hep b at birth vax safety summary 508

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Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not 
be construed to represent any agency determination or policy .  Page 1 of 84 
 ACIP BRIEFING MATERIALS FOR PUBLIC POSTING  
The Safety of Hepatitis B Vaccines  administered within 24 hrs of birth and within 30 days of 
birth: A Rapid Systematic Review  
Table of Contents  
Table of Tables  ................................ ................................ ................................ ................................ ................................ .... 2 
Table of Figures  ................................ ................................ ................................ ................................ ................................ ... 3 
A. Methods  ................................ ................................ ................................ ................................ ................................ ..............  4 
A.1. Key Question Development  ................................ ................................ ................................ ................................ .........  4 
A.2. Literature Search  ................................ ................................ ................................ ................................ .........................  4 
A.3. Study Selection  ................................ ................................ ................................ ................................ ............................  4 
A.4. Data Extraction, Study Assessment, and Synthesis  ................................ ................................ ................................ ..... 7 
A.5. GRADE -ing and Recommendation Development  ................................ ................................ ................................ ........  7 
B. Summary of Evidence  ................................ ................................ ................................ ................................ .........................  8 
B.1. GRADE -ed Summary of Findings for Hepatitis B vaccine administered in the first 24 hours of life  ............................  8 
B.2. GRADE -ed Summary of Findings for Hepatitis B vaccine administered in the first 30 days of life  ............................  15 
C. Extracted Evidence from Included Studies  ................................ ................................ ................................ .......................  42 
C.1. Study Characteristics for All Included Studies  ................................ ................................ ................................ ...........  42 
C.2. Outcomes for All Included Studies  ................................ ................................ ................................ .............................  44 
C.3. Risk of Bias Assessments for All Included Studies  ................................ ................................ ................................ ..... 75 
D. Search Strategies  ................................ ................................ ................................ ................................ ..............................  80 
E. References  ................................ ................................ ................................ ................................ ................................ .........  83 
 
 
 
  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not 
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 Table of Tables  
Table 1. PI/ECO(ST) Criteria for Key Question  ................................ ................................ ................................ .......................  4 
Table 2. GRADE Table: Allergic Reaction or Atopy Outcomes and the Administration of the Hepatitis B Vaccine in the 
first 24 hours of life  ................................ ................................ ................................ ................................ ................................  8 
Table 3. GRADE Table: All -cause Mortality Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 
hours of life  ................................ ................................ ................................ ................................ ................................ .............  8 
Table 4. GRADE Table: Infection or Infection -related Outcomes and the Administration of the Hepatitis B Vaccine in 
the first 24 hours of life  ................................ ................................ ................................ ................................ ..........................  9 
Table 5. GRADE Table: Local Injection Site Reaction Outcomes and the Administration of the Hepatitis B Vaccine in the 
first 24 hours of life  ................................ ................................ ................................ ................................ ................................  9 
Table 6. GRADE Table: Systemic Reaction Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 
hours of life  ................................ ................................ ................................ ................................ ................................ ...........  11 
Table 7. GRADE Table: Cardiopulmonary Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 
hours of life  ................................ ................................ ................................ ................................ ................................ ...........  13 
Table 8. GRADE Table: Neurological Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours 
of life  ................................ ................................ ................................ ................................ ................................ .....................  14 
Table 9. GRADE Table: Adverse event following immunization (AEFI) outcomes and administration of the Hepatitis B 
Vaccine in the first 30 days of life  ................................ ................................ ................................ ................................ ........  15 
Table 10. GRADE Table: Allergic reaction and atopy outcomes and administration of the Hepatitis B Vaccine in the first 
30 days of life ................................ ................................ ................................ ................................ ................................ ........  16 
Table 11. GRADE Table: Mortality outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  17 
Table 12. GRADE Table: Infection outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  . 18 
Table 13. GRADE Table: Local injection site outcomes and administration of the Hepatitis B Vaccine in the first 30 days 
of life  ................................ ................................ ................................ ................................ ................................ .....................  20 
Table 14. GRADE Table: Neurodevelopmental outcomes and administration of the Hepatitis B Vaccine in the first 30 
days of life  ................................ ................................ ................................ ................................ ................................ ............  23 
Table 15. GRADE Table: Neurologic outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life
 ................................ ................................ ................................ ................................ ................................ ..............................  28 
Table 16. GRADE Table: Cardiopulmonary outcomes and administration of the Hepatitis B Vaccine in the first 30 days 
of life  ................................ ................................ ................................ ................................ ................................ .....................  30 
Table 17. GRADE Table: Systemic reactions and administration of the Hepatitis B Vaccine in the first 30 days of life  .. 31 
Table 18. GRADE Table: Other outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  ...... 40 
Table 19. Characteristics of Studies Meeting Inclusion Criteria  ................................ ................................ .........................  42 
Table 20 . Adverse Events Following Immunization (AEFI)  Results of Studies Meeting Inclusion Criteria  ........................  44 
Table 21. Allergic Reaction and Atopy Results of Studies Meeting Inclusion Criteria  ................................ .......................  44 
Table 22. All Death Outcomes Results of Studies Meeting Inclusion Criteria  ................................ ................................ .... 45 
Table 23. Infection Results of Studies Meeting Inclusion Criteria  ................................ ................................ ......................  47 
Table 24. Local Injection -site Outcomes Results of Studies Meeting Inclusion Criteria  ................................ ....................  48 
Table 25. Neurodevelopmental Results of Studies Meeting Inclusion Criteria  ................................ ................................ . 52 
Table 26. Neurologic Results of Studies Meeting Inclusion Criteria  ................................ ................................ ...................  60 
Table 27. Cardiopulmonary Results of Studies Meeting Inclusion Criteria  ................................ ................................ ........  61 
Table 28. Systemic Reactions Results of Studies Meeting Inclusion Criteria  ................................ ................................ ..... 63 
Table 29. Other Reactions Results of Studies Meeting Inclusion Criteria  ................................ ................................ ..........  74 
Table 30. Search Strategies and Results  ................................ ................................ ................................ ..............................  80 
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not 
be construed to represent any agency determination or policy .  Page 3 of 84 
 Table of Figures  
Figure 1. Results of the Study Selection Process  ................................ ................................ ................................ ..................  6 
Figure 2. Risk of Bias Assessments for Randomized Controlled Trials  ................................ ................................ ...............  75 
Figure 3. Risk of Bias Assessments for Cohort Studies  ................................ ................................ ................................ ........  77 
Figure 4. Risk of Bias Assessments for Case Control Studies  ................................ ................................ ..............................  78 
Figure 5. Risk of Bias Assessments for Case Series Studies  ................................ ................................ ................................  79 
 
  
 
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 A. Methods  
A.1. Key Question Development  
The Key Question s were  developed  by infectious disease and systematic review methodology subject matter experts  
using the PICO  framework1 (Population, Intervention, Comparator, and Outcome ). The Key Question  and PI /ECO(ST) 
Criteria  used to guide the literature review are below and in Table 1.   
1. What is the safety of the hepatitis B vaccine administered within the first 24 hours  of life ? 
2. What is the safety of the hepatitis B vaccine administered within the first 30 days of life?  
Table 1. PI/ECO(ST) Criteria for Key Question  
PI/ECO(ST) ELEMENT  Description for this Review  
Population  Neonates, Newborns, Infants   
Intervention or 
Exposure  Hepatitis B vaccine administration  within the first 30 days  of birth  
• HepB, HepB -BD, HBV, Engerix -B, Recombivax HB  
• Administration in the f irst 24 hours of life:  
o Studies clearly identify vaccination within  
▪ the first 24 hours of life or birth,  
▪ the first day of life, or  
▪ the day of or the day after birth  
• Administration  in the first 30 days of life :  
o Studies clearly identify vaccination  
▪ in first 30 days of life , 
▪ at <0.1 years of age,  or 
▪ of Neonate (aged 28 days or less)  
Comparator (if 
applicable)  Any or none  
Outcome(s)  Adverse events  
Adverse outcomes  
Safety outcomes  
Side effects  
Reaction  
Adverse reaction  
Adverse effect  
Serious adverse event  
Setting  Any 
Time Frame  Any publication years  
Any duration of follow up  
 
A.2. Literature Search  
A CDC informationist (J.T.)  developed search strategies from the Key Question  and PICO criteria,  and performed the 
search in MEDLINE, EMBASE , CINAHL , and Cochrane Library  from  the start of each database to July 31, 2025 . Search 
strategies and results are provided in  Section D of this document ( Search Strategies ).  
A.3. Study Selection  
Results of the literature searches were uploaded into EndNote 21 (Clarivate Analytics©, Thomson Reuters, New 
York, NY, USA), duplicate records were removed, and unique t itles and abstracts  were uploaded to Covidence 
(Veritas Health Innovation Ltd., Melbourne, VIC, Australia) where a second round of deduplication was conducted. 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not 
be construed to represent any agency determination or policy .  Page 5 of 84 
 Two reviewers (AH, LZ, MM1, MM2, RG, TM ) independently screened all titles and abstracts and removed irrelevant 
references. Relevant  full texts  were screened independent ly by two  reviewers  (AH, LZ, MM1, MM2, RG, TM ) and 
disagreements were resolved by consensus . All studies were screened according to the pre -identified exclusion 
criteria below, and results of the study selection process are provided in Figure 1 . 
 
Criteria for excluding studies from the literature review include:  
1. No full text  available;   
2. Not available in English;  
3. Not relevant to key question ; 
4. No p opulation of interest  (e.g., no neonates) ; 
5. No intervention  of interest  (e.g., no hepatitis b vaccine) ; 
6. No outcome of interest  (e.g., no adverse event outcomes) ; 
7. No primary data  or secondary data not systematically collected  (no reproducible methods) ; 
8. Data collected prior to licensure ; or 
9. Insufficient methodologic reporting ( i.e., poster, abstract, letter to editor ) 
 
  
 
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   Figure 1. Results of the Study Selection Process   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Identification  
Studies screened (n = 1907) 
Studies sought for retrieval (n = 229) 
Studies assessed for eligibility (n = 229)     References removed (n = 9)   
Duplicates identified manually (n = 9) 
Duplicates identified by Covidence (n = 0)  
Marked as ineligible by automation tools (n =  0) 
Other reasons (n = 0) 
Studies excluded (n = 1678) 
Studies not retrieved (n = 0) 
Studies excluded (n = 158)   
No intervention  of interest  (n = 48) 
No outcome of interest  (n = 30) 
Not relevant to key question  (n = 7) 
No population of interest  (n = 51) 
Not available in English  (n = 5) 
Insufficient methodologic reporting (i.e., poster, abstract, 
letter to editor)  (n = 8) 
No primary data collection  or secondary data not 
systematically collected (n = 8)  
Included  Studies assessed for administration of HepB birth 
dose alone and HepB vaccine specific outcomes 
(n = 71)     
Screening  Studies from databases/registers (n = 1916 ) 
MEDLINE  (n = 1916 ) 
Studies excluded  (n = 51) 
Outcome or population not stratified  by HepB birth dose or 
HepB vaccine outcome  (n = 47)  
Systematic reviews/meta -analyses (n = 4)  
Studies extracted  for HepB birth dose (n = 20)  
Reported HepB birth dose within 24 hours of birth  (n = 5) 
   
 
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policy .  Page 7 of 84 
 A.4. Data Extraction , Study Assessment , and Synthesis  
Data from studies meeting inclusion criteria were independently extracted by two reviewers using a standardized Microsoft Excel (2021) form, and 
differences were reconciled by discussion. Extracted data included study characteristics, population characteristics (e.g., case and control definitions), 
outcome definitions, an d results (presented in Section C ). Outcome data were extracted as presented in the studies or calculated using data provided. For 
the purposes of this review, statistical significance was defined as p ≤ 0.05 . The r isk of bias for each study was assessed according to study type  using 
standardized  risk of bias tools  appropriate to the identified study type. Tools were modified to specify  birthweight, age at administration, prematurity, and 
maternal hepatitis b status as  confounding factors  and to include an assessment of conflict -of-interest  disclosures . The Newcastle -Ottawa Scale was used for 
cohort and case control studies , R.O.B2. for randomized controlled trials (RCTs) , and JBI tools were used to assess the risk of  bias for Case Series and 
Systematic Reviews2-4. The signaling questions used to assess study conduct and risk of bias and results are presented in Section C.3 . The evidence was 
narratively synthesized for  each  outcome domain, and for specific outcomes where definitions aligned.  
A.5. GRADE -ing and Recommendation Development  
The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach  was used to assess the  risk of bias , imprecision, 
inconsistency, and indirectness , and final confidence for the body of evidence  foreach outcome  using .5 The Summary of findings and confidence in the 
evidence are found in Section B . 
  
 
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policy .  Page 8 of 84 
 B. Summary of Evidence  
B.1. GRADE -ed Summary of Findings  for Hepatitis B vaccine administered in the first 24 hours of life  
Key Question: Among children, what is the safety of the hepatitis B vaccine administered in the first 24 hours  of life?  
 Table 2. GRADE Table: Allergic Reaction or Atopy Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of l ife 
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Summary Events  The evidence from one cohort study suggests there is no 
difference in the risk of an allergic reaction and the receipt 
hepatitis B vaccination in the first 24 hours of life.  1 Cohort6 
(N = 5,655)  No 
concerns No concerns No concerns  No concerns  Low 
confidence  
Allergic reaction  One cohort6 of normal birthweight, full term, U.S. infants in 
the VSD (NCK) reported no difference in the risk of an allergic 
reaction among infants with a record of Hepatitis B 
vaccination on the first day of life or the day after compared 
with infants with no record of Hepatitis B vaccination  within 
the first 21 days of life . [RR: 0.87; (95%CI: 0.05 -13.8); p=0.99; 
1/2,718 vs 1/2,353].  1 Cohort6 
(N = 5,655)  No 
concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
Table 3. GRADE Table: All -cause Mortality  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Summary Events  The evidence from one Cohort7 suggest s no difference in the 
risk of all-cause mortality among those who did and did not 
and receive a hepatitis B vaccination in the first 24 hours of 
life. 1 Cohort7 
(N = 818)  No 
concerns No concerns No concerns  No concerns  Low 
confidence  
All-cause mortality  One cohort7 of extremely preterm infants (<29 wks gestation) 
in Australia’s Surveillance of Adverse Events Following 
Immunization in the Community suggested there is no 
difference in risk of death during the first 3 months of life 
when comparing infants with a record of receiving Hepatitis B 
vaccine within 24 hours of birth to infants with no record in 
the first 24  hours  [aRR: 1.13; (95%CI: 0.42 -2.81); 7/306 vs 
14/512].  1 Cohort7 
(N = 818)  No 
concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
 
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 Table 4. GRADE Table: Infectio n or Infection -related  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Infections  The evidence from one cohort study suggests there is a reduction 
in the risk of an invasive diagnostic procedure including blood and 
CSF cultures , and a reduction in positive cultures , among infants 
who recei ved a hepatitis B vaccination in the first 24 hours of life , 
compared to those who did not . 1 Cohort6 
(N = 5,655)  
 No 
concerns No concerns No concerns  No concerns  Low 
confidence  
Blood or CSF culture 
performed  One cohort6 of normal birthweight, full term U.S. infants in the  VSD 
(NCK) reported  a reduction in the age -stratified risk of having a 
blood or CSF culture performed in the first three weeks of life when 
comparing infants with a record of receiving thimerosal -containing 
Hepatitis B vaccine on the day of birth or the day after compared to  
infants with no record of Hepatitis B vaccination [RR: 0.71; (95%CI: 
0.63 -0.80); p <0.001; 126/2,718 vs 203/2,353].  1 Cohort6 
(N = 5,655)  No 
concerns  No concerns  No concerns  No concerns  Low 
Confidence  
Blood or CSF culture 
positive  One cohor t6 of normal birthweight, full term U.S. infants in the VSD 
(NCK) reported  a reduction in the age -stratified risk of having a 
positive blood or CSF culture in the first three weeks of life when 
comparing infants with a record of receiving thimerosal -containing 
Hepatitis B vaccine on the day of birth or the day after compared to  
infants with no record of Hepatitis B vaccination [RR: 0.57; (95%CI: 
0.35 -0.94); p <0.027; 7/2,718 vs 16/2,353].  1 Cohort6 
(N = 5,655)  No 
concerns  No concerns  No concerns  No concerns  Low 
Confidence  
 
Table 5. GRADE Table: Local Injection Site Reaction  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Local Injection Site 
Reactions  Two RCTs suggest no difference in local side effects, pain or 
soreness, redness, or swelling at the injection site within 1 
week of vaccination or less when comparing infants who 
received a dose of a Hepatitis B Vaccine within the first 24 
hours, compared to those who were vaccinated never or 
later.  2 RCT8,9 
(N = 741) 
 Serious 
concernsa No concerns No concerns  No concerns  Low 
confidence  
Local side effects  One RCT of Egyptian infants8, compared the outcome of local 
side effects (e.g., local soreness, or temporary 
redness/induration at the injection site) 1 week after 
vaccination among infants randomized to administration of 
the first of dose of Recombivax immediately after delivery, at 1 RCT8 
(N = 536) 
 Serious 
concernsa No concerns  No concerns  No concerns  Low 
confidence  
 
a Inadequate randomization, unclear allocation concealment and blinding  
 
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policy .  Page 10 of 84 
 Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
two months of age, or at 18 months of age, and reported a 
higher proportion of local side effects among those who 
received the vaccine at birth  (2.8% (5/178) at birth, vs  7.2% 
(12/167), vs. 1.6% (3/191) at 18 months]. No relationship was 
found between side effects and weight or prematurity.  
Pain  In a RCT of Israeli infants9, 4/52 (7.7%) infants who received 
Engerix -B within 24 hours of birth and 4/153 (2.6%) who 
received BioHepB within 24 hours of birth experienced pain 
with movement within 5 days of vaccination. Additionally, 
4/52 (7.7%) infants who received Engerix -B withi n 24 hours of 
birth and 2/153 (1.3%) who received BioHepB within 24 hours 
of birth experienced pain with pressure within 5 days of 
vaccination.  The HepB vaccine BioHepB is not approved for 
use in the United States.  1 RCT9 
(N = 205)  Serious  
concernsb Some 
concernsc No concerns  No concerns  Very low 
confidence  
 
Redness or erythema  One RCT of Israeli infants9 reported no redness or erythema 
within 5 days of vaccination among infants randomized to 
receipt of Engerix -B or BioHepB within 24 hours of birth (0/52 
vs. 0/153). The HepB vaccine BioHepB is not approved for use 
in the United States.  1 RCT9 
(N = 205)  
  
 Serious  
concernsd 
 
 
 Some 
concernsd 
 
 
 No concerns  
 
 
 No concerns  
 
 
 Very low 
confidence  
 
 
 
Swelling  One randomized control trial of Israeli infants9 reported a 
higher proportion of swelling at the injection site within five 
days of vaccination among infants who received thimerosal -
containing Engerix -B within 24 hours of birth compared with 
those who received BioHepB within 24 hours of birth [4/52 
(7.7%) vs. 3/153 (2.0%)]  The HepB vaccine BioHepB is not 
approved for use in the United States.  1 RCT9 
(N = 205)  
 Serious  
concernse 
 Some 
concernsd 
 No concerns  
 
 No concerns  
  
 
 Very low 
confidence  
 
 
 
b Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
c Small sample size  
d Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
e Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
 
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policy .  Page 11 of 84 
 Table 6. GRADE Table: Systemic Reaction  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Systemic Reactions  2 RCTs and 2 cohorts suggested no difference in fever 
when comparing infants who were vaccinated in the first 
24h with a Hep B Vaccine to those who were vaccinated 
later , not at all , or with a different vaccine.  
 
