New Vaccine Laws and Mandates

Every good vaccine bill doesn't make it into law.
NY passed a law in 2015 that  eliminated religious exemptions to getting vaccines.

California passed a new vaccine law, SB 277, in 2015.

Most states, including California, already had vaccine mandates though. The difference now is that in California, you need a medical exception to attend school if your kids aren’t vaccinated.

With the passage of SB 277, California joined Mississippi and West Virginia as the only states that do not allow either religious or personal belief vaccine exemptions.

They still aren’t forcing anyone to get vaccinated though.

“The term mandate is somewhat misleading, because there are exceptions — always on medical grounds, frequently on religious grounds, and sometimes on philosophical grounds. Moreover, the thrust of mandates is not to forcibly require vaccination but to predicate eligibility for a service or benefit on adherence to the recommended immunization schedule of vaccination. ”

Y. Tony Yang on Linking Immunization Status and Eligibility for Welfare and Benefits Payments

And in some countries that already have mandates, they aren’t even doing a very good job of making sure that kids even get vaccinated. Many people will be surprised to learn that 14 European countries already mandate one or more vaccines, typically DTP, polio, and MMR.

What’s New in Vaccine Laws

Internationally, the idea of vaccine mandates is a big issue as we continue to see outbreaks of measles in Europe and other areas of the world.

“Parents who vaccinate their children should have confidence that they can take their children to child care without the fear that their children will be at risk of contracting a serious or potentially life-threatening illness because of the conscientious objections of others. ”

Australian Prime Minister Tony Abbott on “No Jab No Pay”

Unlike the Disneyland outbreak in California, the outbreaks in Europe are on a much bigger scale.

And with more cases we see what everyone fears – more deaths.

That’s why we are finally seeing new vaccine laws, including some that mandate vaccines in some other countries, including:

  • Australia – the Australian government began a “No Jab No Pay” plan in 2016 that removed the conscientious objector exemption on children’s vaccination for access to taxpayer funded Child Care Benefits, the Child Care Rebate and the Family Tax Benefit Part A end of year supplement.
  • Germany – a new law, if approved (it has already passed the Bundestag or national parliament), will require parents to have a medical consultation before deciding to delay or skip vaccines or they can be fined up to $2,800. Even with the law, in Germany, “vaccinations remain voluntary. But some politicians have suggested that mandatory vaccination is on the way if concerted efforts to encourage vaccinations don’t work.”
  • Italy – the Italian Parliament recently approved the Decree-Law Containing Urgent Measures on the Compulsory Vaccination of Children, which makes vaccinations against 12 diseases mandatory for children as a condition of school registration, for both private and public schools.
  • France – is working to expand their list of mandated vaccines to now include protection against 11 diseases instead of just three (diphtheria, tetanus, and polio). All of these vaccines were previously recommended to attend school, but were only voluntary.

Again, none of these laws mean that anyone is being forced to vaccinate their kids.

Even in the case of vaccine mandates, they are simply requirements to attend daycare or school.

We are also seeing some new vaccine laws in the United States, including changes for the start of the 2017-2018 school year:

  • Indiana – pharmacists can give more vaccines, any vaccine that the CDC recommends, either with a prescription or by protocol for kids over are at least 11 years old and adults
  • Iowa – now requires a meningococcal vaccine for students entering 7th (one dose) and 12th (one or two doses) grades
  • Nevada – now requires a meningococcal vaccine for students entering 7th grade (one dose) and college (a dose after age 16 years)
  • Pennsylvania – unvaccinated students now only have a 5 day grace period at the start of the school year to get vaccinated (it used to be 8 months) before getting expelled from school.

It’s easy to navigate the new laws.

Get educated and get your kids vaccinated. Vaccines are safe, vaccines work, and vaccines are necessary.

What To Know About Vaccine Mandate Laws

Vaccine mandate laws are expanding as we are seeing more outbreaks of vaccine preventable diseases.

More Information on Vaccine Mandate Laws:

Who was Alfred Russel Wallace?

Alfred Russel Wallace played a big role in the antivaccination movement in the late 19th Century.
Alfred Russel Wallace played a big role in the antivaccination movement in the late 19th Century.

Wallace was once an “eminent naturalist and codiscoverer of the principle of natural selection.”

Unlike Charles Darwin, you likely never heard of Alfred Russel Wallace though.

So what happened to him?

For some reason, there is “a resurgence of interest in Wallace” lately which has some folks wondering…

Did Wallace shun the limelight or did other scientists steal it from him?

Or did he fade from history because he became a part of the antivaccination movement in Victorian England.

