.0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Moderate | 8.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Decreased appetite: Severe | 0.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Mild | 35.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Moderate | 13.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Drowsiness: Severe | 1.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Mild | 19.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 2 | Irritability: Moderate | 42.7 Percentage of participants |
Percentage of Participants With Systemic Events Within 7 Days After Dose 3
Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Time frame: Within 7 Days after Dose 3
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 3.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >38.9 degrees C to 40.0 degrees C | 1.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Mild | 26.6 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Mild | 15.0 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Moderate | 8.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >38.4 degrees C to 38.9 degrees C | 2.9 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Severe | 0.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Moderate | 8.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Mild | 22.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Moderate | 30.1 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Severe | 0.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Severe | 2.3 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >=38.0 degrees C to 38.4 degrees C | 7.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Severe | 2.7 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >=38.0 degrees C to 38.4 degrees C | 8.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >38.4 degrees C to 38.9 degrees C | 0.6 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >38.9 degrees C to 40.0 degrees C | 1.0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Fever: >40.0 degrees C | 0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Mild | 10.5 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Moderate | 6.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Decreased appetite: Severe | 0.4 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Mild | 27.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Moderate | 9.0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Drowsiness: Severe | 0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Mild | 22.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 3 | Irritability: Moderate | 29.8 Percentage of participants |
Percentage of Participants With Systemic Events Within 7 Days After Dose 4
Systemic events included fever, decreased appetite, drowsiness, and irritability. Fever was defined as temperature \>=38.0 degrees C and categorized as \>=38.0 to 38.4 degrees C, \>38.4 to 38.9 degrees C, \>38.9 to 40.0 degrees C and \>40.0 degrees C. Decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed). Drowsiness was graded as mild (increased or prolonged sleeping bouts), moderate (slightly subdued, interfered with daily activity) and severe (disabling, not interested in usual daily activity). Irritability was graded as mild (easily consolable), moderate (required increased attention) and severe (inconsolable, crying could not be comforted).
Time frame: Within 7 Days after Dose 4
Population: Safety population included all participants who received at least 1 dose of the investigational product with safety follow up after any dose. Participant who received incorrect vaccination was excluded from analysis. Here, Number of Participants Analyzed signifies number of participants with any e-diary data reported after Dose 4.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >38.9 degrees C to 40.0 degrees C | 3.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Mild | 24.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Mild | 16.1 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Moderate | 12.2 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >38.4 degrees C to 38.9 degrees C | 4.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Severe | 0.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Moderate | 10.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Mild | 21.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >40.0 degrees C | 0.1 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Moderate | 31.4 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Severe | 1.7 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Severe | 2.5 Percentage of participants |
| 20vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >=38.0 degrees C to 38.4 degrees C | 9.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Severe | 3.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >=38.0 degrees C to 38.4 degrees C | 9.5 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >38.4 degrees C to 38.9 degrees C | 4.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >38.9 degrees C to 40.0 degrees C | 3.1 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Fever: >40.0 degrees C | 0.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Mild | 12.3 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Moderate | 11.7 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Decreased appetite: Severe | 1.8 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Mild | 25.1 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Moderate | 10.6 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Drowsiness: Severe | 0.2 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Mild | 22.0 Percentage of participants |
| 13vPnC | Percentage of Participants With Systemic Events Within 7 Days After Dose 4 | Irritability: Moderate | 29.7 Percentage of participants |