One RCT9 of Israeli infants suggested no difference in  
anorexia/ decreased appetite, diarrhea or vomiting, 
however, it did suggest an increase in  irritability or 
fussiness  when comparing  infants who received hepatitis 
B vaccine in the first 24 hours after birth with infants who 
received the BioHepB (not approved in U.S.) vaccine in 
the first 24 hours.  2 RCTs8,9 
(N = 741)  
 
2 cohort6,10 
(N = 16,484)  Serious 
concernsf 
 
Some 
concernsg 
 
 Some 
concernsh 
 
 
No concerns  
 
 No concerns  
 
 
No concerns  
 
 
 
 
 No concerns  
 
 
No concerns  
 
 
 
 
 Very low 
confidence  
 
 
Very low 
confidence  
Anorexia/Decreased 
appetite  In a RCT of Israeli infants9, 0/52 infants who received 
Engerix -B within 24 hours of birth and 3/153 (2.0%) who 
received BioHepB within 24 hours of birth experienced 
anorexia within 5 days of vaccination.  The HepB vaccine 
BioHepB is not approved for use in the United States.  1 RCT9 
(N = 205)  Serious 
concernsi Some concernsj No concer ns No concer ns Very low 
confidence  
 Diarrhea  or vomiting  In a RCT of Israeli infants9, 0/52 infants who received 
Engerix -B within 24 hours of birth and 1/153 (0.64%) who 
received BioHepB within 24 hours of birth experienced 
diarrhea or vomiting within 5 days of vaccination. The 
HepB vaccine BioHepB is not approved for use in the 
United State s. 1 RCT 9 
(N = 205)  Serious 
concernsk Some concernsl 
 No concerns  No concerns  Very low 
confidence  
Fever  Two RCTs  reported no difference in fever among infants 
who received Hepatitis B vaccination within 24 hours of 
birth whether compared to the same vaccine at 2 months 
and at 18 months of age, or a combination vaccine 
delivered at birth.   
 
 
 
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
Very low  
confidence  
 
f Inadequate randomization, unclear allocation concealment and blinding; absence of statistical analyses and reporting on proto col deviations  
g One study compared groups with different birth years , and did not adjust or age stratify the results.  
h One study had a small sample size in one group.  
i Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
j Small sample size  
k Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
l One study had a small sample size in one group.  
 
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 Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• One RCT of Egyptian infants8, compared the 
outcome of local side effects 1 week after 
vaccination among infants randomized to 
administration of the first of dose of Recombivax 
immediately after delivery (n=178), or at 18 months 
of age (n=191). There was no difference in the 
proportion who experienced fever among those 
who received the vaccine immediately after delivery 
(5.6%) compared to  at 2 months (7.2%) or  at 18 
months (2.1%).  
• In a RCT of Israeli infants9, 0/52 infants who received 
Engerix -B within 24 hours of birth and 2/153 (1.3%) 
who received BioHepB within 24 hours of birth 
experienced a temperature ≥38 ⁰C within 5 days of 
vaccination. The HepB vaccine BioHepB is not 
approved for use in the United States.  
 
Two cohorts reported inconsistent results on the 
proportion fever among  infants who did and did not 
receive a dose of Hepatitis B vaccine in the first day of life , 
with the stronger study reporting no difference  when 
adjusting for age at birth and year of vaccination ; however,  
the study that compared different birth years and did not 
adjust or age -stratify the results  report ed a higher 
proportion of fever among those who received the Hep B 
vaccine in the first day of life . 
• One cohort6 of normal birthweight, full term, U.S. 
infants in the Vaccine Safety Datalink (NCK) reported 
no difference in the risk of a fever in the first three 
weeks of life when comparing infants with a record 
of receiving thimerosal -containing Hepatitis B 
vaccine on the day of birth or day after birth with 
infants with no record of Hepatitis B vaccination 
within the first 21 days of life [RR: 0.85; (95%CI: 0. 6-
1.1); p=0. 28; 21/2,718 vs 25/2,353].  
• In a cohort study of full -term Israeli infants10, 
68/5,819 (1.2%) full -term infants receiving hepatitis  
2 RCTs8,9 
(N = 741) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2 cohort6,10 
(N = 16,484 ) 
 
 
 
 
 
 
 
 
 
  
Serious  
concernsm 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Some 
concernsn 
 
 
 
 
 
 
 
 
 
 Some  concernso 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
  
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
  
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Very low 
confidence  
 
m Inadequate randomization, unclear allocation concealment and blinding; absence of statistical analyses and reporting on proto col deviations  
n One study compared groups with different birth years and did not adjust , or age stratify the results.  
o One study had a small sample size  in one group.  
 
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policy .  Page 13 of 84 
 Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
B vaccination and 27/5,010 (0.54%) full -term infants 
not receiving hepatitis B vaccine had a birth 
hospitalization discharge diagnosis of “neonatal 
fever” above 37. 5⁰C (p<0.001). Fevers above 38⁰C 
were noted in 50 (0.9%) of vaccinated infants and 27 
(0.54%) of unvaccinated infants (p<0.05). 
Identifiable causes of fever (e.g ., sepsis, 
dehydration, maternal fever, respiratory distress) 
were noted among 15 vaccinated inf ants (0.3%) and 
13 unvaccinated infants (0.3%). Unexplained fevers 
were noted among 35 (0.6%) vaccinated infants and 
14 (0.3%) unvaccinated infants (p=0.013).  
 Irritability or fussiness  In a RCT of Israeli infants9, 6/52 (11.5%) infants who 
received Engerix -B within 24 hours of birth and 5/153 
(3.3%) who received BioHepB within 24 hours of birth 
experienced irritability within 5 days of vaccination. The 
HepB vaccine BioHepB is not approved for use in the 
United States  1 RCT9 
(N = 205)  Serious  
concernsp Some concernsq No concerns  No concerns  Very low 
confidence  
 
Table 7. GRADE Table: Cardiopulmonary  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Cardiopulmonary  The evidence from one cohort study of extremely preterm 
infants suggests a reduction in the adjusted risk of 
bronchopulmonary dysplasia among infants with a record of 
receiving Hepatitis B  vaccine in the first 24 hours of life 
compared to infants with no record in the first 24h  1 Cohort7 
(N = 818)  No 
concerns No concerns No concerns  No concerns  Low 
confidence  
Bronchopulmonary 
dysplasia  One cohort7 of extremely preterm infants (<29 wks gestation) 
in Australia’s Surveillance of Adverse Events Following 
Immunization in the Community suggested there is a 
reduction in risk of bronchopulmonary dysplasia when 
comparing infants with a record of receiving Hepatitis B 
vaccine within 24 hours of birth to infants with no record 
when adjusting for maternal age, maternal smoking, Apgar 1 Cohort7 
(N = 818)  No 
concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
p Unclear allocation concealment; absence of statistical analyses and reporting on protocol deviations  
q Small sample size  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 14 of 84 
 score and congenital heart disease status [aRR: 0.83; (95%CI: 
0.68 -1.0); 155/306 vs 317/512].  
 
Table 8. GRADE Table: Neurological  Outcomes and the Administration of the Hepatitis B Vaccine in the first 24 hours of lif e 
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Neurological  The evidence from one cohort of normal birthweight, full 
term infants in the U.S.VSD suggested there is no difference 
in the risk of seizures or Neurologic disease other than 
seizures  when comparing infants who received Hepatitis B 
vaccine on the day of birth or the day after birth to infants 
with no record of vaccination in the first 24 hours of life . 1 Cohort6 
(N = 5,655)  
  No 
concerns No concerns No concerns  No concerns  Low  
confidence  
Seizure  One cohort6 of normal birthweight, full term U.S. infants in 
the VSD (NCK) suggested there is no difference in the risk of 
seizures in the first three weeks of life when comparing 
infants with a record of receiving thimerosal -containing 
Hepatitis B vaccine on the day  of birth or day after birth with 
infants with no record of Hepatitis B vaccination within the 
first 21 days of life [RR: 0.22; (95%CI: 0.02 -1.9); p=0.19; 
1/2,718 vs 4/2,353].  1 Cohort6 
(N = 5,655)  
  No 
concerns  No concerns  No concerns  No concerns  Low 
confidence  
Neurologic disease, other 
than seizure  One cohort6 of normal birthweight, full term U.S. infants in 
the VSD (NCK) suggested there is no difference in the risk of 
neurologic disease in the first three weeks of life when 
comparing infants with a record of receiving thimerosal -
containing Hepatitis B vaccine on the day of birth or day after 
birth with infants with no record of Hepatitis B vaccination 
within the first 21 days of life [RR: 1.7; (95%CI: 0.3 -9.4); 
p=0.69; 4/2,718 vs 2/2,353].  1 Cohort6 
(N = 5,655)  
 No 
concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 15 of 84 
 B.2. GRADE -ed Summary of Findings for Hepatitis B vaccine administered in the first 30 days of life  
Key Question: Among children, what is the safety of the hepatitis B vaccine administered in the first 30 days  of life?  
 
Table 9. GRADE Table: Adverse event following immunization (AEFI)  outcomes and administration  of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of 
Bias Imprecision  Inconsistency  Indirectness  Confidence  
All Adverse events 
following immunization 
(AEFI)  The evidence from two single group studies suggest ing that 
serious adverse events can occur  following the administration 
of a thimerosal -containing Hepatitis  B vaccine in the first 30 
days of life  in neonates in Columbia and the U.S. The three 
serious adverse events in the U.S. occurred in the context of 
the administration of 12 million doses among infants less than 
1 year of age . 2 DES11,12  
(N = 177) 
 Some 
concernsr 
 Some 
concernss No concerns  No concerns  Very low 
confidence  
Cerebral venous 
thrombosis/intraventricular 
hemorrhage  
 One case series examined  VAERS reports of U.S. neonates <0.1 
years of age  who received a thimerosal -containing Hepatitis B 
vaccine between 1991 – 199412 and identified  one serious 
report of c erebral venous thrombosis/intraventricular 
hemorrhage  [1.7% (1/60)] . 1 DES12 
(N = 60) Some  
concernst No concerns  No concerns  No concerns  Very Low  
confidence  
Disseminated intravascular 
coagulation  One case series12 examined  VAERS reports  of U.S. neonates 
<0.1 years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1994 and identified one 
(1.7%) serious report of d isseminated intravascular coagulation  
[1.7% (1/60)] .  1 DES12  
(N = 60)  Some 
concernsa No concerns  No concerns  No concerns  Very Low 
confidence  
Necrotizing enterocolitis  One case series12 examined  VAERS reports of U.S. neonates 
<0.1 years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1994 and identified one  
serious report of necrotizing enterocolitis  [1.7% (1/60 )]. 1 DES12 (N 
= 60)  Some 
concernsa No concerns  No concerns  No concerns  Very Low 
confidence  
Serious adverse events  A single group cohort11 of 117 healthy neonates  in Colombia 
who received a n Engerix -B Hepatitis B vaccine dose  at birth , 
reported one adverse event (cough requiring hospitalization) 
37 days after vaccination deemed serious, but unrelated to 
vaccine by study investigators  [0.9% (1/117)].  1 DES11 
(N = 117)  Some 
concernsu Some 
concernsv No concerns  No concerns  Very low 
confidence  
 
r Measurement bias: -1 for retrospective reporting and unclear temporality  
s Small sample size  
t Measurement bias: -1 for retrospective reporting  and unclear temporality  
u Measurement & misclassification: -1 for unclear day of dosing; -1 for no comparator group  
v Small sample size  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 16 of 84 
  
Table 10. GRADE Table: Allergic reaction and atopy outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Allergic reactions 
and Atopy  One RCT13 and one Cohort6 suggest a low rate of occurrence 
of allergic reactions and atopy among infants vaccinated with 
Hepatitis -B vaccines in the first 30 days of life, and no 
difference in the occurrence or risk of allergic reactions and 
atopy when comparing those who did rece ive the vaccine in 
the first 30 days compared to those who did not receive the 
vaccine, or compared to those receiving a Hepatitis -B vaccine 
that is not approved in the United States  (U.S.) . 1 RCT13 
(N = 360)  
 
1 Cohort6 
(N = 5,655)  Some 
concernsw No concerns  No concerns  No concerns  Moderate 
confidence  
Allergic reaction  One cohort6 of normal birthweight, full term , U.S.  infants in 
the VSD (NCK) reported  no difference in the  risk of an allergic 
reaction in the first three weeks of life when comparing infants 
with a record of receiving thimerosal -containing Hepatitis B 
vaccine in the first 21 days of life to infants with no record of 
Hepatitis B vaccination during the same time  [RR: 0. 71 (95%CI: 
0.04-11.4 ); p=0.99 ; 1/3,302 vs 1/2,353]. This remained 
consistent in a sub -analysis restricting the infants with a record 
of Hepatitis B vac cination on the day of birth or day after birth 
with infants with no record of Hepatitis B vaccination  in the 
first 21 days of life  [RR: 0. 87; (95%CI: 0. 05-13.8 ); p=0.99 ; 
1/2,718 vs 1/2,353].  1 Cohort6  
(N = 5,655)  Some 
concerns1 No concerns  No concerns  No concerns  Low 
confidence  
Eczema  One RCT of healthy infants in India13 reported no cases of 
eczema in  infants vaccinated with Engerix -B in the first 2 
weeks of life  or in infants vaccinated with HepB Gene Vac -B 
within first 2 weeks of life  (0/130 vs. 0/ 1320, p=NR ). The HepB 
Gene Vac -B is not approved for use in the United States.  1 RCT13 (N = 
360)  No concerns  No concerns  No concerns  No concerns  High 
confidence  
 
 
 
w Measurement & misclassification: -1 for unclear duration of follow up.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 17 of 84 
 Table 11. GRADE Table: Mortality outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life   
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Death 
Outcomes  The evidence  from 1 RCT14 and 2 cohort studies7,15 suggests  
no difference in the proportion of deaths among infants 
vaccinated with  any Hepatitis B Vaccine  at birth compared to 
those who were not vaccinated at birth.  
 
The evidence from one cohort study15 suggests no difference 
in expected, or un expected deaths or deaths due to sudden 
infant death syndrome (SIDS).   1 RCT14 
(N = 280) 
 
2 Cohorts7,15 
(N =1,086)  Some  concernsx No concerns  No concerns  No concerns  Low 
Confidence  
All-cause 
mortality  One RCT14 of unvaccinated, healthy infants in the U.S. reported 
no deaths (N=208) at 7 months follow up among infants who 
received  different timing of the first lifetime dose and the 
subsequent series of any HBV Vaccine, specifically  DTaP-HepB  
vaccine s at 2, 4 and 6 months of age, and infants who received 
HepB  vaccine at birth, 1 month and 6 months of age and DTaP 
at 2, 4 and 6  months of age.  
 
One cohort7 of extremely preterm infants (<29 wks gestation) 
in Australia’s Surveillance of Adverse Events Following 
Immunization in the Community suggested there is no 
difference in risk of death during the first 3 months of life 
when comparing infants with a record  of receiving hepatitis b 
vaccine within 24 hours of birth to infants with no record in 
the first 24 hours  [aRR: 1.13; (95%CI: 0.42 -2.81); 7/306 vs 
14/512].  
 
Three case series  summarizing VAERS data16  for infants <1 
month of age, reported 18 neonatal death reports were 
submitted between 2005 -201516 and 27 reports of death 
between 1991 -199812,17  
• One case series16 of reports following single antigen 
thimerosal containing Hepatitis B vaccine in U.S. 
infants aged <1 month in the VAERS between  2005 - 
2015 reported on Hepatitis B vaccine, 27/240 
(11.3%) reports of death, including one due to sepsis.  
• There were two case series  of VAERS reports in 
neonates following vaccination with a thimerosal -1 RCT14 
(N = 265) 
 
 
 
 
 
 
1 Cohort7 
(N = 818) 
 
 
 
 
 
 
 
3 DES12,16,17  
(N = 2,011)  
 
 
 
 
 
 
 
 
 Some  concernse 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
Some  concernsq  
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 Low 
confidence  
 
 
 
 
 
Low 
confidence  
 
 
 
 
 
 
Low 
confidence  
 
 
 
 
 
 
 
 
 
 
 
 
x Unanalyzed loss to follow up.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 18 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
containing H epatitis B  vaccine during overlapping 
study periods 1991 - 199512 and 1991 – 199817. The 
study examining a longer window of time  for 
neonates aged <28d, reported 18 deaths among  
1,771 VAERS reports .17 Causes of death included 
accidental suffocation (1), congenital heart disease 
(1), infection (3), intracerebral hemorrhage (1), and 
SIDS (12).   
  
 
 
   
  
  
 
Expected 
neonatal death  One cohort study15 of neonates in the VSD (NCK, SCK) 
suggested no difference in the proportion of deaths during the 
first 29 days of life from expected causes when comparing 
neonates who received Hepatitis B vaccine during the first 29 
days of life to neonates who did not [50/72 (69%) vs. 128/196 
(65%0; p=0.6 ]. 1 Cohort15 
(N = 268) 
 No concerns  No concerns  No concerns  No concerns  Low 
Confidence  
Unexpected 
neonatal death  One cohort study15 of neonates in the VSD (NCK, SCK) 
suggested no difference in the proportion of deaths during the 
first 29 days of life from unexpected causes when comparing 
neonates who received Hepatitis B vaccine during the first 29 
days of life to neonates who did not [22/72 (31%) vs. 68/196 
(35%); p=0.6 ].  1 Cohort15 
(N = 268) 
 No concerns  No concerns  No concerns  No concerns  Low 
Confidence  
Unexpected 
neonatal death 
from SIDS   One cohort study15 of neonates in the VSD (NCK, SCK) 
suggested no difference in the death rate from SIDS when 
comparing neonates who received Hepatitis B vaccine during 
the first 29 days of life to neonates who did not [8/240,717 
(3.3 deaths per 105 births) vs. 4/120,979 (3.3 deaths per 105 
births); p=0.99].  1 Cohort15 
(N = 361,696 ) 
 Serious concernsy No concerns  No concerns  No concerns  Very low 
Confidence  
 
Table 12. GRADE Table: Infection outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Infection 
outcomes  Evidence from 1 cohort6 suggests a reduction in risk of having 
a blood or CSF culture performed to evaluate a fever, and a 
suggested reduction in positive blood or CSF cultures , among 
infants who received a thimerosal -containing Hepatitis  B 
vaccine in the first 21 days of life  when stratifying by age in 
days . This study also reported no difference in the incidence 
of fever due to infectious reasons.  These results were 2 studies  
1 Cohort6 
(N = 5,655)  
 
 
 
1 DES16  
No concerns  
 
 
 
 
  
No concerns  
 
 
 
 
  
No concerns  
 
 
 
 
  
No concerns  
 
 
 
 
 Low 
confidence  
 
 
 
 
 
 
y No adjustment for confounding by age at administration, maternal or perinatal risk factors, or years of study.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 19 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
consistent in a sub analysis of infants who received the 
Hepatitis B  vaccine on the day of birth or day after birth .  
 
