ACIP recommends a 2-dose vaccination series against MMR

ACIP recommends a 2-dose vaccination series against MMR4,5

Actor Portrayal

Measles outbreaks can still occur within the US.

Even with the occurence of outbreaks in recent years:

~1 out of 12 children were unvaccinated against MMR by 24 months of agea,6,7,8

aNIS-Child is a random-digit-dialed survey of households that included children aged 19–35 months. Parents or guardians completed a telephone survey and consent to contact the child’s vaccination providers was requested. With parental or guardian consent, identified providers were mailed a questionnaire to obtain vaccination information, which was synthesized to create the child’s comprehensive vaccination history. Children born during 2018–2019 were identified from data collected during 2019–2021, resulting in 29,598 children with adequate provider data for analysis.

Remember to check for children and adolescents who are unvaccinated against measles, mumps, and rubella viruses6,9

The ACIP recommends that children complete a 2-dose vaccine series against MMR viruses.4

M-M-R®II can be used for both doses4

The First Dose of M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) Should Be Given at 12-15 Months of Age

1st Dose
12–15 months of age

The Second Dose of M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) Should Be Given at 4-6 Years of Age

2nd Dosea,4
4–6 years of age

aSecond dose can be administered as early as 4 weeks after the first dose.4

Number of measles cases reported by year9

2010-2023* (as of June 8, 2023)

*Case count is preliminary and subject to change.

You can find more about that here: https://www.cdc.gov/other/agencymaterials.html

Catch-up vaccinations

For children and adolescents who are unvaccinated against MMR viruses, the CDC recommends catch-up vaccinations of a 2-dose series at least 4 weeks apart.4


M-M-R®II: Part of the MMRV Family


Dosage and Administration for M-M-R®II (Measles, Mumps, & Rubella Virus Vaccine Live)

Dosage and Administration

Discover the dosing regimen and administration of M-M-R®II.

Clinical Data for M-M-R®II (Measles, Mumps, & Rubella Virus Vaccine Live)

Clinical Data

Explore the robust coverage M-M-R®II offers your pediatric patients.

ref2

Reference

  1. U.S Food and Drug Administration (FDA). Statistical Review – Measles, Mumps, and Rubella Virus Vaccine Live. Updated March 8, 2023. Accessed July 24, 2023. https://www.fda.gov/media/166052/download
ref3

Reference

  1. Gillet Y, Habermehl P, Thomas S, et al. Immunogenicity and safety of concomitant administration of a measles, mumps and rubella vaccine (M-M-RvaxPro®) and a varicella vaccine (VARIVAX®) by intramuscular or subcutaneous routes at separate injection sites: a randomised clinical trial. BMC Med. 2009;7(16). https://doi.org/10.1186/1741-7015-7-16
ref6

Reference

  1. Ackerson B, Sy L, Glenn S, et al. Pediatric vaccination during the COVID-19 pandemic. Pediatrics. 2021;148(1):e2020047092. doi:10.1542/peds.2020-047092

ref6

Reference

  1. Ackerson B, Sy L, Glenn S, et al. Pediatric vaccination during the COVID-19 pandemic. Pediatrics. 2021;148(1):e2020047092. doi:10.1542/peds.2020-047092

ref7

Reference

  1. Hill HA, Chen M, Elam-Evans L, Yankey D, Singleton J. Centers for Disease Control and Prevention. Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021. MMWR Morb Mortal Wkly Rep. 2023;72(2):33–38. http://dx.doi.org/10.15585/mmwr.mm7202a3
ref5

Reference

  1. McLean H, Fiebelkorn A, Temte J, Wallace G; Centers for Disease Control and Prevention. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62(4):1-34.
ref9

Reference

  1. Centers for Disease Control and Prevention. Measles cases and outbreaks. Last reviewed August 4, 2023. Accessed August 25, 2023. https://www.cdc.gov/measles/cases-outbreaks.html
ref4

Reference

  1. Centers for Disease Control and Prevention. Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2023. Updated April 21, 2023. Accessed May 4, 2023. https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

ref8

Reference

  1. Centers for Disease Control and Prevention. Making the vaccine decision: addressing common concerns. Updated March 7, 2023. Accessed April 14, 2023. https://www.cdc.gov/vaccines/parents/why-vaccinate/vaccine-decision.html

Indications and Usage for M-M-R®II

  • M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older.
  • The first dose of M-M-R®II is administered at 12 to 15 months of age and the second dose of M-M-R®II is administered at 4 to 6 years of age.