Well, he’s not the only scientist to take a wrong turn later in life, although he certainly did precede the modern ones that we often think about, such as:

  • Dr. Linus Pauling – after winning two unshared Nobel prizes, he later pushed the idea that high doses of vitamins and other nutrients could treat disease, especially megadoses of vitamin C
  • Dr. Benjamin Spock – at the end of his career, he pushed a vegan lifestyle for all children

Like Pauling and Spock, Wallace’s legacy has a dark side – his lost causes for which “he became a passionate advocate,” including spiritualism, support of land nationalization, and an objection to compulsory smallpox vaccination.

Alfred Russel Wallace on Vaccination

Not surprisingly, Wallace once worked as a teacher in Leicester, England, which has been described as a “a stronghold of anti-vaccination” and a “Mecca of the anti-vaccinationists.”

“For a man admired by Charles Darwin, Sir Charles Lyell, Joseph Dalton Hooker, and Charles Sanders Peirce as one of the keenest minds of the Victorian age, Wallace’s public conversion to the anti-vaccination camp was a coup d’état for the various English anti-vaccination leagues and it gave them a new scientific foothold in the public debates over the utility of vaccination.”

Martin Fichman Resister’s logic

His time in Leicester likely didn’t influence Wallace though, as it was still a “well-vaccinated town” when he was there in the 1840s. In fact, Wallace and his children were all vaccinated and it wasn’t until he was “recruited some time in 1884 to the antivaccination movement through the efforts of his fellow spiritualist William Tebb (1830–1917), a radical liberal who in 1880 had cofounded the London Society for the Abolition of Compulsory Vaccination.”

How was he converted to becoming anti-vaccine? Interestingly, much like Dr. Bob describes reading the anti-vaccine book DPT: A Shot in the Dark, Wallace states that the book Papers on Vaccination made him have a change in “attitude towards vaccination.”

Like an antiquated version of dumpster diving in the VAERS database, Wallace misused a statistical analysis of life tables and mortalities to push his antivaccination ideas.

Similar to many modern anti-vaccine arguments, he also believed that:

  • only people living with poor sanitation and poor nutrition were at risk for smallpox, measles, whooping cough, yellow fever, diphtheria, and other “filth diseases”
  • getting vaccinated was more dangerous than having the disease
  • didn’t think the smallpox vaccine worked and “rejected vaccination as the cause of the rapid decline in the mortality from smallpox”
  • interpretive bias could be seen in reports put out by pro-vaccine scientists of the time

And similar to many modern anti-vaccine arguments, he also believed that many  anti-vaccine arguments were “full of a great deal of trash and a great deal of very poor matter.”

What To Know About Alfred Russel Wallace

Alfred Russel Wallace played a big role in the antivaccination movement in the late 19th Century.

More About Alfred Russel Wallace

Immunization Posters and Slogans

Getting your kids vaccinated and protected is a good idea.

Vaccines are safe, necessary, and they work.

Why do we need posters and slogans to help educate people about their benefits?

A billboard in Minnesota educates parents about the benefits of the chicken pox vaccine.
A billboard in Minnesota educates parents about a benefit of  vaccines – protecting those who rely on herd immunity.

Maybe because as long as there have been vaccines, there have been anti-vaccine slogans scaring parents away from them.

Immunization posters are also a good way to raise awareness of new vaccines and new  recommendations for getting vaccinated.

Educating Parents About Vaccines

This slogan, during a whooping cough epidemic, reminded parents to get their kids vaccinated now.
This slogan, during a whooping cough epidemic, reminded parents to get their kids vaccinated now.

In the early 1980s, vaccine preventable diseases had come roaring back as folks in England and other countries got scared to vaccinate and protect their kids with the DTP vaccine.

It is reported that “public confidence in the pertussis vaccine collapsed in the early 1970s as a result of widely publicised concern about its safety and campaigns for compensation for children damaged by the vaccine.”

It got so bad that as vaccination rates fell to less than 30% in 1978, there were at least 154 deaths and 17 cases of brain damage in the UK because of pertussis infections, even though the concerns about the pertussis vaccine were widely unfounded.

“While You Make Up Your Mind About Whooping Cough Vaccination, Thousands Of Children Are Holding Their Breath” was an effective poster at this time. It highlighted the fact that you could sometimes wait too long to get your kids vaccinated, as pertussis cases and deaths grew during the outbreaks.

Vaccination rates eventually went up again, as parents made up their mind to vaccinate and protect their kids.