1 case series16 summarizing reports in neonates following 
thimerosal -containing Hepatitis B  vaccine immunization in 
VAERS reported 11 report s coded using  the Medical 
Dictionary for Regulatory Activities as “infection and 
infestation ” in 10 years (2005 – 2015).  (N = 240)  Some 
concernsz  
No concerns   
No concerns   
No concerns   
Very low 
confidence  
Blood or CSF culture 
performed  One cohort6 of normal birthweight, full term U.S. infants in the  
VSD (NCK) suggested there is a reduction in the age -stratified 
risk of having a blood or CSF culture performed in the first 
three weeks of life when comparing infants with a record of 
receiving thimerosal -containing Hepatitis B vaccine in the first 
21 days  of life to infants with no record of Hepatitis B 
vaccination [RR: 0.73 (95%CI: 0.65 -0.82); p <0.001; 133/3,302 
vs 203/2,353]. This reduction in risk remained consistent in a 
sub-analysis restricting the infants with a record of Hepatitis B 
vaccination on the day of birth or day after birth with infants 
with no record of Hepatitis B vaccination. [RR: 0.71; (95%CI: 
0.63 -0.80); p <0.001; 126/2,718 vs 203/2,353].  1 Cohort6 
(N = 5,655)  No concerns  No concerns  No concerns  No concerns  Low 
Confidence  
Blood or CSF culture 
positive  One cohort6 of normal birthweight, full term U.S. infants in the 
VSD (NCK) suggested there is a reduction in the age -stratified 
risk of having a positive blood or CSF culture in the first three 
weeks of life when comparing infants with a record of 
receiving thimerosa l-containing Hepatitis B vaccine in the first 
21 days of life to infants with no record of Hepatitis B 
vaccination [RR: 0.60 (95%CI: 0.38 -0.95); p=0.030; 8/3,302 vs 
16/2,353]. This reduction in risk remained consistent in a sub -
analysis restricting the i nfants with a record of Hepatitis B 
vaccination on the day of birth or day after birth  with no 
record of Hepatitis B vaccination. [RR: 0.57; (95%CI: 0.35 -0.94); 
p <0.027; 7/2,718 vs 16/2,353].  1 Cohort6 
(N = 5,655)  No concerns  No concerns  No concerns  No concerns  Low 
Confidence  
Fever due to 
infectious reasons  One cohort6 of normal birthweight, full term, U.S. infants in 
the Vaccine Safety Datalink (NCK) reported no difference in the 
risk of a fever due to infectious reasons  in the first three weeks 
of life when comparing infants with a record of receiving 
thimerosal -containing Hepatitis B vaccine in the first 21 days of 
life to infants with no record of Hepatitis B vaccination during 
the same time when adjusting  by age in days  [aRR: 0.92 
(95%CI: 0.7 -1.2); p=0.51; 26/3,302 vs 25/2,353]. This remained 1 Cohort6 
(N = 5,655)  No concerns  No concerns  No concerns  No concerns  Low 
Confidence  
 
z Descriptive study, no comparison  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 20 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
consistent in a sub -analysis restricting the infants with a record 
of Hepatitis B vaccination on the day of birth or day after birth 
with infants with no record of Hepatitis B vaccination. [RR: 
0.85; (95%CI: 0. 6-1.1); p=0. 28; 21/2,718 vs 25/2,353].  
 
Infections and 
infestations  One case series16 (Haber 2018) of reports following single 
antigen thimerosal -containing Hepatitis B vaccine in U.S. 
infants aged <1 month in VAERS between 2005 - 2015 reported 
4.6% (11/240) non -death serious reports coded using the 
Medical Dictionary for Regulatory Activities as Error! 
Bookmark not defined.  “infections and infestations ”. 1 DES16 
(Haber 
2018)  
(N = 240)  Some 
concernsaa No concerns  No concerns  No concerns  Very low 
confidence  
 
Table 13. GRADE Table: Local injection site outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Local 
injection site 
reactions  Evidence from five RCTs suggest s no difference in parent reported 
local injection site reactions including pain or soreness, swelling, or 
redness or erythema in the first 5 days post -vaccination among 
infants vaccinated with Engerix -B in the first five days of birth 
compared with combina tion vaccines or other Hepatitis B  vaccines 
that were administered at birth or later. One RCT8 suggested an 
increase in local side effects when comparing doses of Recombivax 
administered at 2 months of age compared with birth or 18 
months.  5 
RCT8,9,13,14,18  
(N = 1, 626) 
 
 Some 
concernsn 
 No concerns  No concerns  No concerns  Moderate 
confidence  
Local side effects  One RCT8 of Egyptian infants , compared the outcome of local side 
effects (e.g., local soreness, or temporary redness/induration at the 
injection site)  1 week after vaccination among infants randomized to 
administration of the first of dose of Recombivax immediately after 
delivery, at two months of age, or at 18 months of age, and reported 
a higher proportion of local side effects among those who received 
the vaccine at two months of age (2.8% (5/178) at birth, vs  7.2% 
(12/167) at two months, vs. 1.6% (3/191 ) at 18 months].  No 
relationship was found between side effects and weight or 
prematurity.  1 RCT8 
(N = 536) Serious  
concernsbb No concerns  No concerns  No concerns  Low 
confidence  
 
aa No comparison group  
bb Inadequate randomization, u nclear allocation conce alment and blinding  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 21 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Pain with 
movement  or 
pressure  One RCT9 of healthy Israeli infants , reported no difference in parent 
reports of pain with movement and pain with pressure within 5 days 
of vaccination among infants who received thimerosal -containing 
Engerix -B within 24 hours of birth compared with those who 
received thimerosal -containing BioHepB within 24 hours of birth 
[4/52 (7.7%) vs. 4/153 (2.6%)] and [4/52 (7.7%) vs. 2/153 (1.3%)] . 
The HepB  vaccine  BioHepB is not approved for use in the United 
States.  1 RCT9 
(N = 205)  Serious 
concernscc Some 
concernsdd No concerns  No concerns  Very l ow 
confidence  
Pain  or soreness  Two RC T reported a lower proportion of infants with soreness or 
pain with the administration of Hepatitis B vaccine  alone at birth 
compared to the combination  vaccines at any age.  
• One RCT18 of healthy, full term Australian infants aged five days 
or less reported a higher proportion of parent identified pain at 
the injection site among those who received co-administration 
of thimerosal -containing Energix -B vaccine and an 
investigational acellular pertussis vaccine compared with 
thimerosal -containing Energix -B vaccine alone within 120 hours 
of birth  [41/208 (20%) vs. 14/150 (9%)]. One grade 3 reaction, 
defined as crying when the limb was moved or pain that 
prevents daily activities, was repo rted in the co -administration 
group.  
• One RCT of healthy U.S. infants14 reported a higher proportion 
parent reports of soreness at the injection site within three days 
of vaccination  with the first lifetime dose of a HBV Vaccine  
among infants who received Engerix -B alone within 4 days of 
birth compared with those who received DT aP-HepB  or DT ,  at 2 
months of age compared with those ( 8.1% vs. 35.7%). 
 
One single group cohort11 of 117 healthy neonates in Colombia who 
received the  thimerosal -containing  Engerix -B Hepatitis B vaccine at 
birth reported 7 (6%) infants experienced pain and 5 (4.3%) 
experienced severe pain that resolved during the 4 days following 
vaccination.  2 RCT14,18 
(N = 623) 
 
1 Cohort11 
(N = 117)  Some 
concernsee 
 
 
 
 
Some 
concernsff No concerns  
 
 
 
 
 
Some concernsh No concerns  
 
 
 
 
 
No concerns  No concerns  
 
 
 
 
 
No concerns  Low 
confidence  
 
 
 
 
Very low 
confidence  
Redness or 
erythema  Three RCTs suggest no difference in redness or erythema at the 
injection site when comparing thimerosal -containing Energix -B 
vaccine at birth with  thimerosal -containing  Energix -B at one month .  3 RCT9,14,18  
(N = 8 41) 
 Some 
concernsgg 
 No concerns  
 
 No concerns  
 
 No concerns  
 
  
Low 
confidence  
 
cc Unclear allocation concealment ; absence of statistical  analyses  and reporting on protocol deviations  
dd Small sample size  
ee Unclear allocation concealment and no blinding , unanalyzed loss to follow up  
ff Measurement & misclassification: -1 for unclear day of dosing; -1 for no comparator group  
gg Unclear allocation concealment and no blinding  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 22 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• One RCT14 reported no difference in the proportion of  parent 
reports of  redness at the vaccination site within 3 days of 
vaccination  with the first lifetime dose of HBV vaccine  among 
infants who received Engerix -B within 4 days of birth or 
among those who received DTaP -HepB vaccines at 2 months 
of age (8.8% vs 11.6 %); no grade 3 reactions were reported.  
• One RCT of Israeli infants9 reported no redness or erythema 
within 5 days of vaccination among infants randomized to 
receipt of  Engerix -B or BioHepB within 24 hours of birth 
(0/52 vs. 0/153 ). The HepB vaccine BioHepB is not approved 
for use in the United States.  
• One RCT18 of Australian infants , 57/208 (27%) infants who 
were co -administered an acellular pertussis vaccine and 
Engerix -B within 120 hours of birth and 30/150 (20%) infants 
who received Engerix -B alone within 120 hours of birth 
experienced injection site erythema within 2 days of 
vacci nation. No grade 3 reactions were reported.  
 
In one single group cohort11 of 117 Columbian neonates who 
received a  thimerosal -containing  Engerix -B Hepatitis B birth dose , 13 
(11.1%) experienced redness during the 4 days following vaccination; 
there were no reports of severe redness.   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1 DES11 
(N = 117)   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Serious  
concernshh  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Some concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Very  low 
confidence  
Swelling  Four RCTs  reported no difference in the proportion of parent 
reported swelling for infants who received Engerix -B within 5 days of 
birth compared with a combination vaccine or a novel vaccine 
administered in the same timeframe.  
• In a randomized non -blinded clinical trial18 of Australian 
infants , 26/208 (12.5%) infants who received an 
investigational acellular pertussis vaccine and Engerix -B 
within 120 hours of birth and 6/150 (4%) infants who 
received Engerix -B within 120 hours of birth experienced 
injection site swelling within 2 days of vaccina tion. No 
grade 3 reactions were reported.  
• One RCT14 of healthy U.S. infants  reported a lower 
proportion of parent reports of swelling at the injection 
site within three days of the first lifetime dose of a HBV 4 
RCT9,13,14,18  
(N = 1,090 ) 
 
 
 
 
 
 
 
 
 
 
 Some 
concernsn 
 
 
 
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 Moderate 
confidence  
 
 
 
 
 
 
 
 
 
 
 
 
 
hh No blinding, unclear sequence allocation, unanalyzed loss to follow up.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 23 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Vaccine among those who received Engerix -B alone within 
4 days of birth  and among infants who received DTaP-
HepB  vaccines  at 2 months of age (0 vs. 16.3%) . 
• One RCT13 of healthy infants in India , reported no cases of 
injection site swelling among infants vaccinated with 
Engerix -B or infants vaccinated with the HepB Gene Vac -B 
within first 2 wks of life (0/ 130 vs. 0/ 132, p=NR). The HepB 
Gene Vac -B is not approved for use in the United States.  
• A RCT9 of Israeli infants  reported a higher proportion of 
swelling at the site within five days of vaccination among 
infants who received thimerosal -containing Engerix -B 
within 24 hours of birth compared with those who 
received BioHepB within 24 hours of birth [4/52 (7.7%) vs. 
3/153 (2.0%)]  The HepB vaccine BioHepB is not approved 
for use in the United States.  
 
In a single group cohort11 of 117 neonates in Colombia who received 
an Engerix -B Hepatitis B birth , there were 5 reports of any swelling 
(4.3%), and no reports of severe swelling.   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1 DES11 
(N = 117)   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Serious 
concernsii  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Very low 
confidence  
 
Table 14. GRADE Table: Neurodevelopmental outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All 
Neurodevelopmental  
outcomes  The evidence from four  studies report inconsistent results on 
the association between autism or autism spectrum disorder19-
21, Emotional disorders / Emotional disturbances19,22 and Tics/ 
Tic disorders19,22, and the receipt of an HBV vaccine in the first 
month of life . The  strongest study19 report ed no difference  in 
the adjusted  risk of any of these diagnoses among infants in the 1 Cohort19 
(N = 110,833)  
 
4 Case -
control20,22 -24 
(N = unclear 
due to No concerns  
 
 
 
 
 
 No concerns  
 
 
 
 
 
 Some concernsll 
 No concerns  
 
 
 
 
 
 Low 
confidence  
 
 
 
 
 
 
ii Unclear timing of dosing (“at birth”) and no comparison group  
ll Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 24 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
U.S. VSD with  receipt of Hepatitis B vaccine in the first month of 
life, while the unadjusted case control studies22-24 examined the 
same infants in the U.S. VSD  and the cross -sectional study of  
parent interviews  reported an increase in the unadjusted odds 
or adjusted  risk of these diagnoses with  exposure to Hepatitis B 
vaccine in the first month of life . 
 
Results from one cohort19, suggest no difference in the adjusted 
risk of attention deficit disorder (ADD), coordination disorder, 
speech or language delay, eating disorders, emotional 
disturbances, other childhood psychosis, sleep disorders, or 
stammering  among infants in the U.S. VSD   
 
Results from one case -control study24 of children in the U.S. 
VSD suggests an increase in the risk of diagnoses for s pecific 
delays in development  among infants who were exposed to a 
dose of thimerosal -containing Hep B vaccine in the first 30 days 
of life compared to those who were not  overlapping 
populations ) 
 
1 Cross -
sectional21 
(N = 7,381)  Serious 
concernsjj 
 
 
 
 
 
Serious 
concernskk 
 No concerns  
 
 
 
 
 
 
No concerns  
 No concerns  
 
 
 
 
 
 
No concerns  
  
Very low 
confidence  
 
 
 
 
 
Very low 
confidence  
 
Attention deficit 
disorder ( ADD ) One cohort study19 of U.S. infants  at three VSD sites (HMO A -C) 
reported no difference in the  risk of an ADD diagnosis after  the 
first year of life with the receipt of a thimerosal -containing 
Hepatitis  B vaccine  within 1 month of age , when stratified by  
HMO, year of birth, and sex, and adjusted for birth weight  (HMO 
A: aHR: 0.92 (95%CI 0.52 -1.59 )); adjusted for clinic (HMO B: aHR: 
0.90  (95%CI 0.74 -1.10 )) (HMO C : aHR: 0.88  (95CI% 0.53 -1.48 )). 1 Cohort19 
(N = 140,887 ) No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Autism/Autism 
Spectrum Disorder  Results  from three studies are inconsistent on the  relationship  
between the receipt of  HBV vaccine in the first month of life and 
autism. The largest and strongest study19 (N = 110,833) 
suggested no relationship between the adjusted risk of a medical 
record of an autism diagnosis and HBV vaccine in the first month 
of life , while one case -control study20 and one cross sectional 
study that did not adjust for age of administration,  year of 
administration, or health seeking behaviors, suggested an 
increase in the odds of HBV vaccination among children with an 
autism diagnosis20 (N=25,939 ) or parent report of an autism 
diagnosis in  boys21 (N=7,381 ).  
 1 Cohort19 
(N = 110,833)  
 
 
 
 
 
 
 
1 Case -
control20 
(N = 25,939)  No concerns  
 
 
 
 
 
 
 
 
 No concerns  
 
 
 
 
 
 
 
 
 
No concerns  
 Some 
concernsoo 
 No concerns  
 
 
 
 
 
 
 
 
 
No concerns  
 Low 
confidence  
 
 
 
 
 
 
 
 
Very low 
confidence  
 
jj No adjustment age at administration, birthweight, year of administration, cases and controls taken from different study years . 
kk No adjustment for birthweight, age at administration, year of administration taken from different study years, outcome is not  medically validated.  
oo Inconsistent results across studies using different inclusion criteria , different analytic approaches, and differences in adjustment for confounding . 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 25 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• One cohort study19  of U.S. infants in VSD site HMO B 
reported no difference in the risk of an autism diagnosis 
after the first year of life with the receipt of a thimerosal -
containing Hep B vaccine within 1 month of age, when 
stratified by year of birth, and sex, and adjus ted for birth 
weight and clinic (HMO B: aHR: 1.16 (95%CI 0.78 -1.71 )). 
Measures of association not assessed for HMOs with <50 
cases.  
• One case -control study20 of children in the U.S. VSD (KPNW, 
KPC), suggested the unadjusted odds of an exposure to  a 
dose of  thimerosal -containing HepB vaccine within the first 
month of life  was greater among children with an autism 
spectrum disorder diagnosis  compared to children without 
an autism spectrum diagnosis  [OR: 2.18; (95%CI: 1.74 -2.73); 
p<0.00001; 155/ 302 vs 8161 /25632 ]. A cross -sectional 
study21 of U.S. boys aged 3 -17 years suggested the odds of a 
parent report of an autism diagnosis was greater among 
boys aged 3 -17 years of age who received the Hepatitis B 
vaccine within 1 month of age born before 1999, when 
compared to late - or never - vaccinated boys when adjusting 
for race and ethnicity, family structure, and maternal 
education [ aOR: 3.002; (95%CI: 1.109 -8.126); p=0.031].   
1 Cross -
sectional21 
(N = 7,381)  Serious 
concernsmm 
 
 
 
Serious 
concernsnn 
  
 
 
 
No concerns  
  
 
 
 
No concerns  
  
 
 
 
Very low 
confidence  
 
Coordination 
Disorder  One cohort study19 of U.S. infants in VSD site HMO A  suggested a 
potential increase  in the  risk of a coordination disorder after the 
first year of life with the receipt of a thimerosal -containing Hep  B 
vaccine within 1 month of age , when stratified by year of birth, 
and sex, and adjusted for birth weight  (HMO A: aHR: 1.67 ( 95%CI 
0.78-3.57 )). Measures of association not assessed for HMOs with 
<50 cases.  1 Cohort19 
(N = 13,337)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Speech or language 
delay  One cohort study19 of U.S. infants in three  VSD sites (HMO A -C) 
reported no difference in the  risk of an speech or language delay  
diagnosis after the first  year of life with the receipt of a 
thimerosal -containing Hep  B vaccine within 1 month of age , 
when stratified by HMO, year of birth, and sex, and adjusted for 
birth weight  (HMO A: aHR: 1.14 (95%CI 0. 88-1.46 )); adjusted for 
clinic  (HMO B: aHR: 1.03 ( 95%CI 0. 91-1.17)); (HMO C: HR: 0.91 
(95%CI 0. 79-1.04)).  1 Cohort19 
(N = 140,887)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Eating disorders  One cohort study19 of U.S. infants in VSD site HMO B reported no 
difference in the  risk of an eating disorder  diagnosis after the 1 Cohort19 
(N = 110,833)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
mm No adjustment age at administration, birthweight, year of administration , cases and controls taken from different study years.  
nn No adjustment for birthweight, age at administration, year of administration  taken from different study years , outcome is not medically validated . 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 26 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
first year of life with the receipt of a thimerosal -containing Hep  B 
vaccine within 1 month of age , when stratified by year of birth, 
and sex, and adjusted for birth weight  and clinic  HMO B: aHR: 
0.90 ( 95%CI 0. 50-1.61). Measures of association not assessed for 
HMOs with <50 cases.  
Emotional disorders / 
Emotional 
disturbances  One cohort study19 of U.S. infants in two VSD sites (HMO A,B) 
reported no difference in the risk of an emotional disturbances 
diagnosis  (313.8)  after the first year of life with the receipt of a 
thimerosal -containing Hep B vaccine within 1 month of age, 
when stratified by HMO, year of birth, and sex, and adjusted for 
birth weight (HMO A: aHR: 1.00 (95%CI 0.42 -2.36 )); adjusted for 
clinic (HMO B: aHR: 0.76 (95%CI 0.54 -1.07 )). Measures of 
association not assessed for HMOs with <50 cases.  
 
