Group B Streptococcus Infections
Conditions
Brief summary
This phase 2B, placebo-controlled, randomized, observer-blinded trial will evaluate the safety, tolerability, and immunogenicity of the investigational multivalent group B streptococcus vaccine administered concomitantly with Tdap in healthy nonpregnant women 18 through 49 years of age.
Interventions
Multivalent Group B streptococcus vaccine
Tetanus, diphtheria, and acellular pertussis vaccine
Saline control
Sponsors
Study design
Masking description
This is an observer-blinded study. Study staff dispensing and administering the vaccine will be unblinded, but all other study personnel, including the principal investigator, and the subject, will be blinded.
Eligibility
Inclusion criteria
* Healthy women ≥18 and ≤49 years of age. * Participants who are willing and able to comply with scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures, including completion of the e-diary from Day 1 to Day 7 following administration of investigational product. * Healthy females at enrollment who are determined by medical history, physical examination, and clinical judgment of the investigator to be eligible for inclusion in the study. * Expected to be available for the duration of the study and who can be contacted by telephone during study participation. * Capable of giving personal signed informed consent.
Exclusion criteria
* Pregnant female participants; breastfeeding female participants; positive urine pregnancy test for women of childbearing potential (WOCBP) at Visit 1 (prior to vaccination) * History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the investigational product or any diphtheria toxoid-containing or CRM197-containing vaccine. * History of microbiologically proven invasive disease caused by group B streptococcus. * Immunocompromised participants with known or suspected immunodeficiency. * Bleeding diathesis or condition associated with prolonged bleeding that would in the opinion of the investigator contraindicate intramuscular injection. * Other acute or chronic medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. * Previous vaccination with any licensed or investigational GBS vaccine, or planned receipt during the participant's participation in the study (through the 1-month follow-up visit \[Visit 2\]). * Vaccination within 5 years with tetanus and diphtheria toxoids and acellular pertussis-containing vaccines (Tdap) before investigational product administration. * Participants who receive treatment with immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids * Vaccination with diphtheria- or CRM197-containing vaccine(s) from 6 months before investigational product administration, or planned receipt through the 1-month follow-up visit. * Receipt or planned receipt of blood/plasma products or immunoglobulin, from 60 days before investigational product administration through the 1-month follow-up visit * Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Day 1 (day of vaccination) to Day 7 | Local reactions (redness, swelling, and pain at the injection site of the left arm) were recorded by participants in e-diary. Erythema/Redness and induration/swelling were measured and recorded in measuring device units (1 measuring device unit=0.5 centimeter \[cm\]). Grading: Grade 1/mild (greater than \[\>\] 2.0 to 5.0 cm), Grade 2/moderate (\>5.0 to 10.0 cm), Grade 3/severe (\>10.0 cm) and Grade 4 (necrosis \[swelling\] or necrosis or exfoliative dermatitis \[redness\]). Pain at injection site was graded as Grade 1/mild (did not interfere with activity), Grade2/moderate (interfered with activity), Grade 3/severe (prevented daily activity) and Grade 4 (emergency room \[ER\] visit or hospitalization for severe pain at injection site). Grade 4 were classified by investigator or medically qualified person. |
| Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Day 1 (day of vaccination) to Day 7 | Systemic events were recorded in e-diary. Fever: oral temperature greater than or equal to (\>=) 38.0 degree Celsius (deg C) and categorized as \>=38.0-38.4 deg C, \>38.4-38.9 deg C, \>38.9-40.0 deg C and \>40.0 deg C. Nausea/vomiting was graded as: Grade 1/mild (1-2 times in 24 hours \[h\]), Grade 2/moderate: (\>2 times in 24h), Grade 3/severe (required intravenous hydration) and Grade 4 (ER visit/hospitalization for hypotensive shock). Diarrhea was graded as: Grade 1/mild (2-3 loose stools in 24h), Grade 2/moderate (4-5 loose stools in 24h), Grade 3/severe (6 or more loose stools in 24h) and Grade 4 (ER visit/hospitalization for severe diarrhea). Fatigue/tiredness, headache, chills, muscle pain and joint pain were graded as: Grade 1/mild (did not interfere with activity), Grade 2/moderate (some interference with activity), Grade 3/severe (prevented daily routine activity) and Grade 4 (ER visit/hospitalization). Grade 4 were classified by investigator or medically qualified person. |
| Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination | Day 1 (day of vaccination) through 1 Month post-vaccination | An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. In this outcome measure results excluded data for local reactions and systemic events. |
| Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | Day 1 (day of vaccination) through 6 Months post-vaccination | A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. A SAE was defined as any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect; or that was considered as an important medical event. |
| Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups | 1 Month after Vaccination (Day 1, day of vaccination) | IU/mL stands for international units per milliliter. |
| Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | 1 Month after Vaccination (Day 1, day of vaccination) | GMCs of anti-PT, anti-FHA, and anti-PRN was reported as descriptive data for the GBS6 +Tdap and placebo + Tdap groups, along with associated 2-sided 95% confidence interval. GMR for anti-PT, anti-FHA and anti-PRN antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data. |
| GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | 1 Month after Vaccination (Day 1, day of vaccination) | GBS CPS serotype-specific IgG GMCs (Ia, Ib, II, III, IV, V) were reported as descriptive data for the GBS6+Tdap and GBS6+placebo groups, along with associated 2-sided 95% confidence interval. GMR of GBS CPS serotype-specific IgG antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data. |
Countries
United States
Participant flow
Recruitment details
Healthy non-pregnant female participants aged 18-49 years, were randomized to receive multivalent group B streptococcus 6-valent polysaccharide conjugate vaccine (GBS6) and tetanus toxoid, diphtheria toxoid, and acellular pertussis vaccine (Tdap), or GBS6 and placebo, or placebo and Tdap.