Immunization Posters and Slogans

Other immunization slogans and posters that have been used, including many historical posters, include:

Is your child vaccinated against smallpox? Diphtheria strikes unprotected children. Fight Polio Poster
Immunization Saves Lives Diphtheria is Deadly Be Well - get your polio vaccine
Let your child be a rubella hero Polio Vaccine - don't wait until it's too late. Stop Rubella
Whooping Cough is not a bird... Keep Measles a Memory poster. Be Wise - Immunize Your Child
MMR is a cheap shot that can millions. Parents of Earth, are your children fully immunized? MMR Shot - three way protection.
Are your kids fully immunized? Can you prove it?
Before it's too late. Vaccinate. Whooping cough is back! Which vaccines do kids need? All of Them. And on Time!
Shots might hurt for a moment, but they can protect for a lifetime.
Hepatitis B can be prevented. Stop measles with just one shot, well two... different-folks-posters
Dr. Seuss said Don't Wait: Vaccinate! Vaccines give all kids a chance A child's health is as precious as a work of art: immunize your child today
 HPV vaccines prevent cancer Know. Check. Protect. World Immunization Week 2014 She got her flu shot, not the flu.
Think Measles Don't Wait. Vaccinate. Psy helping get the word out that we are close to ending polio.
Jull got the Mumps. Meningitis B vaccination poster during an outbreak at Princeton. Mumps is not just for kids anymore

Although you hopefully already know all about all of the vaccines that your kids need, if you see a new immunization poster or slogan, ask your pediatrician for more information.

​Get Educated. Get Vaccinated.

What To Know About Immunization Posters

Although immunization posters won’t ever replace the information you get from your pediatrician, they can help you get educated and raise awareness about new vaccines and new recommendations.

More About Immunization Posters and Slogans

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Vaccines and ADHD

A 2013 report from the Institute of Medicine found that there was no evidence that vaccines caused ADHD.
A 2013 report from the Institute of Medicine found that there was no evidence that vaccines caused ADHD.

We don’t know what causes ADHD in most cases, although it is strongly suspected to be genetic, but that leaves the door wide open for some people to blame whatever they want.

And you know what that means…

That’s right.

You shouldn’t be surprised that some folks wonder if vaccines can cause kids to develop ADHD, especially since they may have believed the false connection between vaccines and autism for so long.

We know vaccines and autism aren’t linked though.

What about ADHD?

Do Vaccines Cause ADHD?

No. Studies have shown that vaccines do not cause ADHD.

Researchers have looked at children:

  • who got vaccines with thimerosal
  • who got vaccines on time vs a non-standard, parent-selected, delayed protection vaccine schedule
  • who got newly adjuvated vaccines

And they have found that vaccines do not cause ADHD.

“The committee’s efforts to identify priorities for recommended research studies did not reveal a base of evidence suggesting that the childhood immunization schedule is linked to autoimmune diseases, asthma, hypersensitivity, seizures or epilepsy, child developmental disorders, learning disorders or developmental disorders, or attention deficit or disruptive behavior disorders.”

Institute of Medicine on The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies (2013)

Remember, ADHD is thought to be largely genetic, and often runs in families.

It is not caused by vaccines.

Why Do People Think Vaccines Cause ADHD?

Like other anti-vaccine misinformation, some people likely still think that vaccines cause ADHD, despite all of the evidence that says it doesn’t, because they read it on the Internet.

“ADHD is basically just the mildest form of symptomatology that is found on the autism spectrum.”

An Internet article describing what they call Vaccine-Induced ADHD

Mark and David Geier even get studies published blaming vaccines with thimerosal for ADHD and other disorders.

But just like studies from the Geiers about autism, it doesn’t mean that vaccines cause ADHD.

What To Know About Vaccines and ADHD

Vaccines do not cause ADHD.

More About Vaccines and ADHD

The Myth That You Can’t Vaccinate Away Bacteria

Have you ever heard someone say that you can’t vaccinate away bacteria?

No?

Then you don’t spend much time arguing with anti-vaccine folks…

The Myth That You Can’t Vaccinate Away Bacteria

Although many vaccines protect against viral infections, there are others that do “vaccinate away bacteria,” including those that prevent vaccine-preventable diseases like:

  • anthrax – caused by the Bacillus anthracis bacteria
  • cholera – caused by the the bacterium Vibrio cholerae
  • diphtheria – caused by the Corynebacterium diphtheriae bacteria
  • Hib – caused by the Haemophilus influenzae type b bacteria
  • meningococcal disease – caused by the Neisseria meningitidis bacteria
  • pertussis – caused by the Bordetella pertussis bacteria
  • pneumococcal disease – caused by the Streptococcus pneumoniae bacteria
  • tetanus – caused by the Clostridium tetani bacteria
  • tuberculosis – caused by the Mycobacterium tuberculosis bacteria
  • typhoid fever – caused by the Salmonella serotype Typhi bacteria

And although it is no longer available, the Lyme disease vaccine worked against Borrelia burgdorferi bacteria.

