Diphtheria Toxoid (30IU) + Haemophilus Type B Conjugate Vaccine (10mcg) + Pertussis Toxoid (4IU) + Tetanus Toxoid (60IU) (Medical Monograph)

Overview

A quadrivalent, combined, adsorbed, acellular vaccine for active immunization against diphtheria, tetanus, pertussis (whooping cough), and invasive diseases caused by Haemophilus influenzae type b (Hib). It is a sterile suspension for intramuscular injection, containing purified toxoids and a conjugate antigen adsorbed onto an aluminum adjuvant to enhance immunogenicity. It is a critical component of the National Immunization Schedule in India for primary and booster vaccination in infants and children.

Uses

  • Primary immunization of infants and children from 6 weeks up to 5 years of age against Diphtheria, Tetanus, Pertussis, and invasive diseases caused by Haemophilus influenzae type b (e.g., meningitis, pneumonia, epiglottitis, septic arthritis).
  • Booster vaccination in children as per the National Immunization Schedule (e.g., 16-24 months booster).

Side Effects

  • Pain, redness, and swelling at the injection site (≥1 in 10)
  • Fever (usually mild to moderate, <39°C)
  • Irritability, fussiness, drowsiness
  • Loss of appetite

Detailed Pharmacology

The vaccine induces active immunity by stimulating the production of specific antibodies and memory B and T cells against the antigens. Diphtheria and Tetanus Toxoids: Inactivated forms of the exotoxins (Corynebacterium diphtheriae and Clostridium tetani) that induce neutralizing antibodies. Pertussis Toxoid: Inactivated form of the pertussis toxin from Bordetella pertussis, a key virulence factor. Haemophilus influenzae type b Conjugate Vaccine: The Hib capsular polysaccharide (polyribosylribitol phosphate, PRP) is chemically conjugated to a carrier protein (often Tetanus Toxoid). This conjugation converts the T-cell-independent PRP antigen into a T-cell-dependent antigen, eliciting a stronger, more durable immune response with robust memory, especially in infants.

Available Brands in India

BrandManufacturerPrice
Pentavac Sanofi Pasteur India Pvt. Ltd. ₹1200 - ₹1800 per dose (Private market)
Easyfive Serum Institute of India Pvt. Ltd. ₹900 - ₹1400 per dose (Private market)
Comvac 5 Biological E. Limited ₹800 - ₹1300 per dose (Private market)
Shan5 Shantha Biotechnics (Sanofi) ₹1000 - ₹1500 per dose (Private market)