Pre-assignment details
A total of 306 participants were enrolled and randomized in the study, of whom 304 were vaccinated.
Participants by arm
| Arm | Count |
|---|---|
| GBS6 + Tdap Participants were randomized to receive GBS6 120 microgram (mcg) (0.5 milliliter \[mL\]) and Tdap (0.5 mL) intramuscularly in the left and right deltoid muscle respectively on Day 1. | 102 |
| GBS6 + Placebo Participants were randomized to receive GBS6 120 mcg (0.5 mL) and placebo (0.5 mL, normal saline) intramuscularly in the left and right deltoid muscle respectively on Day 1. | 99 |
| Placebo + Tdap Participants were randomized to receive placebo (0.5 mL normal saline) and Tdap (0.5 mL) intramuscularly in the left and right deltoid muscle respectively on Day 1. | 103 |
| Total | 304 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Lost to Follow-up | 3 | 5 | 3 |
| Overall Study | Other | 0 | 0 | 1 |
| Overall Study | Withdrawal by Subject | 1 | 1 | 2 |
Baseline characteristics
| Characteristic | GBS6 + Tdap | GBS6 + Placebo | Placebo + Tdap | Total |
|---|---|---|---|---|
| Age, Continuous | 35.4 Years STANDARD_DEVIATION 8.54 | 34.8 Years STANDARD_DEVIATION 8.6 | 35.5 Years STANDARD_DEVIATION 8.59 | 35.3 Years STANDARD_DEVIATION 8.55 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 8 Participants | 12 Participants | 16 Participants | 36 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 93 Participants | 86 Participants | 86 Participants | 265 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 3 Participants | 0 Participants | 4 Participants |
| Race (NIH/OMB) Asian | 3 Participants | 5 Participants | 1 Participants | 9 Participants |
| Race (NIH/OMB) Black or African American | 18 Participants | 19 Participants | 19 Participants | 56 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 4 Participants | 4 Participants | 8 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 4 Participants | 4 Participants |
| Race (NIH/OMB) White | 80 Participants | 68 Participants | 75 Participants | 223 Participants |
| Sex: Female, Male Female | 102 Participants | 99 Participants | 103 Participants | 304 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 102 | 0 / 99 | 0 / 103 |
| other Total, other adverse events | 81 / 102 | 71 / 99 | 79 / 103 |
| serious Total, serious adverse events | 0 / 102 | 0 / 99 | 1 / 103 |
Outcome results
Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination
GMCs of anti-PT, anti-FHA, and anti-PRN was reported as descriptive data for the GBS6 +Tdap and placebo + Tdap groups, along with associated 2-sided 95% confidence interval. GMR for anti-PT, anti-FHA and anti-PRN antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data.