Selected Safety Information for M-M-R®II

  • M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those who are pregnant or are planning to become pregnant within the next month.
  • Due caution should be employed in administration of M-M-R®II to persons with: a history of febrile seizure or family history of febrile seizures; immediate-type hypersensitivity reactions to eggs; thrombocytopenia.
  • Vaccination should be deferred in individuals with a family history of congenital or hereditary immunodeficiency until the individual’s immune status has been evaluated and the individual has been found to be immunocompetent.
  • Immune globulins (IG) and other blood products should not be given concurrently with M-M-R®II. The ACIP has specific recommendations for intervals between administration of antibody-containing products and live virus vaccines.
  • The following adverse reactions have been identified during both the subcutaneous and intramuscular use of M-M-R®II or its components in clinical trials or reported during post-approval use: fever, rash, and injection-site reactions.
  • The following adverse reactions have been identified during the subcutaneous use of M-M-R®II or its components in clinical trials or reported during post-approval use: headache, dizziness, febrile convulsions, anaphylaxis and anaphylactoid reactions, arthritis, thrombocytopenia, encephalitis and encephalopathy.

Dosage and Administration

  • FOR INTRAMUSCULAR OR SUBCUTANEOUS USE ONLY. 
  • M-M-R®II vaccine can be administered concurrently with other live viral vaccines. If not given concurrently, M-M-R®II vaccine should be given one month before or one month after administration of other live viral vaccines to avoid potential for immune interference.

Before administering M-M-R®II, please read the accompanying Prescribing Information. The Patient Information also is available.

Indications and Usage for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)

  • M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older.
  • The first dose of M-M-R®II is administered at 12 to 15 months of age and the second dose of M-M-R®II is administered at 4 to 6 years of age.

M-M-R®II is a vaccine indicated for active immunization for the prevention of measles, mumps

M-M-R®II is a vaccine indicated for active immunization for the prevention of measles, mumps, and rubella in individuals 12 months of age or older. The first dose of M-M-R®II is administered at 12 to 15 months of age and the second dose of M-M-R®II is administered at 4 to 6 years of age.

Selected Safety Information for M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live)

  • M-M-R®II (Measles, Mumps, and Rubella Virus Vaccine Live) is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those who are pregnant or are planning to become pregnant within the next month.
  • Due caution should be employed in administration of M-M-R®II to persons with: a history of febrile seizure or family history of febrile seizures; immediate-type hypersensitivity reactions to eggs; thrombocytopenia.
  • Vaccination should be deferred in individuals with a family history of congenital or hereditary immunodeficiency until the individual’s immune status has been evaluated and the individual has been found to be immunocompetent.
  • Immune globulins (IG) and other blood products should not be given concurrently with M-M-R®II. The ACIP has specific recommendations for intervals between administration of antibody-containing products and live virus vaccines.
  • The following adverse reactions have been identified during both the subcutaneous and intramuscular use of M-M-R®II or its components in clinical trials or reported during post-approval use: fever, rash, and injection-site reactions.
  • The following adverse reactions have been identified during the subcutaneous use of M-M-R®II or its components in clinical trials or reported during post-approval use: headache, dizziness, febrile convulsions, anaphylaxis and anaphylactoid reactions, arthritis, thrombocytopenia, encephalitis and encephalopathy.

Dosage and Administration

  • FOR INTRAMUSCULAR OR SUBCUTANEOUS USE ONLY. 
  • M-M-R®II vaccine can be administered concurrently with other live viral vaccines. If not given concurrently, M-M-R®II vaccine should be given one month before or one month after administration of other live viral vaccines to avoid potential for immune interference.

Before administering M-M-R®II, please read the accompanying Prescribing Information. The Patient Information also is available.

M-M-R®II is contraindicated in certain individuals, including those with: a history of

M-M-R®II is contraindicated in certain individuals, including those with: a history of hypersensitivity to any component of the vaccine, including gelatin; a history of anaphylactic reaction to neomycin; individuals who are immunodeficient or immunosuppressed due to disease or medical therapy; an active febrile illness; active untreated tuberculosis; or those

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US-MMR-00356 09/23