One case -control study22 of children in the VSD (KPNW, KPC, 
KPNCK) between 1991 – 2000, suggested that the unadjusted 
odds of an expos ure to a thimerosal -containing HepB vaccine 
within the first month of life was greater among children with 
ICD-9 diagnosis code for emotional disorder (313.xx) than 
children without that code in their records  [OR: 1.34; 95 %CI: 
1.12 -1.60; p<0.005, 204/517 vs 9003/27,491]. This association 
remained consistent in a sub -analysis restricted to males [OR: 
1.36; 95% CI: 1.11, 1.66); p<0.005; 158/399 vs  4568/14 ,013) but 
not females [OR: 1.30; (95% CI: 0.90, 1.89); p=0.15, 46/118 vs 
4435/13 ,478].  1 Cohort19 
(N = 124,170)  
 
 
 
 
 
 
 
1 case -control 
study22  
 (n=28,008)   
No concerns  
 
 
 
 
 
 
 
Serious 
concernspp  
No concerns  
 
 
 
 
 
 
 
No concerns   
Some  
concernsqq 
  
No concerns  
 
 
 
 
 
 
 
No concerns  Low 
confidence  
 
 
 
 
 
 
 
Very low 
confidence  
Other childhood 
psychosis  One cohort study19 of U.S. infants in VSD site HMO B reported no 
difference in the  risk of a otherhood childhood psychosis  
diagnosis after the first  year of life with the receipt of a 
thimerosal -containing Hep  B vaccine within 1 month of age , 
when stratified by year of birth, and sex, and adjusted for birth 
weight  and clinic  HMO B: aHR: 1.03 ( 95%CI 0. 60-1.74). Measures 
of association not assessed for HMOs with <50 cases.  1 Cohort19 
(N = 110,833)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Sleep disorders  One cohort study19 of U.S. infants in three  VSD sites (HMO A -C) 
reported no difference in the  risk of a sleep disorder  diagnosis 
after the first  year of life with the receipt of a thimerosal -
containing Hep  B vaccine within 1 month of age , when stratified 
by HMO, year of birth, and sex, and adjusted for birth weight  
(HMO A: aHR: 0.79 ( 95%CI 0. 38-1.61 )); adjusted for clinic  (HMO 
B: aHR: 1.24 ( 95%CI 0. 80-1.93)); (HMO C: HR: 0.97 ( 95%CI 0. 79-
1.19)).  1 Cohort19 
(N = 140,887)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
pp No adjustment age at administration, birthweight, year of administration, cases and controls taken from different study years . 
qq Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 27 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Specific delays in 
development   
One retrospective cohort study24 of children in the VSD born 
between 1991 – 1994,  suggested that the risk  of specific delays 
in development (ICD -9 code 315.xx) was greater among children 
who were exposed to a thimerosal -containing HepB vaccine 
within the first month of life compared to children who were not 
exposed to a thimerosal -containing HepB vaccine in the first 
month of life [RR: 1.22, ( 95% CI: 1.12, 1.33), p<0.001, 82 8/18,637 
vs 1127/31,198]. This association remained consistent in a sub -
analysis restricted to males [ RR: 1.23, ( 95%CI: 1.11, 1.37), 
p<0.001, 567/9514 vs 771/16,110] and females [ RR: 1.21; (95% 
CI: 1.03, 1.41); p<0. 05, 261/9 ,122 vs 356/15,088].  
 1 Cohort  
study24 
(n=49,835 ) Serious 
concernsrr No concerns  No concerns  No concerns  Very low 
confidence  
Stammering  One cohort study19 of U.S. infants in two VSD sites (HMO A -C) 
reported no difference in the risk of a stammering diagnosis after 
the first year of life with the receipt of a thimerosal -containing 
Hep B vaccine within 1 month of age, when stratified by HMO, 
year of birth, and sex, and adjusted for birth weight (HMO  A: 
aHR: 0.89 (95%CI 0.40 -1.97)); and adjusted for clinic  in HMO B  
(HMO B:  aHR: 0.61 (95%CI 0.33 -1.14 )); (HMO C: HR: 0.77 (95%CI 
0.47 -1.26)).  1 Cohort19 
(N = 140,887 ) No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Tic Disorder, Tics  One cohort19 and one case control23 examined infants in the U.S. 
VSD during the same time period and reported inconsistent 
results. When stratifying results by location, year of birth, s ex, 
HMO and clinic, there was no difference in the risk of Tic disorder 
among infants who received a dose of thimerosal -containing Hep 
B vaccine in the first month of life, compared to those who did 
not19. However , a case control23 using different enrollment 
criteria and not adjusting for confounding factors . 
• One cohort study19 of U.S. infants in three VSD sites between 
1991 – 1998 (HMO A -C) reported no difference in the risk of 
a tics diagnosis after the first year of life with the receipt of a 
thimerosal -containing Hep B vaccine within 1 month of age, 
when stratified by HMO, year of birth, and sex, and adjusted 
for birth weight (HM O A: aHR: 1.25 (95%CI 0.47 -3.29)); 
adjusted for clinic  (HMO B: aHR: 0.85 (95%CI 0.55 -1.30)); 
(HMO C: HR: 0.93 (95%CI 0.45 -1.92)).  1 Cohort19 
(N = 140,887)  
 
 
1 Case -
control23 
(N = 28,360 ) No concerns  
 
 
 
 
 
Serious 
Concernsss  
 
No concerns  
 
 
 
 
 
 
No concerns   
 
Some 
concernstt 
  
 
No concerns  
 
 
 
 
 
 
No concerns   
Low 
confidence  
 
 
 
 
 
Very low 
confidence  
 
rr No adjustment age at administration, birthweight, year of administration, cases and controls taken from different study years . 
ss Unadjusted for confounding of age at administration, birthweight, healthcare seeking behavior, duration of follow up, and diff erent inclusion criteria & study years for each 
group.  
tt Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 28 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• One case -control study23 of children in the VSD (KPNW, KPC, 
NCK)  between 1991 - 2000 , suggested the odds of an 
exposure to thimerosal -containing HepB vaccine within the 
first month of life  was great er among children with a medical 
diagnosis code for a tic disorder diagnosis than among those 
with no tic disorder diagnosis [OR: 1.59; (95%CI: 1.29 -1.98); 
p<0.00001; 151/344 vs 9222/28016 ]. This association 
remained consistent in a sub -analysis restricted to males 
[OR: 1.65; (95%CI: 1.29 -2.12); p<0.0001; 113/ 253 vs 
4697/14327 ], but n ot females [OR: 1.45; (95%CI: 0.95 -2.21); 
p=0.09; 38/ 91 vs 4525/13 ,689]. 
 
Table 15. GRADE Table: Neurologic outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Neurologic outcomes  The evidence from cohort6 suggest ed there is no 
difference in the risk of seizures and neurologic disease 
other than seizures  among infants receiving with Hep B 
vaccine in the first 21 days of life, compared to those 
who did not , and this did not change when restricted 
to those vaccinated in the first day of life . 
 
One case control study23 did not one case series 
suggest ed a lower odds of exposure to a thimerosal -
containing hep B vaccine in the first 30 days of life 
among infants diagnosed with  cerebral degeneration 
compared to those who were not diagnosed.   
 
Two case series12,16 identified reports of abnormal CSF, 
convulsions, and nervous system disorders among the 
reports in the U.S. VAERS between 1991 -1995 and 
2005 – 2015.  1 Cohort6 
(N = 5,655)  
 
 
 
1 Case -
control23 
(N = 
136,536)  
 
 
2 Case 
Series12,16 
(N = 300 ) No 
concerns  
 
 
 
 
 
Serious 
concernsuu 
 
 
 
 
 
Some 
concernsvv No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
No concerns  No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
No concerns  No concerns  
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
No concerns  Low 
confidence  
 
 
 
 
 
Very low 
confidence  
 
 
 
 
 
Very low 
confidence  
 
uu Unadjusted for confounding of age at administration, birthweight, healthcare seeking behavior, duration of follow up, and diff erent inclusion criteria & study years for each 
group.  
vv Descriptive study, no comparison  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 29 of 84 
 Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Abnormal CSF  In one case series of reports12 following single antigen 
thimerosal -containing Hepatitis B vaccine in U.S. infants 
aged <1 month in VAERS between 1991 -1995 , there 
were 4 (6.7%) serious reports of abnormal CSF . 1 Case 
Series12 
(N = 60)  Some 
concernsww No concerns  No concerns  No concerns  Very low 
confidence  
Cerebral degeneration  One case -control study23 of children in the VSD (KPNW, 
KPC, NCK), suggested the unadjusted odds of exposure 
to thimerosal -contain ing Hepatitis B vaccine within the 
first month of life was lower  among childr en diagnosed 
with cerebral degeneration than among those without a 
diagnosis of cerebral degeneration [OR: 0.43; (95%CI: 
0.36 -0.52); p <0.00001; 175/ 647 vs 62637/135 ,889]. 1 Case -
control23 
(N = 
136,536)  Serious 
concernsxx No concerns  No concerns  No concerns  Very low 
confidence  
Convulsions  One case series12 of 60 VAERS reports for neonates <0.1 
years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1995 reported 6 
(10%) reports of convulsions, 4 of which were 
considered serious.  1 DES12 
(N = 60)  Some 
concernsq  No concerns  No concerns  No concerns  Very low 
confidence  
Seizure  One cohort6 of normal birthweight, full term U.S. infants 
in the VSD (NCK) suggested there is no difference in the 
risk of seizures  in the first three weeks of life when 
comparing infants with a record of receiving thimerosal -
containing Hepatitis B vaccine in the first 21 days of life 
to infants with no record of Hepatitis B vaccination [RR: 
0.18 (95%CI: 0.02 -1.6); p=0.17; 1/3,302 vs 4/2,353]. This 
remained consistent in a sub -analysis restricting the 
infants with a record of Hepatitis B vaccination on the 
day of bi rth or day after birth compared  with infants 
with no record of Hepatitis B vaccination [RR: 0.22; 
(95%CI: 0.02 -1.9); p=0.19; 1/2,718 vs 4/2,353].  1 Cohort6 
(N = 5,655)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Nervous system disorders  In one case series16 of reports following single antigen 
thimerosal containing Hepatitis B vaccine in U.S. infants 
aged <1 month in the VAERS between 2005 - 2015, 6.3% 
(15/240) were non -death serious reports coded  using 
the Medical Dictionary for Regulatory Activities as 
“Nerv ous Systems Diso rders ”. 1 DES16 
(N = 240)  Some 
concernsyy No concerns  No concerns  No concerns  Very low 
confidence  
Neurologic disease, other than 
seizure  One cohort6 of normal birthweight, full term U.S. infants 
in the VSD (NCK) suggested there is no difference in the 1 Cohort6 
(N = 5,655)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
 
ww Descriptive study, no comparison  
xx Unadjusted for confounding of age at administration, birthweight, healthcare seeking behavior,  duration of follow up, and different inclusion criteria & study years for each 
group.  
yy Descriptive study, no comparison  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 30 of 84 
 Outcome  Summary  Studies  Risk of 
Bias  Imprecision  Inconsistency  Indirectness  Confidence  
risk of neurologic disease in the first three weeks of life 
when comparing infants with a record of receiving 
thimerosal -containing Hepatitis B vaccine in the first 21 
days of life to infants with no record of Hepatitis B 
vaccination [RR: 1.4 (95%CI: 0.3 -7.8); p=0.99; 4/3,302 vs 
2/2,353]. This remained consistent in a sub -analysis 
restricting the infants with a record of Hepatitis B 
vaccination on the day of birth or day after birth  
compared with infants with no record of Hepatitis B 
vaccination [RR: 1.7; ( 95%CI: 0.3 -9.4); p=0.69; 4/2,718 vs 
2/2,353].  
 
Table 16. GRADE Table: Cardiopulmonary outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Cardiopulmonary 
outcomes  The evidence from one cohort7 suggests that receipt of 
Hepatitis B vaccine in the first 24 hours of life is not 
associated with an increase in the risk of bronchopulmonary 
dysplasia.  
The evidence from one case series12 suggests that between 
1991 -1995, 13 of 60 events in VAERS were cardiopulmonary 
(including apnea, bradycardia, and cyanosis) .  2 studies  
1 Cohort7 
(N = 818)  
 
1 DES12 
(N = 60)  No concerns  
 
Some 
concernszz No concerns  
 
 
No concerns  No concerns  
 
 
No concerns  No concerns  
 
 
No concerns  Low 
confidence  
 
Very low 
confidence  
Bronchopulmonary 
dysplasia  One cohort7 of extremely preterm infants (<29 wks gestation) 
in Australia’s Surveillance of Adverse Events Following 
Immunization in the Community suggested there is a reduction 
in the adjusted risk of bronchopulmonary dysplasia when 
comparing infants with a record o f receiving hepatitis b 
vaccine within 24 hours of birth to infants with no record [aRR: 
0.83; (95%CI: 0.68 -1.0); 155/306 vs 317/512].   1 Cohort7 
(N = 818)  No concerns  No concerns  No concerns  No concerns  Low 
confidence  
Apnea  In a case series12 of 60 VAERS reports for neonates <0.1 years 
of age who received a thimerosal -containing Hepatitis B 
vaccine between 1991 – 1995  there were 5 (8.3%) reports of 
apnea, 3 of which were considered serious.  1 DES12 
(N = 60)  Some 
concernst No concerns  No concerns  No concerns  Very low 
confidence  
Bradycardia  In a case series12 of 60 VAERS reports for neonates <0.1 years 
of age who received a thimerosal -containing Hepatitis B 
vaccine between 1991 - 1995 , there was 1 (1.7%) serious 
report of bradycardia.  1 DES12 
(N = 60)  Some 
concernst No concerns  No concerns  No concerns  Very low 
confidence  
 
zz No comparison group  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 31 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Cyanosis  In a case series12 of 60 VAERS reports for neonates <0.1 years 
of age who received a thimerosal -containing Hepatitis B 
vaccine between 1991 - 1995 , there were 7 (11.7%) reports of 
cyanosis, 5 of which were considered serious.  1 DES12 
(N = 60)  Some 
concernst  No concerns  No concerns  No concerns  Very low 
confidence  
 
Table 17. GRADE Table: Systemic reactions  and administration of the Hepatitis B Vaccine in t he first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Systemic Reactions  The evidence8-14,18 suggested that systemic reactions do 
occur after vaccination,  and there may be no difference in 
the occurrence of some outcome when comparing infants 
vaccinated with a Hepatitis B dose in the first 30 days of 
life compared with those who receive a different vaccine, 
or a Hepatitis B vaccine later or never.  Outcomes for 
which the evidence suggests there is no difference include 
fever8-14,18, rash13, constipation13, diarrhea8-10,12 -14,18, 
unusual crying14,18, and vomiting13,14,18 . 
 
Systemic reactions for which the evidence reported 
inconsistent results include anorexia/ decreased 
appetite/ feeding issues9 14,18 and restlessness/ sleeping 
less14,18. The differences in these outcomes may be due to 
parent perceptions (all were based on parent reports), 
differences in vaccines, or differences in outcome 
definitions used across these studies.  
 
Evidence was sufficient to determine that agitation12 
occurs  in 13 of 60 neonatal U.S. VAERS reports between 
1991 -1995, but not sufficient to determine if this is 
different from the rate of occurrence in the general 
neonatal population.  5 
RCT8,9,13,14,18  
(N = 1,627)  
 
1 cohort10 
(N = 10,829)  
 
 
2 DES11,12 
 (N = 177)  Some concerns 
aaa 
 
 
Serious 
concernsbbb 
 
Some 
concernsccc 
 No concerns  
 
 
 
No concerns  
 
 
 
No concerns  
 No concerns  
 
 
 
No concerns  
 
 
 
No concerns  
 No concerns  
 
 
 
No concerns  
 
 
 
No concerns  
 Moderate  
confidence  
 
 
Very low 
confidence  
 
 
Very low 
confidence  
 
Agitation  In a case series12 of 60 VAERS reports for neonates <0.1 
years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1995 , there were 13 
(21.7%) reports of agitation, 7 of which were considered 
serious.  
 1 DES12  
(N = 60)  Some 
concernsccc  No concerns  No concerns  No concerns  Very low 
confidence  
 
aaa Unclear allocation concealment and no blinding  
bbb No adjustment for confounding, unclear presence of outcomes at start of study  
ccc Descriptive study, no comparator  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 32 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Anorexia/Decreased 
appetite/ Feeding 
Issues  Three RCTs of healthy infants reported inconsistent results  
for the outcome of decreased appetite . That may be 
attributable to differences in the comparator vaccine or 
the timing of comparator vaccine or the differences in 
outcome definitions used in each study.  
• One RCT14 of full -term U.S. infants reported a higher 
proportion of decreased appetite within 3 days of 
vaccination among infants who received DTPa -HepB, 
OPV, and Hib vaccines at 2 months of age compared 
with those who received Engerix -B within 4 days of 
birth [25. 6% of 129 vs 14% of 136; ] . 
• In a RCT of Israeli infants9, 0/52  infants who received 
Engerix -B within 24 hours of birth and 3/153 (2.0%) 
who received BioHepB within 24 hours of birth 
experienced anorexia within 5 days of vaccination. 
The HepB vaccine BioHepB is not approved for use in 
the United States.  
• In a randomized non -blinded clinical trial of 
Australian infants18, 28/221 (13%) infants who 
received an investigational acellular pertussis 
vaccine and Engerix -B within 120 hours of birth and 
17/103 (17%) infants who received Engerix -B within 
120 hours of birth experienced feeding issues within 
2 days of vaccination. On e grade 3 feeding reaction 
(defined as preventing normal activities or requiring 
significant medical intervention) was reported 
among the 103 infants (0.9%) who received only 
Engerix within 120 hours of birth.  
 
One single group cohort of 117 Columbian neonates11 who 
received an Engerix -B Hepatitis B birth dose, 3 (2.6%) 
experienced a loss of appetite during the 4 days following 
vaccination, 1.7% (2/117) were considered severe . In one 
single group cohort of 117 Columbian neonates who 
received an Engerix -B Hepatitis B birth dose (Lopez 2002), 
3 (2.6%) experienced a loss of appetite during the 4 days 
following vaccination, 1.7% (2/117) were considered 
severe . 3 RCTs9 14,18  
(N = 794)  
 
 
 
 
 
1 DES11 
 (N = 117)  Some 
concernsddd 
 
 
 
 
 
Some 
concernseee No concerns  
 
 
 
 
 
 
 
No concerns   
 
 
 
Some 
concernsfff 
 No concerns  
 
 
 
 
 
 
 
No concerns  
Moderate 
confidence  
 
 
 
 
 
 
Very low 
confidence  
 
ddd Unanalyzed loss to follow up  
eee Descriptive study, no comparator, unclear timing of dosing (“at birth”)  
fff Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 33 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
Constipation  One RCT of healthy infants in India13 reported no cases of 
constipation in infants vaccinated with Engerix -B in the first 
2 weeks of life or in infants vaccinated with HepB Gene 
Vac-B within first 2 weeks of life (0/130 vs. 0/132). The 
HepB Gene Vac -B is not approved for use in the United 
States.  1 RCT13  
(N = 262)  No concerns  No concerns  No concerns  No concerns  High 
confidence  
Diarrhea  Four RCTs suggested no difference in the proportion of 
diarrhea cases among infants who received the HBV 
vaccine in the first 2 weeks of life or less, and those who 
receive the dose later, or a different vaccine.  
• One RCT of Israeli infants9, reported no 
difference in diarrhea or vomiting within 5 days 
of vaccination among infants who received 
Engerix -B within 24 hours of birth and who 
received BioHepB within 24 hours of birth0/52 
vs. 1/153 (0.64%). The HepB vaccine BioHepB is 
not approved for use in the United States.  
• One RCT14 of full -term U.S. infants reported no 
difference in the proportion of parents reporting 
diarrhea within 4 days of birth when comparing 
infants who received Engerix B within 3 days of 
birth and infants who received DTaP -HepB, OPV, 
and Hib vaccines at 2 mon ths of age, (8.1% vs. 
10.1%). There was no difference in the 
proportion experiencing a grade 3 reaction 
(defined as preventing normal activities) (0.7% 
vs. 0).  
• One RCT of healthy infants in India13 reported no 
cases of loose motions in infants vaccinated with 
Engerix -B in the first 2 weeks of life or in infants 
vaccinated with HepB Gene Vac -B within first 2 
weeks of life (0/130 vs. 0/132, p=NR). The HepB 
Gene Vac -B is not approved for use in the United 
States.  
• In a RCT of Australian infants18, 38/221 (17.0%) 
infants who received an investigational acellular 
pertussis vaccine and Engerix -B within 120 hours 
of birth and 12/103 (12%) infants who received 
Engerix -B within 120 hours of birth experienced 4 RCT9,13,14,18  
(N = 927)  
 
 
1 DES12 
(N = 60)  
 Some 
concernsggg 
 
 
 
Some 
concernshhh 
  
 
No concerns  
 
 
 
No concerns  
 
 
 
 
  
 
No concerns  
 
 
 
No concerns  
 
 
 
 
  
 
No concerns  
 
 
 
No concerns  
 
 
 
 
 Low 
confidence  
 
 
Very low 
confidence  
 
ggg Unclear allocation concealment, no blinding, unclear assessment of loss to follow up  
hhh Descriptive study, no comparator  
 
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policy .  Page 34 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
diarrhea within 2 days of vaccination. No grade 3 
reactions (defined as preventing normal activities 
or requiring significant medical intervention) 
were reported.  
 