Time frame: 1 Month after Vaccination (Day 1, day of vaccination)
Population: Evaluable immunogenicity population included all participants who were eligible, received all doses of the investigational products to which they were randomized, had blood drawn for assay testing within the specified time frame for 1 month after vaccination, had at least 1 valid and determinate assay result at the 1-month postvaccination visit, and had no major protocol violations.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| GBS6 + Tdap | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-PT antibodies | 17.975 Endotoxin units per milliliter (EU/mL) |
| GBS6 + Tdap | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-FHA antibodies | 108.377 Endotoxin units per milliliter (EU/mL) |
| GBS6 + Tdap | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-PRN antibodies | 158.887 Endotoxin units per milliliter (EU/mL) |
| GBS6 + Placebo | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-PT antibodies | 32.916 Endotoxin units per milliliter (EU/mL) |
| GBS6 + Placebo | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-FHA antibodies | 191.140 Endotoxin units per milliliter (EU/mL) |
| GBS6 + Placebo | Geometric Mean Concentration (GMC) of Anti-Pertussis Toxin (PT), Anti-Filamentous Hemagglutinin (FHA), and Anti-Pertactin (PRN) Antibodies; GMR of Anti-PT, Anti-FHA, and Anti-PRN for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | GMC of Anti-PRN antibodies | 270.294 Endotoxin units per milliliter (EU/mL) |
GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination
GBS CPS serotype-specific IgG GMCs (Ia, Ib, II, III, IV, V) were reported as descriptive data for the GBS6+Tdap and GBS6+placebo groups, along with associated 2-sided 95% confidence interval. GMR of GBS CPS serotype-specific IgG antibodies were estimated from the GBS6 + Tdap group to the placebo + Tdap group and reported as statistical data.
Time frame: 1 Month after Vaccination (Day 1, day of vaccination)
Population: Evaluable immunogenicity population evaluated. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure. Here, Number analyzed signifies number of participants with valid and determinate assay results for the serotype at the specified time point.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | Ia | 13.015 mcg/mL |
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | Ib | 2.421 mcg/mL |
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | II | 63.656 mcg/mL |
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | III | 3.521 mcg/mL |
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | IV | 6.065 mcg/mL |
| GBS6 + Tdap | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | V | 1.307 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | IV | 4.115 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | Ia | 14.616 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | III | 5.547 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | Ib | 2.106 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | V | 2.337 mcg/mL |
| GBS6 + Placebo | GMC of GBS Capsular Polysaccharide (CPS) Serotype-Specific Immunoglobulin G (IgG) Antibodies; GMR of GBS CPS Serotype-specific IgG Antibodies for GBS6 + Tdap to Placebo + Tdap at 1 Month After Vaccination | II | 61.709 mcg/mL |
Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups
IU/mL stands for international units per milliliter.
Time frame: 1 Month after Vaccination (Day 1, day of vaccination)
Population: Evaluable immunogenicity population included all participants who were eligible, received all doses of the investigational products to which they were randomized, had blood drawn for assay testing within the specified time frame for 1 month after vaccination, had at least 1 valid and determinate assay result at the 1-month postvaccination visit, and had no major protocol violations.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| GBS6 + Tdap | Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups | Anti-TTd | 100.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups | Anti-DTd | 100.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups | Anti-TTd | 100.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Achieving Anti-tetanus Toxoid (Anti-TTd) and Anti-diphtheria Toxoid (Anti-DTd) Antibody Concentration >=0.1 IU/mL at 1 Month After Vaccination: GBS6 + Tdap and Placebo + Tdap Groups | Anti-DTd | 100.0 Percentage of participants |
Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination
An AE was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. In this outcome measure results excluded data for local reactions and systemic events.
Time frame: Day 1 (day of vaccination) through 1 Month post-vaccination
Population: Safety set included all participants who received at least 1 dose of the study interventions and had at least 1 valid post dose safety assessment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| GBS6 + Tdap | Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination | 5.9 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination | 8.1 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Adverse Events (AEs) Through 1 Month After Vaccination | 3.9 Percentage of participants |
Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination
Local reactions (redness, swelling, and pain at the injection site of the left arm) were recorded by participants in e-diary. Erythema/Redness and induration/swelling were measured and recorded in measuring device units (1 measuring device unit=0.5 centimeter \[cm\]). Grading: Grade 1/mild (greater than \[\>\] 2.0 to 5.0 cm), Grade 2/moderate (\>5.0 to 10.0 cm), Grade 3/severe (\>10.0 cm) and Grade 4 (necrosis \[swelling\] or necrosis or exfoliative dermatitis \[redness\]). Pain at injection site was graded as Grade 1/mild (did not interfere with activity), Grade2/moderate (interfered with activity), Grade 3/severe (prevented daily activity) and Grade 4 (emergency room \[ER\] visit or hospitalization for severe pain at injection site). Grade 4 were classified by investigator or medically qualified person.
Time frame: Day 1 (day of vaccination) to Day 7
Population: Safety set included all participants who received at least 1 dose of the study interventions and had at least 1 valid post dose safety assessment. Here, Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Any | 7.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Moderate | 11.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Any | 3.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Mild | 4.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Mild | 27.5 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Moderate | 2.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Moderate | 2.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Any | 39.2 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Mild | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Mild | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Any | 45.9 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Mild | 35.7 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Moderate | 9.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Severe | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Any | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Mild | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Moderate | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Severe | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Any | 4.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Moderate | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Severe | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Any | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Any | 1.9 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Mild | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Moderate | 6.8 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Any | 33.0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Moderate | 1.9 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Moderate | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Pain at injection site: Mild | 26.2 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Mild | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Induration/swelling: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination | Erythema/redness: Grade 4 | 0 Percentage of participants |
Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination
A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. A SAE was defined as any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect; or that was considered as an important medical event.