“Vaccines can help limit the spread of antibiotic resistance.”

WHO on Why vaccination is important for addressing antibiotic resistance

So yes, you can prevent or “vaccinate away bacteria,” or in some cases, the toxins that bacteria produce.

And that’s a good thing.

Get educated and get vaccinated to help prevent infections from both the viruses and bacteria that can get your family sick.

What about vaccines to vaccinate away parasites and fungi?

We don’t have those yet

We do have vaccines against bacteria and viruses and soon, as Mosquirix begins testing, we may have a vaccine against the parasite that causes malaria.
We do have vaccines against bacteria and viruses and soon, as Mosquirix begins testing, we may have a vaccine against the parasite that causes malaria.

What To Know About Vaccines Against Bacterial Diseases

Many vaccines work to protect us against bacterial diseases, from anthrax to typhoid fever, so yes, you can vaccinate away bacteria.

More About Vaccines Against Bacterial Diseases

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Can the Shingles Vaccine Cause Shingles?

Licensed in 2006, it has been recommended that all seniors who are at least 60 years old get Zostavax, the shingles vaccine.

When given as a one time dose, it can help reduce your risk of developing shingles by 51% and risk of developing post-herpetic neuralgia (PHN) by 67%. That protection will last about five years.

Since you can get shingles more than once, you can get the shingles vaccine even if you have already had shingles.

Myths About the Shingles

A lot of people don’t understand shingles (herpes zoster).

Herpes zoster was described as early as 1867, as can be seen in the lithograph from the Atlas der Hautkranheiten, although the connection with chickenpox didn't come until later.
Herpes Zoster was described as early as 1867, as can be seen in the lithograph from the Atlas der Hautkranheiten, although the connection with chicken pox didn’t come until later.

What is shingles? It is a reactivation of the varicella zoster virus, which also causes chicken pox. Although we don’t know why, it is clear that in some people, instead of staying dormant, the chicken pox virus can reactivate from the dorsal root ganglia of a spinal nerve.

Is shingles contagious? Yes, but other people exposed to shingles won’t actually get shingles, instead, they can get chicken pox (if they are not immune).

Can you catch shingles? No, but you can catch chicken pox (if you are not immune) from someone that has shingles.

Can kids get shingles? Yes, you can get shingles at just about any age, but the risk increases as you get older, which is why the elderly are most at risk.

What does herpes zoster have to do with genital herpes? Nothing. Shingles got the name herpes zoster before it was known that it was caused by the chicken pox virus (varicella zoster).

Can you get shingles if you have never had chicken pox? Yes, if you have had the chicken pox vaccine, although the risk is much less than after a natural chicken pox infection with the wild-type chicken pox virus. In fact, so far, it has been shown that vaccinated children have a moderately decreased risk of getting shingles after being vaccinated with the chicken pox vaccine.

Are we seeing more cases of shingles in adults because kids get the chicken pox vaccine now? No. While an interesting theory, it has been shown over and over and over that the chicken pox vaccine is not creating an epidemic of shingles. Studies have shown that shingles cases were rising before we started giving the chicken pox vaccine and they have been rising in countries that don’t even protect children with the chicken pox vaccine. The two are not connected.

Myths About the Shingles Vaccine

A lot of people also don’t understand the shingles vaccine.

They especially don’t seem to understand that it is same live strain of virus that is in the chicken pox vaccine, only with higher virus titers (it is more potent).

Why is it just for seniors who are at least 60 years old? That’s the age that it works best and since the immunity is not life long and it is given as just one dose, experts felt that would be the best time to get it. You can get it later though. You could even get it earlier, as early as age 50 years. Can you get it even earlier? You might consider getting the vaccine off-label at an earlier age if you have already had one or more severe cases of shingles, but it is only routinely recommended for people who are at least 60 years old.

Can you get the shingles vaccine if you have never had chicken pox? No, you should get the chicken pox vaccine instead. But keep in mind that most adults born in the pre-vaccine era, especially if they were born before 1980, are presumed to have had chicken pox already, even if they don’t remember it. Talk to your doctor if you really don’t think you have though.

“If you see a turtle sitting on top of a fence post, it didn’t get there by accident.”

President Bill Clinton

Does the shingles vaccines cause shingles? No. Since it only reduces your risk of developing shingles by 51% and the duration of protection is about 5 years, there is certainly a chance that you could get shingles even after having the vaccine, but the shingles vaccine doesn’t actually cause shingles.