In one case series12 of 60 VAERS  reports for neonates <0.1 
years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1995 , there was 1 
report of diarrhea, which was not categorized as serious.  
Drowsiness or sleeping 
more  Two RCTs report inconsistent results for increased 
drowsiness when comparing Engerix B as a birth dose with 
DTPA -HepB14 or both acellular pertussis and Engerix -B 
vaccines18 at 2 months of age. Inconsistencies may be 
explained by the different comparison vaccine or by the 
different outcome definitions of “increased sleep” and 
“drowsiness”  
• One RCT14 of full -term U.S. infants reported a 
lower proportion of parents reporting increased 
infant sleep within 3 days of birth when 
comparing infants who received Engerix B within 
4 days of birth and infants who received DTPa -
HepB, OPV, and Hib vaccines at 2 mo nths of age, 
(32.4% vs. 40.3%). There was higher proportion 
of infants receiving Engerix B within 4 days of 
birth whose parents reported them experiencing 
a grade 3 reaction (defined as preventing normal 
activities) (2.9% vs. 0.8%).  
• One RCT of Australian infants18 reported a higher 
proportion of parents reported drowsiness within 
2 days of vaccination among parents of infants 
who received Engerix -B within 120 hours of birth 
compared with infants who received an 
investigational acellular pertussis vaccine and 
Engeri x-B within 120 hours of birth and [29/103 
(28%) vs. 39/221 (18%)]. There was no difference 
in drowsiness of grade 3 severity (defined as 
preventing normal activities or requiring 
significant medical intervention) between those  
2 RCTs14,18 
(N = 591)  
 
1 DES11  
(N = 117)  
  
 
 
 
 
Some 
concernsiii 
 
 
 
 
 
Some 
concernsjjj 
 
 
 
 
 No concerns  
 
 
 
 
 
 
 
No concerns  Some 
concernskkk 
  
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 Very low 
confidence  
 
 
 
 
 
 
 
Very low 
confidence  
 
iii Unclear allocation concealment and no blinding  
jjj Descriptive study, no comparator  
kkk Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 35 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
receiving the both acellular pertussis and 
Engerix -B vaccines and by 1 (0.9%) of the infants 
receiving only Engerix -B vaccines at birth (1/221 
(0.5%) vs. 1/103 (0.9%).  
Among a single group cohort of 117 Columbian neonates11 
who received an Engerix -B Hepatitis B birth dose (Lopez 
2002), 6 (5.1%) experienced drowsiness during the 4 days 
following vaccination; 1 (0.9%) was reported to be severe.  
 
Fever   
Five RCT suggested no difference in parent reports of fever 
between infants vaccinated with HBV vaccines in the first 
two weeks of life and infants vaccinated with the same 
vaccine HBV vaccine at later ages, different HBV vaccines at 
the same age, or diffe rent HBV and HBV combination 
vaccines at lat er ages.  
• One RCT of Egyptian infants8, reported no difference 
in parent reports of fever (reported as 1 -2 days of low -
grade fever ≤102⁰F) among those vaccinated with 
Recombinant HB vaccine immediately after birth 
(5.6% n=178), at 2 months (7.2%, n=167), or 18 
months of age (2.1%, n=191). No relationship was 
found between side effects and weight or 
prematurity.  
• In a randomized non -blinded clinical trial of Australian 
infants18, reported no difference in parent reports of 
fever ≥38⁰C within 2 days of vaccination among 
infants who received an investigational acellular 
pertussis vaccine and Engerix -B within 120 hours of 
birth and infants who received Engerix -B within 120 
hours of birth (0/221 vs 1/138 (0.7%)). No fevers 
≥39⁰C were reported among participants in either 
arm.  
• One RCT of Israeli infants9 reported no difference in a 
temperature ≥38 ⁰C within 5 days of vaccination  
infants who re ceived Engerix -B within 24 hours of 
birth compared with those who received BioHepB 
within 24 hours of birth [0/52 vs. 2/153 (1.3%)]. The 
HepB vaccine BioHepB is not approved for use in the 
United States.   
 
 
5 
RCT8,9,13,14,18  
(N = 1,627)  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
Some concerns 
lll 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
Low 
confidence  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
lll Unclear allocation concealment and no blinding  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 36 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• One RCT of full -term U.S. infants14 reported no 
difference in fever (defined as rectal temperature 
≥38⁰C within 4 days of vaccination among infants who 
received Engerix B within 3 days of birth and infants 
who received DTPa -HepB, OPV, and Hib vaccines at 2 
months of age, (5.9%, n = 136 vs. 14.7%, n=129). 
There was also no difference in parent reports grade 3 
reaction (defined as temperature >39.5 ⁰C ) (0% vs. 
0.8%).  
• An RCT of healthy infants in India13 reported no 
difference in parent -reported fever (defined as axillary 
temperature ≥38⁰C) in infants vaccinated wit h 
Engerix -B in the first 2 weeks of life and infants 
vaccinated with HepB Gene Vac -B within first 2 weeks 
of life [6/130 (4.6%) vs. 4/132 (3.0%)].  
 
In a cohort study of full -term Israeli infants10, 68/5,819 
(1.2%) full -term infants receiving hepatitis B vaccination 
and 27/5,010 (0.54%) full -term infants not receiving 
hepatitis B vaccine had a birth hospitalization discharge 
diagnosis of “neonatal fever” above 37.5 C (p<0.001). 
Fevers above 38C were  noted in 50 (0.9%) of vaccinated 
infants and 27 (0.54%) of unvaccinated infants (p<0.05).  
Identifiable causes of fever (e.g. sepsis, dehydration, 
maternal fever, respiratory distress) were noted among 15 
vaccinated infants (0.3%) and 13 unvaccinated i nfants 
(0.3%). Unexplained fevers were noted among 35 (0.6%) 
vaccinated infants and 14 (0.3%) unvaccinated infants 
(p=0.013).  
 
 
Two single group studies, one cohort and one case series of 
adverse reports in neonates who received HBV vaccine as a 
birth does or within 1 month reported identified 18 U.S. 
VAERS reports of fever between 1991 – 1995, and 13 
serious U.S. VAERS reports of fever, and reported 1 severe 
fever among 117 Columbian neonates,  
• Among a cohort of 117 Columbian neonates11 who 
received an Engerix -B Hepatitis B birth dose, 1 (0.9%) 
experienced a severe fever during the 4 days following  
 
 
 
 
 
 
 
 
 
 
 
1 cohort10 
(N = 10,829)  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2 DES 11,12 
(N = 177)  
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Serious 
concernsmmm 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No concerns  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Very low 
confidence  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
mmm No adjustment for confounding, unclear presence of outcomes at start of study  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 37 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
vaccination (severe: >39⁰C axillary or >39.5⁰C rectal). In 
a case series12 of 60 VAERS reports for n eonates <0.1 
years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1995 , there were 
18 (30%) reports of fever, 13 of which were 
considered serious. Median number of days from 
vaccination to onset of fever was 1 day and mean 
maximum temperature was 38.9 ⁰C (range: 38.0 -
40.6 ⁰C). Of 10 infants with follow -up from fever, all 10 
had recovered.   
 
Some 
concernsnnn 
  
 
No concerns  
  
 
No concerns  
  
 
No concerns  
  
 
Very low 
confidence  
 
Irritability or fussiness  Three RCTs report inconsistent results for irritability or 
fussiness among infants vaccinated with Engerix B within 
24h9, 3 days14, and 120 hours of birth18. These differences 
could be due to timing of birth dose, differences in 
outcome definitions, or comparison vaccine.  
• One RCT14 of full -term U.S. infants reported a 
lower proportion of parents reporting irritability 
or fussiness within 3 days of vaccination when 
comparing infants who received Engerix B within 
4 days of birth and infants who received DTPa -
HepB, OPV, and Hib vaccine s at 2 months of age, 
(22.1% vs. 54.3%).  
• One randomized non -blinded clinical trial of 
Australian infants18 reported no difference in 
irritability within 2 days of vaccination among 
infants who received an investigational acellular 
pertussis vaccine and Engerix -B within 120 hours 
of birth compared with infants who received 
Engerix -B within 120 hours of birth [5 4/221 
(24.0%) vs.21/103 (20%)]. There was also no 
difference in Grade 3 irritability reactions 
reported by parents (defined as preventing 
normal activities or requiring significant medical 
intervention) [2/221 (0.9%) vs. 1/103 (0.9%)].  
• One RCT of Israeli infants9 reported a higher 
proportion of irritability among infants who 3 RCT9,14,18   
(N = 794)  
 
1 DES11 
(N = 117)  
 Serious 
concernsooo 
 
 
 
 
 
Some 
concernsppp No concerns  
 
 
 
 
 
 
No concerns  Some 
concernsqqq 
 No concerns  
 
 
 
 
 
 
No concerns  Very low 
confidence  
 
 
 
 
 
Very low 
confidence  
 
nnn Descriptive study, no comparator  
ooo Unclear allocation concealment and no blinding, no assessment of loss to follow up or missing data  
ppp 
 Descriptive study, no comparator  
qqq Inconsistent results across studies using different inclusion criteria, different analytic approaches, and differences in adj ustment for confounding.  
 
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policy .  Page 38 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
received Engerix -B within 24 hours of birth and 
[6/52 (11.5%) vs. 5/153 (3.3%)] who received 
BioHepB within 24 hours of birth experienced 
irritability within 5 days of vaccination. The HepB 
vaccine BioHepB is not approved for use in the 
United States.  
 
One cohort of 117 Columbian neonates11 who received an 
Engerix -B Hepatitis B birth dose, reported 3 (2.6%) infants 
experienced irritability during the 4 days following 
vaccination; 2 cases (1.7%) were reported to be severe.  
 
Rash  One RCT of healthy infants in India13 reported no cases of 
rashes in infants vaccinated with Engerix -B in the first 2 
weeks of life or in infants vaccinated with HepB Gene Vac -B 
within first 2 weeks of life (0/130 vs. 0/132, p=NR). The 
HepB vaccine BioHepB is not approved for use in the 
United States.  
 
In a case series12 of 60 VAERS reports for neonates <0.1 
years of age who received a thimerosal -containing 
Hepatitis B vaccine between 1991 – 1995 were 2 serious 
reports (3.3%) reports of rash that included fever.  1 RCT13 
 (N = 262)  
 
 
 
 
 
1 DES12  
(N = 60)  
 
 No Concerns  
 
 
 
 
 
 
 
Some 
concernsrrr 
 
 No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 No concerns  
 
 
 
 
 
 
 
No concerns  
 
 
 High 
confidence  
 
 
 
 
 
 
Very low 
confidence  
 
 
 
Restlessness or 
sleeping less  Two randomized trials of full -term infants reported 
inconsistent results for restlessness and sleeping less which 
could be due to the differences in outcome definition, 
timing of HepB birth dose, or comparator vaccine.  
• One randomized trial14 of full -term U.S. infants 
reported a lower proportion of parents reporting 
restlessness or sleeping less within 3 days of 
vaccination when comparing infants who received 
Engerix B within 4 days of birth and infants who 
received DTPa -HepB, OPV, and Hib vac cines at 2 
months of age, (16.9% vs. 26.4%; ).  
• One randomized non -blinded clinical trial of Australian 
infants18 reported was a higher proportion of parent 2 RCT14,18 
(N = 585)  
 
 Serious 
concernssss No concerns  Some 
concernsttt No concerns  Very Low 
confidence  
 
rrr Descriptive study, no comparator  
sss Unclear allocation concealment and no blinding, no assessment of loss to follow up.  
ttt Inconsistent proportions for Engerix -B associated symptoms, and inconsistent directionality of comparisons  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 39 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
reports of restlessness within 2 days of vaccination 
among of infants who received Engerix -B within 120 
hours of birth compared to infants who received an 
investigational acellular pertussis vaccine and Engerix -
B within 120 hours of birth  [32/103 (31%) vs .  49/221 
(22.0%)].  There was no difference in parent reports of 
grade 3 restless reactions (defined as preventing 
normal activities or requiring significant medical 
intervention) [3/103 (3%) vs. 2/221 (1%)].  
 
Unusual crying   
One RCT14 of full -term U.S. infants reported a no difference 
in parent reports of unusual crying within 4 days of 
vaccination when comparing infants who received Engerix -
B within 3 days of birth and those who received DTPa -
HepB, OPV, and Hib vaccines at 2 months of  age (1.5% of 
136 infants vs. 3.1% of 129 infants). Results were similar 
for parent reports of grade 3 unusual crying (defined as 
preventing normal daily activity) (0 vs. 0.8%).  1 RCT14 
(N = 136)  Some 
concernsuuu No concerns  No concerns  No concerns  Moderate 
confidence  
Vomiting  Three RCTs suggested no difference in the incidence 
vomiting when comparing infants who received HBV at 
birth with those who received HBV 1 month after birth, 
infants who received a different HBV at birth, or infants 
who received HBV co -administered with a n acellular 
pertussis vaccine.  
• One RCT14 of full -term U.S. infants reported no 
difference in the incidence of vomiting within 4 days 
of vaccination as reported by parents between infants 
who received Engerix -B within 3 days of birth and 
those who received DTPa -HepB, OPV, and Hib 
vaccines at 2 mo nths of age (4.4% of 136 infants vs. 
7.8% of 129 infants). None reported a grade 3 reaction 
of vomiting.  
• One RCT of healthy infants in India13 reported no 
cases of vomiting among infants who received 
Engerix -B or GeneVac -B within 30 days of birth. (0/130 
v. 0/132) GeneVac -B is not approved for use in the 
U.S. 3 RCT13,14,18  
(N = 853)  
 
 Some 
concernsvvv No concerns  No concerns  No concerns  Moderate 
confidence  
 
uuu -1 absence of randomization & blinding, and no assessment of loss to follow up.  
vvv -1 absence of randomization & blinding, and no assessment of loss to follow up.  
 
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policy .  Page 40 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
• In a randomized non -blinded clinical trial of Australian 
infants18, 45/221 (20.0%) infants who received an 
investigational acellular pertussis vaccine and Engerix -
B within 120 hours of birth and 23/103 (24%)  infants 
who received Engerix -B within 120 hours of birth 
experienced vomiting within 2 days of vaccination. No 
grade 3 vomiting reactions (defined as preventing 
normal activities or requiring significant medical 
intervention) were reported.  
 
Table 18. GRADE Table: Other outcomes and administration of the Hepatitis B Vaccine in the first 30 days of life  
Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
All Other  outcomes  One case control25 reported an increase in the odds of 
thimerosal -containing Hep atitis B vaccine exposure  in the 
first month of life  among children with an ICD9 code for 
premature puberty in their HMO medical records, compared 
to children without the code , and when stratified by sex, this 
increase was seen among females but not males.  
 
One  case series16 of VAERS reports following single antigen 
thimerosal containing H epatitis B vaccine  between 2000 – 
2015 reported ten reports coded  using the Medical Dictionary 
of Regulatory Activities of “general disorders and 
administration site conditions ” in 15 years ( 10/240) ; and an 
earlier  case series12 of VAERS reports of U.S. neonates  with 
HepB exposure  between 1991 – 1995 reported one report  for 
Hyperbilirubenemia /HbSAg+ (1/60) . 
  
1 case 
control25 
(N=58,675)  
 
2 DES12,16 
(n=300) 
 Serious 
concerns  
 
 
Some 
concernswww No concerns  
 
 
 
 
No concerns  No concerns  
 
 
 
 
No concerns  No concerns  
 
 
 
 
No concerns  Very low 
confidence  
 
 
 
Very low 
confidence  
Premature puberty  One case -control study25 of children enrolled in the VSD 
(KPNW, KPC, KPNC) suggested the odds of exposure to to 
thimerosal -containing HepB vaccine with in the first month of 
life was greater among children w ith a medical record of am 
ICD9 code for  premature puberty  compared to children who 
did not   [OR: 1.80, (95% CI: 1.51, 2.16), p<0.00001; 255/ 486 vs 
20582/54199 ]. When stratified by sex, the association was 
observed among females [OR: 1.87, (95% CI: 1.55, 2.25, 1 case 
control25 (N 
= 58,685)  Serious 
concernsxxx No concerns  No concerns  No concerns  Very low 
confidence  
 
www Descriptive study, no comparison  
xxx -2 Very serious concerns for confounding factors such as prematurity or birthweight, age at administration, or year of adminis tration.  
 