Time frame: Day 1 (day of vaccination) through 6 Months post-vaccination
Population: Safety set included all participants who received at least 1 dose of the study interventions and had at least 1 valid post dose safety assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| GBS6 + Tdap | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | MAEs | 4.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | SAEs | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | MAEs | 4.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | SAEs | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | MAEs | 6.8 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Medically Attended Adverse Events (MAEs) and Serious Adverse Events (SAEs) Through 6 Months After Vaccination | SAEs | 1.0 Percentage of participants |
Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination
Systemic events were recorded in e-diary. Fever: oral temperature greater than or equal to (\>=) 38.0 degree Celsius (deg C) and categorized as \>=38.0-38.4 deg C, \>38.4-38.9 deg C, \>38.9-40.0 deg C and \>40.0 deg C. Nausea/vomiting was graded as: Grade 1/mild (1-2 times in 24 hours \[h\]), Grade 2/moderate: (\>2 times in 24h), Grade 3/severe (required intravenous hydration) and Grade 4 (ER visit/hospitalization for hypotensive shock). Diarrhea was graded as: Grade 1/mild (2-3 loose stools in 24h), Grade 2/moderate (4-5 loose stools in 24h), Grade 3/severe (6 or more loose stools in 24h) and Grade 4 (ER visit/hospitalization for severe diarrhea). Fatigue/tiredness, headache, chills, muscle pain and joint pain were graded as: Grade 1/mild (did not interfere with activity), Grade 2/moderate (some interference with activity), Grade 3/severe (prevented daily routine activity) and Grade 4 (ER visit/hospitalization). Grade 4 were classified by investigator or medically qualified person.
Time frame: Day 1 (day of vaccination) to Day 7
Population: Safety set included all participants who received at least 1 dose of the study interventions and had at least 1 valid post dose safety assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Any | 19.6 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Mild | 14.7 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Mild | 15.7 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Moderate | 7.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Moderate | 3.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Any | 17.6 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.9°C to 40.0°C | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Severe | 1.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Moderate | 6.9 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Mild | 9.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >= 38.0°C | 1.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Any | 35.3 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Moderate | 15.7 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Mild | 23.5 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >40.0°C | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Moderate | 10.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Mild | 7.8 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Severe | 1.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Severe | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Any | 14.7 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Any | 51.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Any | 30.4 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Grade 4 | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Mild | 29.4 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: 38.0°C to 38.4°C | 0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.4°C to 38.9°C | 1.0 Percentage of participants |
| GBS6 + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Moderate | 20.6 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Severe | 5.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Mild | 12.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Mild | 13.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Moderate | 10.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Moderate | 5.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Severe | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: 38.0°C to 38.4°C | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Any | 15.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Severe | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Mild | 10.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Any | 24.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Moderate | 3.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Severe | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Any | 16.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.4°C to 38.9°C | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Mild | 11.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Moderate | 4.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Severe | 1.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.9°C to 40.0°C | 2.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Grade 4 | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Any | 48.5 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Mild | 34.3 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Moderate | 13.1 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >40.0°C | 0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >= 38.0°C | 4.0 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Moderate | 24.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Any | 50.5 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Any | 17.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Mild | 21.2 Percentage of participants |
| GBS6 + Placebo | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Severe | 1.0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >= 38.0°C | 2.9 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: 38.0°C to 38.4°C | 2.9 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.4°C to 38.9°C | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >38.9°C to 40.0°C | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fever: >40.0°C | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Any | 14.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Mild | 12.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Moderate | 1.9 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Nausea/vomiting: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Any | 21.4 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Mild | 13.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Moderate | 7.8 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Diarrhea: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Mild | 26.2 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Moderate | 12.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Any | 46.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Mild | 19.4 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Moderate | 26.2 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Fatigue/tiredness: Severe | 1.0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Any | 26.2 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Mild | 14.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Moderate | 11.7 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Muscle pain: Grade 4 | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Any | 12.6 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Mild | 5.8 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Moderate | 6.8 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Joint pain: Severe | 0 Percentage of participants |
| Placebo + Tdap | Percentage of Participants Reporting Systemic Reactions Within 7 Days After Vaccination | Headache: Any | 38.8 Percentage of participants |