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policy .  Page 41 of 84 
 Outcome  Summary  Studies  Risk of Bias  Imprecision  Inconsistency  Indirectness  Confidence  
p<0.00001), 245/ 458 vs 9997/26209 ] but not among males 
[OR: 0.91, (95% CI: 0. 42, 1.98), p>0.99; 10/ 28 vs 10584/27989 ]. 
General disorders 
and administration 
site conditions  One case series16 of reports following single antigen thimerosal 
containing Hepatitis B vaccine in U.S. infants aged <1 month in 
VAERS between 2005 – 2015, reported 4.2% ( 10/240) - were 
coded using the Medical Dictionary for Regulatory Activities 
(MedDRA) as general  disorders and administration site 
conditions ”. 1 DES16 
(N = 240)  
 Some 
concernsyyy No concerns  No concerns  No concerns  Very low 
confidence  
Hyperbilirubenemia 
/HbSAg+  In a case series12 of 60 VAERS  reports for neonates <0.1 years 
of age who received a thimerosal -containing Hepatitis B 
vaccine  between 1991 -1995 , there was 1 (1.7%) serious report 
of hyperbilirubenemia/HbSAg+.  1 DES12 
(N = 60)  Some 
concernsh Some concernszzz No concerns  No concerns  Very low 
confidence  
 
  
 
yyy Descriptive study, no comparison  
zzz Small sample size  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 42 of 84 
 C. Extracted Evidence from Included Studies  
C.1. Study Characteristics for All Included Studies  
Table 19. Characteristics of Studies Meeting Inclusion Criteria  
Author Year  Study design  Data Collection P eriod  Sample size, N  Surveillance System (if Applicable)  Country  
Bassily 19958 Randomized 
Controlled Trial  Not reported  536 infants  Not reported  Egypt  
Eriksen 200415 Retrospective 
cohort  January 1, 1993 - December 
31, 1998  361,696 newborns in Kaiser SCK & 
NCK HMO birth cohort  
 
268 neonatal deaths analyzed for 
expected and unexpected death  Vaccine Safety Datalink   
(Kaiser Permanente, Southern California  and Kaiser 
Permanente Northern California ) United States  
Gallagher 
201021 Cross -sectional  1997 -2002  7,381 boys aged 3 -17 Not reported  United States  
Geier  
201320 Case -control  1991 -1999  Not reported  
25,939 infants in analysis  Vaccine Safety Datalink  United States  
Geier 201523 Case control  1991 -2000  28,360 (344 cases with tics: 253 
male, 91 female; 28,016 controls, 
14,327 males, 13,689 females)  
 
136,536 ( 647 cases  with cerebral 
degeneration: 359 male, 288 
female; 135,888 controls, 69,426  
males, 66,462 females)  Vaccine Safety Datalink  
United States  
Geier 201624 Retrospective 
cohort  1991 -2000  49,835 children  Vaccine Safety Datalink  United States  
Geier 201722 Nested case 
control  1991 -2000  28,008 children  Vaccine Safety Datalink   
(Kaiser Permanente North -West  and Kaiser Permanente 
Northern California ) United States  
Geier 201825 Case  control  1991 -2000  54,685 children  Vaccine Safety Datalink  United States  
Greenberg 
200214 Randomized 
Trial  Not reported  280 infants  Kaiser Permanente, Southern California  United States  
Haber 201816 Case series  January  1, 2005 – 
December  31, 2015  20,231 VAERS reports  Vaccine Adverse Event Reporting System  United States  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 43 of 84 
 Author Year  Study design  Data Collection P eriod  Sample size, N  Surveillance System (if Applicable)  Country  
Lewis 20016 Cohort  November  1, 1991 – 
April 30, 1994  5,655 normal birthweight,  full term 
infants  Vaccine Safety Datalink  (Northern California Kaiser 
Permanente)  United States  
Linder 199910 Cohort  Birth/record  
January  1, 1991 – 
December  31, 1992  10,829 neonates  Not reported  Israel  
Lopez 20 0211 Cohort  NR 117 neonates  Centro Materno Infantil Los Farallones  Colombia  
Morgan 20257 Cohort  January  1, 2017 – 
December  31, 2020  818 extremely preterm infants  Surveillance of Adverse Events Following Immunization 
in the Community  Australia  
Niu 199612 Case series  January  1, 1991 – 
May 31, 1995  12,520 VAERS reports  Vaccine Adverse Event Reporting System  United States  
Niu 199917 Case series  January  1, 1991 – 
October  5,1998  1,771  Vaccine Adverse Event Reporting System  United States  
Sapru 200713 Randomized 
Controlled Trial  
(control arm)  Not reported  262 Not reported  India  
Verstraeten 
200319 Retrospective 
cohort study  1995 -end of 2000  140,887  at 3 HMOs ( 13,337 at A, 
110,833 at B, 16,717 at C)  Vaccine Safety Datalink  United States  
Wood 201818 Randomized 
Controlled Trial  June 11, 2010 - March 14, 
2013  440 Not reported  Australia  
Yerushalmi 
19979 Randomized 
Controlled Trial  Not reported  205 (46% were male)  Not reported  Israel  
 
 
 
 
 
 
 
 
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 44 of 84 
 C.2. Outcomes for All Included Studies  
Table 20. Adverse Events Following Immunization (AEFI)  Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
Niu 
199612 Case 
series  Cerebral venous 
thrombosis/intraventricular 
hemorrhage   NR HepB vaccine 
(unspecified ) 
in neonates 
aged <0.1 
years  (Y) 1.7% (1/60)  NR NR NR NR NR Some 
concernsaaaa  
Niu 
199612 Case 
series  Disseminated intravascular 
coagulation   NR HepB vaccine 
(unspecified) 
in neonates 
aged <0.1 
years (Y)  1.7% (1/60)  NR NR NR NR NR Some 
concernsa  
Niu 
199612 Case 
series  Necrotizing enterocolitis   NR HepB vaccine 
(unspecified) 
in neonates 
aged <0.1 
years (Y)  1.7% (1/60)  NR NR NR NR NR Some 
concernsbbbb  
Lope z 
200211 Cohort  Serious adverse events   Unsolicited 
symptoms 
collected 
during 30 -day 
follow -up 
window  HepB Engerix -
B at birth ( Y) 0.9% (1/117)  NR NR NR NR NR Some 
concerns2  
 
Table 21. Allergic Reaction and Atopy Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias  
Lewis 
20016 Cohort  Allergic 
reaction  ICD 10 Codes  Hep B Vax 
(unspecified) 
within first 21 d 
(Y) <0.1% 
(1/3302)  Unvaccinated 
within first 21 d  <0.1% 
(1/2353)  NR RR: 0.71 (0.04 -
11.4); p = 0.99  None  Some 
concerns  
 
aaaa Descriptive study, no comparison  
bbbb Descriptive study, no comparison  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 45 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias  
Lewis 
20016 Cohort  Allergic 
reaction  ICD 10 Codes  Hep B Vax 
(unspecified) 
within day of birth 
or day after birth 
(Y) <0.1% 
(1/2718)  Unvaccinated 
within first 21 d <0.1% 
(1/2937)  NR RR: 0.87 (0.05 -
13.8); p = 0.99  None  Some 
concerns  
Sapru 
200713 RCT Eczema  Parent assessment 
or medical exam  HepB  
Engerix -B within 
first 2 wks  0 (0/130)  HepB  
Gene Vac -B within 
first 2 wks  0 (0/132)  NA NR NR No 
concerns  
 
Table 22. All Death Outcomes Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
Greenberg  
200214 RCT All -cause 
mortality   NR; at 7 
months follow -
up Engerix -B 
vaccine at 
birth, 1 
month, and 6 
months of 
age and 
DTaP , OPV, 
and Hib 
vaccines  at 2, 
4, and 6 
months of 
age ( NR) 0% (0/1 40) DTaP -HepB , 
OPV , and Hib  
vaccine s at 2, 
4, and 6 
months of 
age 0% (0/ 140)  NR NR NR Some 
concernse  
Morgan  
20257 Cohort  All -cause 
mortality   Victorian 
Deaths index; 
all cause 
mortality 
occurring in 
the 3 months 
after birth  Hep B vaccine 
(unspecified) 
within  24h of 
birth  for 
extremely 
premature 
infants (<29 
weeks 
gestation)  
(NR)  2.30% (7/306)  No recorded 
Hep B 
vaccine 
within 24h of 
birth  for 
extremely 
premature 
infants (<29 
weeks 
gestation)  2.70% 
(14/512)  NR aRR: 1.13; 
(95%CI: 0.42 -
2.81)  Maternal 
age, low 
Apgar at 1 
minute, low 
Apgar at 5 
minutes, 
maternal 
smoking, 
gestation 
period and 
congenital 
heart No concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 46 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
disease 
status  
Haber  
201816 Case series  All -cause 
mortality   VAERS reports 
of death 
verified by 
death 
certificate or 
autopsy report  Hep B vaccine 
(unspecified) 
infants aged 
<1 month  (Y) 11.3% 
(27/240 ) NR NR NR NR NR Some  
concernscccc  
Niu 
199612 Case series  All -cause 
mortality   VAERS reports 
of death  Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 10% (6/60)  NR NR NR NR NR Some 
concernsdddd 
Niu 
199917 Case series  All -cause 
mortality   VAERS reports 
of death  Hep B vaccine 
(unspecified) 
infants aged 
<28 days (Y)  1% ( 18/1771 ) NR NR NR NR NR Some  
concernseeee  
Eriksen  
200415 Cohort  Expected 
neonatal 
death   ICD-9 codes 
and 
determined by 
medical 
autopsy ; four 
categories 
considered 
expected  Hep B vaccine 
(unspecified) 
before 29 
days of age 
(Y); 85% 
vaccinated of 
day of birth, 
none  beyond 
8 days of life  69% (50/72)  No HepB 
vaccine with 
death at <29 
days of age  65% 
(128 /196)  0.6 NR NR No concerns   
Eriksen  
200415 Cohort  Unexpected 
neonatal 
death   ICD-9 codes 
and 
determined by 
medical 
autopsy  Hep B vaccine 
(unspecified) 
before 29 
days of age 
(Y); 85% 
vaccinated of 
day of birth, 
none beyond 
8 days of life  31% (22/72)  No HepB 
vaccine with 
death at <29 
days of age  35% 
(68/196)  0.6 NR NR No concerns   
 
cccc Descriptive study, no comparison  
dddd Descriptive study, no comparison  
eeee Descriptive study, no comparison  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 47 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
Eriksen  
200415 Cohort  Unexpected 
neonatal 
death from 
SIDS   ICD-9 codes 
and 
determined by 
medical 
autopsy  Hep B vaccine 
(unspecified) 
before 29 
days of age 
(Y); 85% 
vaccinated of 
day of birth, 
none beyond 
8 days of life  8/240,717 
(3.3 deaths 
per 100,000 
births)  No HepB 
vaccine at 
<29 days of 
age 4/120,979 
(3.3 deaths 
per 100,000 
births)  0.99  NR NR Serious 
concerns27  
 
Table 23. Infection Results of Studies Meeting Inclusion Criteria  
Study  Study Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
Lewis  
20016 Cohort  Blood or CSF 
culture 
performed   Clinical 
laboratory 
data  Hep B vaccine 
(unspecified) 
withi n first 21 
days of life (Y)  4% 
(133/3,302 ) No Hep B 
vaccine 
within first 
21 days of 
life 8.6% 
(203/2,353 ) <0.001  RR: 0.73 
(95%CI: 0.65 -
0.82)  NR No concerns   
Lewis  
20016 Cohort  Blood or CSF 
culture 
performed   Clinical 
laboratory 
data  Hep B vaccine 
(unspecified) 
on day  of 
birth or day 
after birth  (Y) 4.6% 
(126/2,718 ) No Hep B 
vaccine 
within first 
21 days of 
life 8.6% 
(203/2,353 ) <0.001  RR: 0.71; 
(95%CI: 0.63 -
0.80)  NR No concerns   
Lewis  
20016 Cohort  Blood or CSF 
culture 
positive   Clinical 
laboratory 
data  Hep B vaccine 
(unspecified) 
within first 21 
days of life (Y)  0.2% 
(8/3,302 ) No Hep B 
vaccine 
within first 
21 days of 
life 0.7% 
(16/2,353 ) 0.030  RR: 0.60 
(95%CI: 0.38 -
0.95)  NR No concerns   
Lewis  
20016 Cohort  Blood or CSF 
culture 
positive   Clinical 
laboratory 
data  Hep B vaccine 
(unspecified) 
on day of 
birth or day 
after birth (Y) 0.3% 
(7/2,718 ) No Hep B 
vaccine 
within first 
21 days of 
life 0.7% 
(16/2,353 ) 0.027  RR: 0.57; 
(95%CI: 0.35 -
0.94)  NR No concerns   
Lewis  
20016 Cohort  Fever  (in first 
3 weeks of 
life) ICD-9 codes, 
computerized 
database 
search  Hep B vaccine 
(unspecified) 
within first 21 
days of life (Y)  (26/3,302 ) No Hep B 
vaccine 
within first (25/2,353 ) 0.51  aRR: 0.92 
(95%CI: 0.7 -
1.2) Adjusted by 
age in days  No concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 48 of 84 
 Study  Study Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of Bias  
21 days of 
life 
Lewis  
20016 Cohort  Fever  (in first 
3 weeks of 
life) ICD-9 codes, 
computerized 
database 
search  Hep B vaccine 
(unspecified) 
on day of 
birth or day 
after birth (Y) (21/2,718 ) No Hep B 
vaccine 
within first 
21 days of 
life (25/2,353 ) 0.28 aRR: 0.85; 
(95%CI: 0. 6-
1.1) Adjusted by 
age in days  No concerns   
Haber  
201816 Case series  Infections 
and 
infestations   VAERS, non -
death, serious 
reports  Hep B vaccine 
(unspecified) 
infants aged 
<1 month (Y)  4.6%  (11/240)  NR NR NR NR NR Some 
concerns7  
 
Table 24. Local Injection -site Outcomes Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias 
Bassily 
19958 RCT Local side effects  Parental report of 
local soreness or 
temporary 
redness/induration at 
the injection site  Recombivax 
immediately 
after  birth (Y)  2.8% ( 5/178)  Recombivax 
at 18 months 
of age (Y)  1.6% 
(3/191)  NR NR NR Serious 
concerns8  
Bassily  
19958 RCT Local side effects  Parental report of 
local soreness or 
temporary 
redness/induration at 
the injection site  Recombivax 
at 2 months of 
age (Y)  7.2% ( 12/167)  Recombivax 
at 18 months 
of age (Y)  1.6% 
(3/191)  NR NR NR Serious 
concerns8  
Yerushalmi  
19979 RCT Pain with movement   Parental report on 
diary card for 5 days 
post -vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 7.7% (4/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 2.6% 
(4/153)  NR NR NR Serious 
concerns9  
Yerushalmi  
19979 RCT Pain with pressure   Parental report on 
diary card for 5 days 
post -vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 7.7% (4/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 1.3% 
(2/153)  NR NR NR Serious 
concerns9  
Wood  
201818 RCT Pain or soreness  (any)  Parental report of 
pain at injection site 
within 2 days after 
dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 9% (14/150)  Engerix -B co-
administered 
with 
investigational 20% 
(41/208)  NR NR NR Some 
concerns11 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 49 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias 
birth (Y ); 
87.6 % 
vaccinated 
days 0 -2 acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 
Wood  
201818 RCT Pain or soreness  
(severe)  Parental report of 
pain at injection site 
within 2 days after 
dose , severe classified 
as crying when limb is 
moved/spontaneously 
painful or prevents 
daily activities  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y ); 
87.6 % 
vaccinated 
days 0 -2 0% (0/150)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0.5% 
(1/208)  NR NR NR Some 
concerns11 
Greenberg  
200214 RCT Pain or soreness  (Any)  Solicited parental 
report for day of 
vaccination and 3 
days following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  8.1%  
(NR/136)  DTaP -HepB , 
OPV, and Hib 
vaccines  at 2 
months of age 
(NR)  35.7%  
(NR/129)  NR NR NR Some 
concerns11 
Greenberg  
200214 RCT 
Pain or soreness (Grade 
3/Severe)  Solicited parental 
report for day of 
vaccination and 3 
days following 
vaccination ; Grade 3 -
soreness that caused 
crying when limb was 
move d; reported  at 
any vaccination site  Engerix -B 
vaccine within 
4 days of birth  
(NR)  
0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  1.6% 
(NR/129)  NR NR NR Some 
concerns11 
Lopez  
200211 Cohort  Pain or soreness  (Any)  Solicited self -report  
by diary card during 
4-day follow -up 
window  HepB Engerix -
B at birth ( Y) 6% (7/117)  NR NR NR NR NR Some 
concerns12  
Lopez  
200211 Cohort  Pain or soreness 
(Severe)  Solicited self -report 
by diary card during 
4-day follow -up 
window  HepB Engerix -
B at birth (Y)  4.3% (5/117)  NR NR NR NR NR Some 
concerns12  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 50 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias 
Wood  
201818 RCT Redness or 
erythema  (Any)  Parental report , 
within 2 days of dose; 
grade 1: <10mm, 
grade 2 -10-<30mm; 
grade 3: >=30mm  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 20% (30/150)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 27% 
(57/208)  NR NR NR Some 
concerns13  
Wood  
201818 RCT Redness or 
erythema  (Severe/Grade 
3) Parental report, 
within 2 days of dose; 
grade 3: >=30mm  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y ); 
87.6 % 
vaccinated 
days 0 -2 0 Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns13  
Yerushalmi  
19979 RCT Redness or erythema   Parental report on 
diary card for 5 days 
post -vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 0/52  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 0/153  NR NR NR Some 
concerns14  
Greenberg  
200214 RCT Redness or 
erythema  (Any)  Solicited parental 
report for day of 
vaccination and 3 
days following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  8.8% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  11.6% 
(NR/129)  NR NR NR Some 
concerns14  
Greenberg  
200214 RCT Redness or 
erythema  (Severe/Grade 
3) Solicited parental 
report for day of 
vaccination and 3 
days following 
vaccination ; Grade 3 -
diameter >20mm; 
reported at any 
vaccination site  Engerix -B 
vaccine within 
4 days of birth  
(NR)  0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0% 
(0/129)  NR NR NR Some 
concerns14  
Lopez  
200211 Cohort  Redness or 
erythema  (Any)  Solicited self -report 
by diary card during HepB Engerix -
B at birth ( Y) 11.1% 
(13/117)  NR NR NR NR NR Serious 
concerns15  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 51 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias 
4-day follow -up 
window  
Lopez  
200211 Cohort  Redness or 
erythema  (Severe)  Solicited self -report 
by diary card during 
4-day follow -up 
window; severe 
>20mm  HepB Engerix -
B at birth (Y)  0% (0/117)  NR NR NR NR NR Serious 
concerns15  
Sapru  
200713 RCT Swelling  Parental report until 
total follow -up period 
of 18 weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  0% (0/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  0% 
(0/132)  NR NR NR Some 
concernsn  
Greenberg  
200214 RCT Swelling  (Any)  Solicited parental 
report for  day of 
vaccination and  3 
days following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  16.3% 
(NR/129)  NR NR NR Some 
concernsn  
Greenberg  
200214 RCT Swelling  (Severe/Grade 
3) Solicited parental 
report for day of 
vaccination and 3 
days following 
vaccination ; Grade 3 -
diameter >20mm; 
reported at any 
vaccination site  Engerix -B 
vaccine within 
4 days of birth  
(NR)  0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  3.1% 
(NR/129)  NR NR NR Some 
concernsn  
Yerushalmi  
19979 RCT Swelling  Parental report on 
diary card for 5 days 
post -vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 7.7% (4/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 2.0% 
(3/153)  NR NR NR Some 
concernsn  
Wood  
201818 RCT Swelling  (Any)  Parental report, 
within 2 days of dose; 
grade 1: <10mm, 
grade 2 -10-<30mm; 
grade 3: >=30mm  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 4% (6/150)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 12.5% 
(26/208)  NR NR NR Some 
concerns16  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 52 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-
value  Measure of 
Association  Adjusted  Risk of 
Bias 
Wood  
201818 RCT Swelling (Severe/Grade 
3) Parental report, 
within 2 days of dose; 
grade 3: >=30mm  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y ); 
87.6 % 
vaccinated 
days 0 -2 0 Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns16  
Lopez  
200211 Cohort  Swelling  (Any)  Solicited self -report 
by diary card during 
4-day follow -up 
window  HepB Engerix -
B at birth (Y)  4.3% (5/117)  NR NR NR NR NR Serious 
concerns17  
Lopez  
200211 Cohort  Swelling  (Severe)  Solicited self -report 
by diary card during 
4-day follow -up 
window; severe 
>20mm  HepB Engerix -
B at birth (Y)  0% (0/117)  NR NR NR NR NR Serious 
concerns17  
 
Table 25. Neurodevelopmental Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Verstraeten  
200319 Cohort  Attention 
deficit 
disorder 
(ADD )  ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.92 
(95%CI 0.52 -
1.59)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns   
Verstraeten  
200319 Cohort  Attention 
deficit 
disorder 
(ADD )  ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 (Not stratified 
by dose timing)  NR NR NR aHR: 0.90 
(95%CI 0.74 -
1.10)  Stratified 
by HMO, 
year of 
birth, and No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 53 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
month of age 
at HMO B  (Y) sex, and 
adjusted 
for birth 
weight  
and clinic  
Verstraeten  
200319 Cohort  Attention 
deficit 
disorder 
(ADD )  Costar codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO C  (Y) (Not stratified 
by dose timing)  NR NR NR HR: 0.88 
(95CI% 0.53 -
1.48)  none  No 
concerns   
Verstraeten  
200319 Cohort  Autism/Autism 
Spectrum 
Disorder   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.16 
(95%CI 0.78 -
1.71)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Geier  
201320 Case -
control  Autism/Autism 
Spectrum 
Disorder   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for cases 
(diagnosed 
with autism 
spectrum 
disorder)  Exposure/Cases:  
(155/302)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for controls 
(no diagnosis 
of autism 
spectrum 
disorder)  Exposure/Controls: 
(8161/ 25632)  <0.00001  OR: 2.18; 
(95%CI: 
1.74 -2.73)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  NR Serious 
concerns38  
Gallagher  
201021 Cross -
sectional  Autism/Autism 
Spectrum 
Disorder   Parent 
reported 
autism 
diagnosis to 
National 
Health HepB vaccine 
(unspecified) 
within 1 
month of age 
in males born 
before 1999 
(NR)  NR No HepB 
vaccine 
(unspecified) 
in first 
month of life 
(vaccinated 
late or never NR 0.031  aOR: 3.002; 
(95%CI: 
1.109 -8.126)  when 
adjust ing 
for race  
and 
ethnicity , 
family 
structure, Serious 
concerns39  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 54 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Interview 
Survey  vaccinated) 
in males 
born before 
1999 (NR)  and 
maternal 
education  
Verstraeten  
200319 Cohort  Coordination 
Disorder   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.67 
(95%CI 0.78 -
3.57)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns   
Verstraeten  
200319 Cohort  Speech or 
language 
delay   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.14 
(95%CI 0.88 -
1.46)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns  
Verstraeten  
200319 Cohort  Speech or 
language 
delay   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.03 
(95%CI 0.91 -
1.17)  
 Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns  
Verstraeten  
200319 Cohort  Speech or 
language 
delay   Costar codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO C (Y)  (Not stratified 
by dose timing)  NR NR NR HR: 0.91 
(95%CI 0.79 -
1.04)  none  No 
concerns  
Verstraeten  
200319 Cohort  Eating 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.90 
(95%CI 0.50 -
1.61)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 55 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
for birth 
weight  
and clinic  
Geier  
201722 Case -
control  Emotional 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for cases 
(diagnosed 
with 
emotional 
disorders)  Exposure/Cases:  
(204/513)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for controls 
(no diagnosis 
of emotional 
disorders)  Exposure/Controls:  
(9003/ 27491)  <0.005  OR: 1.34 (95 
%CI: 1.12 -
1.60 ) 
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  none  Serious 
concerns41  
Geier  
201722 Case -
control  Emotional 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for male 
cases 
(diagnosed 
with 
emotional 
disorders)  Exposure/Cases:  
(158/ 399)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for male 
controls (no 
diagnosis of 
emotional 
disorders)  Exposure/Controls:  
(4568/ 14013)  <0.005  OR: 1.36; 
(95% CI: 
1.11 -1.66 ) 
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  Stratified 
by sex  Serious 
concerns41  
Geier  
201722 Case -
control  Emotional 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first Exposure/Cases:  
(46/118)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first Exposure/Controls:  
(4435/13478)  0.15  OR: 1.30; 
(95% CI: 
0.90 -1.89)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing Stratified 
by sex  Serious 
concerns41  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 56 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
month of life 
for female 
cases 
(diagnosed 
with 
emotional 
disorders)  month of life 
for female 
controls (no 
diagnosis of 
emotional 
disorders)  vaccine in 
cases v. 
controls)  
Verstraeten  
200319 Cohort  Emotional 
disturbances   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.00 
(95%CI 0.42 -
2.36)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns   
Verstraeten  
200319 Cohort  Emotional 
disturbances   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.76 
(95%CI 0.54 -
1.07)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Verstraeten  
200319 Cohort  Other 
childhood 
psychosis   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.03 
(95%CI 0.60 -
1.74)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Verstraeten  
200319 Cohort  Sleep 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.79 
(95%CI 0.38 -
1.61)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 57 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
for birth 
weight  
Verstraeten  
200319 Cohort  Sleep 
disorders   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.24 
(95%CI 0.80 -
1.93)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Verstraeten  
200319 Cohort  Sleep 
disorders   Costar codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO C (Y)  (Not stratified 
by dose timing)  NR NR NR HR: 0.97 
(95%CI 0.79 -
1.19)  none  No 
concerns   
Geier  
201624 Cohort  Specific delays 
in 
development   ICD-9 codes  HepB vaccine 
(unspecified) 
within first 
month of life 
(Y) (828/18,637 ) No HepB 
vaccine 
within first 
month of life  (1127/31,198 ) <0.001  RR: 1.22, 
(95% CI: 
1.12 -1.33)  none  Serious 
concerns42  
Geier  
201624 Cohort  Specific delays 
in 
development   ICD-9 codes  HepB vaccine 
(unspecified) 
within first 
month of life 
for males (Y)  (567/9514 ) No HepB 
vaccine 
within first 
month of life 
for males  (771/16,110 ) <0.001  OR: 1.23, 
(95%CI: 
1.11 -1.37)  none  Serious 
concerns42  
Geier  
201624 Cohort  Specific delays 
in 
development   ICD-9 codes  HepB vaccine 
(unspecified) 
within first 
month of life 
for females 
(Y) (261/9122 ) No HepB 
vaccine 
within first 
month of life 
for females  (356/15,088 ) <0.0 5 OR: 1.21; 
(95% CI: 
1.03 -1.41)  none  Serious 
concerns42  
Verstraeten  
200319 Cohort  Stammering   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.89 
(95%CI 0.40 -
1.97)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 58 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Verstraeten  
200319 Cohort  Stammering   ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.61 
(95%CI 0.33 -
1.14)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Verstraeten  
200319 Cohort  Stammering   Costar codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO C (Y)  (Not stratified 
by dose timing)  NR NR NR HR: 0.77 
(95%CI 0.47 -
1.26)  none  No 
concerns   
Verstraeten  
200319 Cohort  Tic Disorder, 
Tics  ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO A (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 1.25 
(95%CI 0.47 -
3.29)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  No 
concerns   
Verstraeten  
200319 Cohort  Tic Disorder, 
Tics  ICD-9 codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO B (Y)  (Not stratified 
by dose timing)  NR NR NR aHR: 0.85 
(95%CI 0.55 -
1.30)  Stratified 
by HMO, 
year of 
birth, and 
sex, and 
adjusted 
for birth 
weight  
and clinic  No 
concerns   
Verstraeten  
200319 Cohort  Tic Disorder, 
Tics  Costar codes  HepB vaccine 
(unspecified) 
within 1 
month of age 
at HMO C (Y)  (Not stratified 
by dose timing)  NR NR NR HR: 0.93 
(95%CI 0.45 -
1.92)  none  No 
concerns   
Geier  
201523 Case -
control  Tic Disorder, 
Tics  ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined Exposure/Cases: 
(151/ 344) HepB vaccine 
(unspecified) 
(Y) or 
combined Exposure/Controls: 
(9222/28016 ) <0.00001  OR: 1.59; 
(95%CI: 
1.29 -1.98)  
(assessed as none  Serious 
Concerns43  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 59 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for cases 
(diagnosed 
with tic 
disorder)  Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for controls 
(no diagnosis 
of tic 
disorder)  OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  
Geier  
201523 Case -
control  Tic Disorder, 
Tics  ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for male 
cases 
(diagnosed 
with tic 
disorder)  Exposure/Cases:  
(113/253)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for male 
controls (no 
diagnosis of 
tic disorder)  Exposure/Controls: 
(4697/ 14327)  <0.0001  OR: 1.65; 
(95%CI: 
1.29 -2.12)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  Stratified 
by sex  Serious 
Concerns43  
Geier  
201523 Case -
control  Tic Disorder, 
Tics  ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for female 
cases 
(diagnosed 
with tic 
disorder)  Exposure/Cases:  
(38/ 91) HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for female 
controls (no 
diagnosis of 
tic disorder)  Exposure/Controls: 
(4525/ 13689)  0.09  OR: 1.45; 
(95%CI: 
0.95 -2.21)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  Stratified 
by sex  Serious 
Concerns43  
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 60 of 84 
 Table 26. Neurologic Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure  
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Niu 
199612 Case 
series  Abnormal 
CSF (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 6.7% (4/60)  NR NR NR NR NR Some 
concerns20  
Niu 
199612 Case 
series  Abnormal 
CSF (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 6.7% (4/60)  NR NR NR NR NR Some 
concerns20  
Geier  
201523 Case -
control  Cerebral 
degeneration   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for cases 
(diagnosed 
with cerebral 
degeneration)  Exposure/Cases: 
(175/ 647)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for controls 
(no diagnosis 
of tic 
disorder)  Exposure/Controls:  
(62637/ 135889)  <0.00001  OR: 0.43; 
(95%CI: 
0.36 -0.52)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  none  Serious 
concerns47  
Niu 
199612 Case 
series  Convulsions  
(Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 10% (6/60)  NR NR NR NR NR Some 
concerns20  
Niu 
199612 Case 
series  Convulsions 
(Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 6.7% (4/60)  NR NR NR NR NR Some 
concerns20  
Lewis  
20016 Cohort  Seizure  ICD-9 codes, 
computerized 
database 
search  Hep B vaccine 
(unspecified) 
within first 21 
days of life (Y)  (1/3302)  No Hep B 
vaccine 
within first (4/2353)  0.17  RR: 0.18 
(95%CI: 
0.02 -1.6) NR No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 61 of 84 
 Study  Study 
Type  Outcome  or 
Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention 
or Exposure  
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
21 days of 
life 
Lewis  
20016 Cohort  Seizure  ICD-9 codes, 
computerized 
database 
search  Hep B vaccine 
(unspecified) 
on day of 
birth or day 
after birth (Y) (1/2718)  No Hep B 
vaccine 
within first 
21 days of 
life (4/2353)  0.19  RR: 0.22; 
(95%CI: 
0.02 -1.9) NR No 
concerns   
Haber  
201816 Case 
series  Nervous 
system 
disorders   VAERS, non -
death, serious 
reports  Hep B vaccine 
(unspecified) 
infants aged 
<1 month (Y)  6.3%  (15/240 ) NR NR NR NR NR Some 
concerns39  
Lewis  
20016 Cohort  Neurologic 
disease, 
other than 
seizure   computerized 
database 
search  Hep B vaccine 
(unspecified) 
within first 21 
days of life (Y)  (4/3,302 ) No Hep B 
vaccine 
within first 
21 days of 
life (2/2,353 ) 0.99  RR: 1.4 
(95%CI: 0.3 -
7.8) NR No 
concerns   
Lewis  
20016 Cohort  Neurologic 
disease, 
other than 
seizure   computerized 
database 
search  Hep B vaccine 
(unspecified) 
on day of 
birth or day 
after birth (Y) (4/2,718 ) No Hep B 
vaccine 
within first 
21 days of 
life (2/2,353 ) 0.69  RR: 1.7; 
(95%CI: 0.3 -
9.4) NR No 
concerns   
 
Table 27. Cardiopulmonary Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Morgan  
20257 Cohort  Bronchopulmonary 
dysplasia  ICD-10 
Australian 
modification  
codes  Hep B vaccine 
(unspecified) 
within 24h of 
birth  for 
extremely 
premature 
infants (<29 
weeks 
gestation)  
(NR)  (155/306)  No recorded 
Hep B 
vaccine 
within 24h of 
birth  for 
extremely 
premature 
infants (<29 
weeks 
gestation)  (317/512)  NR aRR: 0.83; 
(95%CI: 0.68 -
1.0) Maternal 
age, low 
Apgar at 1 
minute, low 
Apgar at 5 
minutes, 
maternal 
smoking, 
gestation 
period and 
congenital No 
concerns   
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 62 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % 
(n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
heart 
disease 
status  
Niu 
199612 Case series  Apnea  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 8.3% ( 5/60)  NR NR NR NR NR Some 
concernst  
Niu 
199612 Case series  Apnea  (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) (3/60)  NR NR NR NR NR Some 
concernst  
Niu 
199612 Case series  Bradycardia  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 1.7% (1/60)  NR NR NR NR NR Some 
concernst  
Niu 
199612 Case series  Bradycardia  (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 1.7% (1/60)  NR NR NR NR NR Some 
concernst  
Niu 
199612 Case series  Cyanosis  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 11.7% ( 7/60)  NR NR NR NR NR Some 
concernst  
Niu 
199612 Case series  Cyanosis  (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) (5/60)  NR NR NR NR NR Some 
concernst  
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 63 of 84 
 Table 28. Systemic Reactions Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Niu 
199612 Case 
series  Agitation  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 21.7% (13/60)  NR NR NR NR NR Some 
concernsq   
Niu 
199612 Case 
series  Agitation  (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 11.7% (7/60)  NR NR NR NR NR Some 
concernsq   
Yerushalmi  
19979 RCT Anorexia/Decreased 
appetite    Parental 
report on diary 
card for 5 days 
post -
vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 0% (0/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 2.0% 
(3/153)  NR NR NR Some 
concerns28  
Greenberg  
200214 RCT Anorexia/Decreased 
appetite  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  14.0% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  25.6% 
(NR/129)  NR NR NR Some 
concerns28  
Greenberg  
200214 RCT Anorexia/Decreased 
appetite  (Severe/Grade 
3) Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Grade 3 -
prevented 
normal daily 
activities  Engerix -B 
vaccine within 
4 days of birth  
(NR)  1.5% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0.8% 
(NR/129)  NR NR NR Some 
concerns28  
Wood  
201818 RCT Feeding 
issues /Anorexia (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 17% (17/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 13% 
(28/221)  NR NR NR Some 
concerns32  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 64 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
vaccinated 
days 0 -2 vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 
Wood  
201818 RCT Feeding 
issues /Anorexia (Grade 
3/Severe)  Parental 
report, within 
2 days of dose; 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0.9% (1/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns32  
Lopez  
200211 Cohort  Anorexia/Decreased 
appetite  (Any)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  2.6% (3/117)  NR NR NR NR NR Some 
concerns54  
Lopez  
200211 Cohort  Anorexia/Decreased 
appetite  (Severe)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  1.7% (2/117)  NR NR NR NR NR Some 
concerns54  
Sapru  
200713 RCT Constipation   Parental 
report until 
total follow -up 
period of 18 
weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  0% (0/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  0% 
(0/132)  NR NR NR No 
concerns   
 
Wood  
201818 RCT Diarrhea  (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 12% (12/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 17.0% 
(38/221)  NR NR NR Some 
concerns25  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 65 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
vaccinated 
days 0-2 
Wood  
201818 RCT Diarrhea  (Severe/Grade 
3) Parental 
report, within 
2 days of dose ; 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0 Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns25  
Sapru  
200713 RCT Diarrhea  (loose 
motions)  Parental 
report until 
total follow -up 
period of 18 
weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  0% (0/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  0% 
(0/132)  NR NR NR Some 
concerns30  
Greenberg  
200214 RCT Diarrhea  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  8.1% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  10.1% 
(NR/129)  NR NR NR Some 
concerns30  
Greenberg  
200214 RCT Diarrhea  (Severe/Grade 
3)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Grade 3 -
prevented 
normal daily 
activities  Engerix -B 
vaccine within 
4 days of birth  
(NR)  0.7% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0% 
(0/129)  NR NR NR Some 
concerns30  
Yerushalmi  
19979 RCT Diarrhea   Parental 
report on diary 
card for 5 days Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 0% (0/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 0.64% 
(1/152)  NR NR NR Some 
concerns30  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 66 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
post -
vaccination  
Niu 
199612 Case 
series  Diarrhea  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 1.7% (1/60)  NR NR NR NR NR Some 
concerns24  
Niu 
199612 Case 
series  Diarrhea  (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 1.7% (1/60)  NR NR NR NR NR Some 
concerns24  
Greenberg  
200214 RCT Drowsiness or sleeping 
more  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  32.4% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  40.3% 
(NR/129)  NR NR NR Some 
concerns31  
Greenberg  
200214 RCT Drowsiness or sleeping 
more  (Severe/Grade 3)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Grade 3 -
prevented 
normal daily 
activities  Engerix -B 
vaccine within 
4 days of birth  
(NR)  2.9% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0.8% 
(NR/129)  NR NR NR Some 
concerns31  
Wood  
201818 RCT Drowsiness or sleeping 
more  (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 28% (28/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 18% 
(39/221)  NR NR NR Some 
concerns29  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 67 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Wood  
201818 RCT Drowsiness or sleeping 
more  (Severe/Grade 3)  Parental 
report, within 
2 days of dose; 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0.9% (1/ 103) Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0.5% 
(1/221) NR NR NR Some 
concerns29  
Lopez11 
2002  Cohort  Drowsiness or sleeping 
more  (Any)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  5.1% (6/117)  NR NR NR NR NR Some 
concerns26  
Lopez  
200211 Cohort  Drowsiness or sleeping 
more  (Severe)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  0.9% (1/117)  NR NR NR NR NR Some 
concerns26  
Linder  
199910 Cohort  Fever  (neonatal fever 
>37.5 ⁰C) Birth 
hospitalization 
discharge 
diagnosis  HepB vaccine 
(unspecified) 
on first day of 
life (NR)  1.2% 
(68/5819)  No HepB 
vaccine on 
first day of life  0.54% 
(27/5010)  0.001  NR NR Serious 
concerns34  
Linder  
199910 Cohort  Fever  (neonatal fever 
>38⁰C) Birth 
hospitalization 
discharge 
diagnosis  HepB vaccine 
(unspecified) 
on first day of 
life (NR)  0.9% 
(50/5819)  No HepB 
vaccine on 
first day of life  0.54% 
(27/5010)  0.05 NR NR Serious 
concerns34  
Linder  
199910 Cohort  Fever  (explained 
neonatal fever)  Birth 
hospitalization 
discharge 
diagnosis  HepB vaccine 
(unspecified) 
on first day of 
life (NR)  0.3% 
(15/5819)  No HepB 
vaccine on 
first day of life  0.3% 
(13/5010)  NR NR NR Serious 
concerns34  
Linder  
199910 Cohort  Fever  (unexplained 
neonatal fever)  Birth 
hospitalization 
discharge 
diagnosis  HepB vaccine 
(unspecified) 
on first day of 
life (NR)  0.6% 
(35/5819)  No HepB 
vaccine on 
first day of life  0.3% 
(14/5010)  0.013  NR NR Serious 
concerns34  
Lopez  
200211 Cohort  Fever  (Any)  Solicited self -
report by diary 
card during 4 -HepB Engerix -
B at birth (Y)  0.9% (1/117)  NR NR NR NR NR Some 
concerns 
28  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 68 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
day follow -up 
window  
Lopez  
200211 Cohort  Fever  (Severe)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window ; 
severe >39 
axillary or 
>39.5 rectal  HepB Engerix -
B at birth (Y)  0.9% (1/117)  NR NR NR NR NR Some 
concerns 
28  
Niu 
199612 Case 
series  Fever  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 30% (18/60)  NR NR NR NR NR Some 
concerns24  
Niu 
199612 Case 
series  Fever (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 21.7% (13/60)  NR NR NR NR NR Some 
concerns24  
Bassily  
19958 RCT Fever  Parental 
report of 1-2 
days of fever 
≤102⁰F  Recombivax 
immediately 
after birth (Y)  5.6% 
(NR/178)  Recombivax 
at 18 months 
of age (Y)  2.1% 
(NR/191)  NR NR NR Some 
concerns 
33  
Bassily  
19958 RCT Fever  Parental 
report of 1 -2 
days of fever 
≤102⁰F  Recombivax 
at 2 months of 
age (Y)  7.2% 
(NR/167)  Recombivax 
at 18 months 
of age (Y)  2.1% 
(NR/191)  NR NR NR Some 
concerns 
33  
Yerushalmi  
19979 RCT Fever  (≥38⁰C ) Parental 
report on diary 
card for 5 d ays 
post -
vaccination  Engerix -B 
vaccine within 
24 hrs of birth 
(Y) 0% (0/52)  BioHepB 
vaccine within 
24 hrs of birth 
(Y) 1.3% 
(2/153)  NR NR NR Some 
concerns 
59  
Greenberg  
200214 RCT Fever  (Any )  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Rectal Engerix -B 
vaccine within 
4 days of birth  
(NR)  5.9% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  14.7% 
(NR/129)  NR NR NR Some 
concerns 
59  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 69 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
temperature 
≥38⁰C  
Greenberg  
200214 RCT Fever  (Severe/Grade 3)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Grade 3 -fever 
>39.5 ⁰C Engerix -B 
vaccine within 
4 days of birth  
(NR)  0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0.8% 
(NR/129)  NR NR NR Some 
concerns 
59  
Sapru  
200713 RCT Fever (axillary 
temperature ≥38⁰C ) Parental 
report until 
total follow -up 
period of 18 
weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  4.6% (6/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  3.0% 
(4/132)  NR NR NR Some 
concerns 
59  
Wood  
201818 RCT Fever  (≥38⁰C ) Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0.7% (1/138)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns 
59  
Wood  
201818 RCT Fever ( ≥39⁰C) Parental 
repo rt, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0 Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0 NR NR NR Some 
concerns 
59  
Wood  
201818 RCT Irritability or 
fussiness  (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 20% (21/103)  Engerix -B co-
administered 
with 24.0% 
(54/221)  NR NR NR Serious 
concerns34  
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 70 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 
Wood  
201818 RCT Irritability or fussiness  
(Severe/Grade 3)   Parental 
report, within 
2 days of dose; 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0.9% ( 1/103 ) Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 0.9% 
(2/221 ) NR NR NR Serious 
concerns34  
 
Greenberg  
200214 RCT Irritability or 
fussiness  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  22.1% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  54.3% 
(NR/129)  NR NR NR Serious 
concerns34  
Greenberg  
200214 RCT Irritability or 
fussiness  (Severe/Grade 
3) Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination ; 
Grade 3 -
prevented 
normal daily 
activities  Engerix -B 
vaccine within 
4 days of birth  
(NR)  0.7% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  3.9% 
(NR/129)  NR NR NR Serious 
concerns34  
Yerushalmi  
19979 RCT Irritability or fussiness   Parental 
report on diary 
card for 5 days Engerix -B 
vaccine within 11.5% (6/52)  BioHepB 
vaccine within 3.3% 
(5/153)  NR NR NR Serious 
concerns34  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 71 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
post -
vaccination  24 hrs of birth 
(Y) 24 hrs of birth 
(Y) 
Lopez  
200211 Cohort  Irritability or 
fussiness  (Any)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  2.6% (3/117)  NR NR NR NR NR Some 
concerns65  
Lopez  
200211 Cohort  Irritability or 
fussiness  (Severe)  Solicited self -
report by diary 
card during 4 -
day follow -up 
window  HepB Engerix -
B at birth (Y)  1.7% (2/117)  NR NR NR NR NR Some 
concerns65  
Sapru  
200713 RCT Rash  Parental 
report until 
total follow -up 
period of 18 
weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  0% (0/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  0% 
(0/132)  NR NR NR No 
Concerns   
Niu 
199612 Case 
series  Rash  (Any)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 3.3% (2/60)  NR NR NR NR NR Some 
concerns31  
 
Niu 
199612 Case 
series  Rash (Serious)  NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of age  
(Y) 3.3% (2/60)  NR NR NR NR NR Some 
concerns31  
 
Wood  
201818 RCT Restlessness or sleeping 
less (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 31% (32/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 22.0% 
(49/221)  NR NR NR Serious 
concerns38  
Wood  
201818 RCT Restlessness or sleeping 
less (Severe/Grade 3)  Parental 
report, within 
2 days of dose; Engerix -B 
vaccine given 
alone within 3% (3/103)  Engerix -B co-
administered 
with 1% 
(2/221)  NR NR NR Serious 
concerns38  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 72 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0-2 
Greenberg  
200214 RCT Restlessness or sleeping 
less (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  16.9% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  26.4% 
(NR/129)  NR NR NR Serious 
concerns38  
Greenberg  
200214 RCT Restlessness or sleeping 
less (Severe/Grade 3)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination; 
Grade 3 -
prevented 
normal daily 
activities  Engerix -B 
vaccine within 
4 days of birth  
(NR)  1.5% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0.8% 
(NR/129)  NR NR NR Serious 
concerns38  
Greenberg  
200214 RCT Unusual crying  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  1.5% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  3.1% 
(NR/129)  NR NR NR Some 
concerns40  
Greenberg  
200214 RCT Unusual 
crying  (Severe/Grade 3)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination; Engerix -B 
vaccine within 
4 days of birth  
(NR)  0% (0/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  0.8% 
(NR/129)  NR NR NR Some 
concerns40  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 73 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Grade 3 -
prevented 
normal daily 
activities  
Wood  
201818 RCT Vomiting  (Any)  Parental 
report, within 
2 days of dose  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 24% (23/103)  Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y ); 91% 
vaccinated 
days 0 -2 20.0% 
(45/221)  NR NR NR Some 
concerns41  
Wood  
201818 RCT Vomiting 
(Severe/Grade 3)  Parental 
report, within 
2 days of dose ; 
Grade 3 -
prevents 
normal 
everyday 
activities or 
requires 
significant 
medical 
intervention  Engerix -B 
vaccine given 
alone within 
120 hrs of 
birth (Y) ; 
87.6 % 
vaccinated 
days 0 -2 0 Engerix -B co-
administered 
with 
investigational 
acellular 
Pertussis 
vaccine within 
120 hrs of 
birth (Y) ; 91% 
vaccinated 
days 0 -2 0 NR NR NR Some 
concerns41  
Sapru  
200713 RCT Vomiting  Parental 
report until 
total follow -up 
period of 18 
weeks  Engerix -B 
vaccine within 
first 2 weeks 
of life (NR)  0% (0/130)  GeneVacB 
(HepB) 
vaccine within 
first 2 weeks 
of life (NR)  0% 
(0/132)  NR NR NR Some 
concerns41  
Greenberg  
200214 RCT Vomiting  (Any)  Solicited 
parental 
report for day 
of vaccination 
and 3 days 
following 
vaccination  Engerix -B 
vaccine within 
4 days of birth  
(NR)  4.4% 
(NR/136)  DTaP -HepB, 
OPV, and Hib 
vaccines at 2 
months of age 
(NR)  7.8% 
(NR/129)  NR NR NR Some 
concerns41  
Greenberg  
200214 RCT Vomiting 
(Severe/Grade 3)  Solicited 
parental Engerix -B 
vaccine within 0% (0/136)  DTaP -HepB, 
OPV, and Hib 0% 
(0/129)  NR NR NR Some 
concerns41  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 74 of 84 
 Study  Study 
Type  Outcome  Outcome 
Identification  Intervention 
(Thimerosal 
Y/N/NR)  Intervention 
% (n/N)  Control  
(Thimerosal 
Y/N/NR)  Control 
% (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
report for day 
of vaccination 
and 3 days 
following 
vaccination; 
Grade 3 -
prevented 
normal daily 
activities  4 days of birth  
(NR)  vaccines at 2 
months of age 
(NR)  
 
Table 29. Other Reactions Results of Studies Meeting Inclusion Criteria  
Study  Study 
Type  Outcome  or Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention or 
Exposure  % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
Geier  
201825 Case -
control  Premature puberty   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for cases 
(diagnosed 
with 
premature 
puberty ) Exposure/Cases: 
(255/486)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for controls 
(no 
premature 
puberty ) Exposure/Controls: 
(20582/54199)  <0.00001  OR: 1.80, 
(95% CI: 
1.51 -2.16)  
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  none  Serious 
concerns67  
Geier  
201825 Case -
control  Premature puberty   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life Exposure/Controls: 
(10/28)  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life Exposure/Controls: 
(10584/ 27989)  >0.99  OR: 0.91, 
(95% CI: 
0.42-1.98) 
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in Stratified 
by sex  Serious 
concerns67  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 75 of 84 
 Study  Study 
Type  Outcome  or Case  Outcome 
Identification  Intervention 
or Exposure 
(Thimerosal 
Y/N/NR)  Intervention or 
Exposure  % 
(n/N)  Control  
(Thimerosal 
Y/N/NR)  Control % (n/N)  p-value  Measure of 
Association  Adjusted  Risk of 
Bias 
for male 
cases 
(diagnosed 
with 
premature 
puberty)  for male 
controls (no 
premature 
puberty)  cases v. 
controls)  
Geier  
201825 Case -
control  Premature puberty   ICD-9 codes  HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for female 
cases 
(diagnosed 
with 
premature 
puberty)  Exposure/Controls: 
(245/ 458)  
 HepB vaccine 
(unspecified) 
(Y) or 
combined 
Hib-HepB 
vaccine or no 
vaccine 
within first 
month of life 
for female 
controls (no 
premature 
puberty)  Exposure/Controls: 
(9997/26209)  <0.00001  OR: 1.87, 
(95% CI: 
1.55 -2.25 ) 
(assessed as 
OR of 
exposure to 
thimerisol -
containing 
vaccine in 
cases v. 
controls)  Stratified 
by sex  Serious 
concerns67  
Haber  
201816 Case 
series  General disorders 
and administration 
site conditions   VAERS, non -
death, serious 
reports  Hep B vaccine 
(unspecified) 
infants aged 
<1 month (Y)  4.2% (10/240)  NR NR NR NR NR Some 
concerns39  
Niu 
199612 Case 
series  Hyperbilirubenemia 
/HbSAg+   NR Hep B vaccine 
(unspecified) 
infants aged 
<0.1 yrs of 
age (Y) 1.7% (1/60)  NR NR NR NR NR Some 
concernsh  
C.3. Risk of Bias Assessments for All Included Studies  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 76 of 84 
 Figure 2. Risk of Bias Assessments for Randomized Controlled Trials  
 
 Legend: Green = Yes or Possibly Yes , Yellow = Unclear , Red = No or Possibly No, Grey or Black = Not applicable   
 
 

 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 77 of 84 
 Figure 3. Risk of Bias Assessments for Cohort Studies  
 
 Legend: Green = Yes or Possibly Yes, Yellow = Unclear, Red = No or Possibly No, Grey or Black = Not applicable  
 
 
 
 
 

 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 78 of 84 
 Figure 4. Risk of Bias Assessments for Case Control Studies  
 
 Legend: Green = Yes or Possibly Yes, Yellow = Unclear, Red = No or Possibly No, Grey or Black = Not applicable  

 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 79 of 84 
 Figure 5. Risk of Bias Assessments for Case Series Studies  
 
 Legend: Green = Yes or Possibly Yes, Yellow = Unclear, Red = No or Possibly No, Grey or Black = Not applicable  
  

 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 80 of 84 
 D. Search Strategies  
Table 30. Searc h Strategies  and Results   
DATABASE  STRATEGY  RUN DATE  RECORD 
COUNT  
Medline  
(OVID)  
1946 - 1. exp Hepatitis B Vaccines/  
2. (((Hepatitis B OR HepB OR Hep B OR HBV) ADJ5 vaccin*) OR HepB -BD OR Engerix -B OR Recombivax HB).ti,ab,kf.  
3. 1 OR 2  
4. Exp Infant/  
5. (Infant* OR newborn* OR new born* OR neonat* OR birth OR birth -dose*).ti,ab,kf.  
6. 4 OR 5  
7. Exp Safety/ OR exp Treatment Outcome/  
8. (safety OR (vaccin* ADJ2 safe*) OR treatment outcome* OR adverse* OR harm OR harmful OR harms OR side effect* OR 
reaction*).ti,ab,kf. OR ae.fs  
9. 7 OR 8  
10. Exp Clinical Study/ OR exp Product Surveillance, Postmarketing/  
11. (trial* OR observational stud* OR observation stud* OR clinical stud* OR surveillance OR reporting system* OR VAERS OR 
postmarket* OR post -market*).ti,ab,kf,hw.  
12. 10 OR 11  
13. 3 AND 6 AND 9 AND 12  07/31/2025  599 
Embase  
(OVID)  
1947 - 1. exp Hepatitis B Vaccine/  
2. (((Hepatitis B OR HepB OR Hep B OR HBV) ADJ5 vaccin*) OR HepB -BD OR Engerix -B OR Recombivax HB).ti,ab,kf.  
3. 1 OR 2  
4. Exp Infant/  
5. (Infant* OR newborn* OR new born* OR neonat* OR birth OR birth -dose*).ti,ab,kf.  
6. 4 OR 5  
7. Exp Safety/ OR exp Treatment Outcome/ OR adverse drug reaction/  
8. (safety OR (vaccin* ADJ2 safe*) OR treatment outcome* OR adverse* OR harm OR harmful OR harms OR side effect* OR 
reaction*).ti,ab,kf. OR ae.fs  
9. 7 OR 8  
10. Exp Clinical Study/ OR exp Postmarketing Surveillance/  
11. (trial* OR observational stud* OR observation stud* OR clinical stud* OR surveillance OR reporting system* OR VAERS OR 
postmarket* OR post -market*).ti,ab,kf,hw.  
12. 10 OR 11  
13. 3 AND 6 AND 9 AND 12  
14. limit 13 to "pubmed/medline"  
15. 13 NOT 14  
16. limit 15 to conference abstract status  
17. 15 NOT 16  07/31/2025  1527  
 
- 
DUPLICATES  
 
=165  
UNIQUE 
RECORDS  
Cochrane 
Library  
 #1 [mh "Hepatitis B Vaccines"]  07/31/2025  400 
 
- 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 81 of 84 
 DATABASE  STRATEGY  RUN DATE  RECORD 
COUNT  
#2 ((("Hepatitis B":ti,ab,kw OR HepB:ti,ab,kw OR "Hep B":ti,ab,kw OR HBV:ti,ab,kw) NEAR/5 vaccin*:ti,ab,kw) OR HepB -
BD:ti,ab,kw OR Engerix -B:ti,ab,kw OR "Recombivax HB":ti,ab,kw)  
#3 #1 OR #2  
#4 [mh Infant]  
#5 (Infant*:ti,ab,kw OR newborn*:ti,ab,kw OR ("new" NEXT born*):ti,ab,kw OR neonat*:ti,ab,kw OR birth:ti,ab,kw OR birth -
dose*:ti,ab,kw)  
#6 #4 OR #5  
#7 [mh Safety] OR [mh "Treatment Outcome"]  
#8 (safety:ti,ab,kw OR (vaccin*:ti,ab,kw NEAR/2 safe*:ti,ab,kw) OR ("treatment" NEXT outcome*):ti,ab,kw OR 
adverse*:ti,ab,kw OR harm:ti,ab,kw OR harmful:ti,ab,kw OR harms:ti,ab,kw OR ("side" NEXT effect*):ti,ab,kw)  
#9 #7 OR #8  
#10 [mh ^"Clinical Study"] OR [mh ^"Product Surveillance, Postmarketing"]  
#11 (trial*:ti,ab,kw OR ("observational" NEXT stud*):ti,ab,kw OR ("observation" NEXT stud*):ti,ab,kw OR ("clinical" NEXT 
stud*):ti,ab,kw OR surveillance:ti,ab,kw OR ("reporting" NEXT system*):ti,ab,kw OR VAERS:ti,ab,kw OR 
postmarket*:ti,ab,kw OR post -market*:t i,ab,kw)  
#12 #10 OR #11  
#13 #3 AND #6 AND #9 AND #12  DUPLICATES  
 
=145  
UNIQUE 
RECORDS  
CINAHL  
(EBSCOHost)  S1 (MH "Hepatitis B Vaccines+")  
S2 ((((TI "Hepatitis B" OR AB "Hepatitis B" OR SU "Hepatitis B") OR (TI HepB OR AB HepB OR SU HepB) OR (TI "Hep B" OR AB 
"Hep B" OR SU "Hep B") OR (TI HBV OR AB HBV OR SU HBV)) N5 (TI vaccin* OR AB vaccin* OR SU vaccin*)) OR (TI HepB -BD 
OR AB HepB -BD OR SU He pB-BD) OR (TI Engerix -B OR AB Engerix -B OR SU Engerix -B) OR (TI "Recombivax HB" OR AB 
"Recombivax HB" OR SU "Recombivax HB"))  
S3 S1 OR S2  
S4 (MH Infant+)  
S5 ((TI Infant* OR AB Infant* OR SU Infant*) OR (TI newborn* OR AB newborn* OR SU newborn*) OR (TI "new born*" OR AB 
"new born*" OR SU "new born*") OR (TI neonat* OR AB neonat* OR SU neonat*) OR (TI birth OR AB birth OR SU birth) OR 
(TI birth -dose* OR AB birt h-dose* OR SU birth -dose*))  
S6 S4 OR S5  
S7 (MH Safety+) OR (MH "Treatment Outcomes+") OR (MH "Adverse Drug Event+")  
S8 ((TI safety OR AB safety OR SU safety) OR ((TI vaccin* OR AB vaccin* OR SU vaccin*) N2 (TI safe* OR AB safe* OR SU safe*)) 
OR (TI "treatment outcome*" OR AB "treatment outcome*" OR SU "treatment outcome*") OR (TI adverse* OR AB 
adverse* OR SU adverse*) OR (TI harm OR AB harm OR SU harm) OR (TI harmful OR AB harmful OR SU harmful) OR (TI 
harms OR AB harms OR SU harms) OR (TI "side effect*" OR AB "side effect*" OR SU "side effect*"))  
S9 S7 OR S8  
S10 (MH "Clinical Study+") OR (MH "Product Surveillance, Postmarketing+")  
S11 ((TI trial* OR AB trial* OR SU trial*) OR (TI "observational stud*" OR AB "observational stud*" OR SU "observational stud*") 
OR (TI "observation stud*" OR AB "observation stud*" OR SU "observation stud*") OR (TI "clinical stud*" OR AB "clinical 
stud*" OR S U "clinical stud*") OR (TI surveillance OR AB surveillance OR SU surveillance) OR (TI "reporting system*" OR AB 
"reporting system*" OR SU "reporting system*") OR (TI VAERS OR AB VAERS OR SU VAERS) OR (TI postmarket* OR AB 
postmarket* OR SU postmarket*) OR (TI post -market* OR AB post -market* OR SU post -market*))  
S12 S10 OR S11  07/31/2025  22 
 
- 
DUPLICATES  
 
=7 
UNIQUE 
RECORDS  
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or 
policy .  Page 82 of 84 
 DATABASE  STRATEGY  RUN DATE  RECORD 
COUNT  
S13 S3 AND S6 AND S9 AND S12  
 
Limiters  - Exclude  MEDLINE  records  
 
 
Disclaimer: The findings and conclusions herein are draft and have not been formally disseminated by the Centers for Disease Control and Prevention and should not 
be construed to represent any agency determination or policy .  Page 83 of 84 
 E. References  
 
1. Hosseini M -S, Jahanshahlou F, Akbarzadeh MA, Zarei M, Vaez -Gharamaleki Y. Formulating research questions for 
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doi:https://doi.org/10.1016/j.glmedi.2023.100046  
2. Wells GA, Wells G, Shea B, et al. The Newcastle -Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised 
Studies in Meta -Analyses. 2014:  
3. Sterne JAC, Savović J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. Bmj. Aug 
28 2019;366:l4898. doi:10.1136/bmj.l4898  
4. Moola S, Munn Z, Tufanaru C, et al. Chapter 7: Systematic reviews of etiology and risk. In : Aromataris E, Munn Z, 
eds. JBI Reviewer's Manual . 2020. https://synthesismanual.jbi.global .  https://doi.org/10.46658/JBIMES -20-08  
5. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength 
of recommendations. Bmj. Apr 26 2008;336(7650):924 -6. doi:10.1136/bmj.39489.470347.AD  
6. Lewis E, Shinefield HR, Woodruff BA, et al. Safety of neonatal hepatitis B vaccine administration. Pediatr Infect 
Dis J . Nov 2001;20(11):1049 -54. doi:10.1097/00006454 -200111000 -00009  
7. Morgan HJ, Nold MF, Kattan GS, et al. Hepatitis B vaccination of preterm infants and risk of bronchopulmonary 
dysplasia: a cohort study, Australia. Vaccination contre l'hepatite B de prematures et risque de dysplasie 
bronchopulmonaire: etude de cohorte en  Australie, Vacunacion contra la hepatitis B en neonatos prematuros y riesgo 
de displasia broncopulmonar: estudio de cohortes en Australia. Bull World Health Organ . 2025;103(3):187 -193. 
doi:10.2471/BLT.24.291683  
8. Bassily S, Kotkat A, Gray G, et al. Comparative study of the immunogenicity and safety of two dosing schedules 
of hepatitis
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