The package insert for the shingles vaccine was updated in 2014.
The package insert for the shingles vaccine was updated in 2014 to add ‘herpes zoster: vaccine strain’ as a possible adverse reaction.

Is it worth getting vaccinated against shingles? It is if you want to try and avoid getting shingles! And even though the vaccine isn’t perfect, it is safe, and “In general, with increasing age at vaccination, the vaccine retained efficacy against severity of zoster better than against zoster itself.” So even if you do get shingles later on, it should be a milder case.

Why do some folks think that the shingles vaccine can cause shingles? In 2014, the package insert for the shingles vaccine was updated to mention that shingles could be a side effect after getting the vaccine. It was added to the Adverse Events section of the package insert, where “these reactions are reported voluntarily from a population of uncertain size, it is generally not possible to reliably estimate their frequency or establish a causal relationship to the vaccine.”

Vaccines are monitored for safety even after they are approved by the FDA, so it is not a surprise that the package insert would be updated like this.

Have you seen any TV ads for lawsuits against the shingles vaccine?
Have you seen any TV ads for lawsuits against the manufacturers of the shingles vaccine?

Since they reportedly found the vaccine strain of the virus (VZV-Oka), the implications are pretty clear. But that likely just means that they got the shingles vaccine without having any immunity to chicken pox. After all, if they were immune to chicken pox from a past infection, then they would have had wild-type virus (VZV-WT) in their shingles lesions, not vaccine strain virus. And then, just like someone who got the chicken pox vaccine could still get shingles, these folks got shingles.

“The absence of VZV-Oka in samples from cases of HZ in zoster vaccine recipients indicates either that VZV-Oka rarely, if ever, establishes latency in sensory ganglia already latently infected with VZV-WT, or that if VZV-Oka does establish latent neuronal infections in VZV seropositive vaccine recipients, it rarely, if ever, reactivates to cause HZ. ”

Ruth Harbecke, et al on A Real-Time PCR Assay to Identify and Discriminate Among Wild-Type and Vaccine Strains of Varicella-Zoster Virus and Herpes Simplex Virus in Clinical Specimens, and Comparison With the Clinical Diagnoses

That still wouldn’t mean that the shingles vaccine caused shingles though. Remember, we know that “Among vaccine recipients, the attenuated Oka/Merck strain of VZV included in varicella vaccine also can establish a latent infection and clinically reactivate as zoster.” Again, that means you can get shingles after getting the chicken pox vaccine.

So the shingles vaccine could theoretically have caused a latent infection that reactivated = shingles.

But doesn’t that mean that the shingles vaccine caused them to have shingles. Maybe indirectly, but then it also gave them immunity against chicken pox. It has been shown that the shingles vaccine can safely provide immunity to adults who never had chicken pox before.

It’s not an accident that some people think that the shingles vaccine can cause shingles though and are maybe even afraid to get it. Like most anti-vaccine misinformation, this myth is spread on the Internet, this time with the help of personal injury lawyers.

What To Know About the Shingles Vaccine

The shingles vaccine is a safe way to decrease your risk of developing shingles and post-herpetic neuralgia, and it doesn’t directly cause shingles.

For More Information on the Shingles Vaccine:

How to Read a Package Insert for a Vaccine

The highlights of prescribing information of the package insert offers a nice summary of each section, with more details in the full prescribing information section that follows.
The Highlights of Prescribing Information of the package insert offers a nice summary of each section, with more details in the Full Prescribing Information section that follows.

Show me the package insert!

If you are going to ask for a package insert, you should know what’s in it and how it should be read.

Otherwise, it is easy to get misled by antivaccine propaganda, like when Mike Adams claimed he discovered “a vaccine document on the FDA’s own website that openly admits vaccines are linked to autism.”

He really just found the widely available vaccine package insert that said no such thing.

How to Read a Package Insert for a Vaccine

What goes into a package insert is dictated by the FDA, specifically the Code of Federal Regulations Title 21, and Section 314 of the NCVIA, after consultation with the Advisory Commission on Childhood Vaccines.

Much like the package inserts for other medicines, a vaccine package insert includes up to 17 major sections, including:

  1. Indications and Usage – what the vaccine is used for
  2. Dosage and Administration – the recommended dose of vaccine, when and where it should be given, and how to mix it
  3. Dosage Forms and Strengths – available dosage forms
  4. Contraindications – all situations when the vaccine should not be given
  5. Warning and Precautions – all adverse reactions and safety hazards that may occur after getting the vaccine and what you should do if they occur
  6. Adverse Reactions – this section includes clinical trials experience, postmarketing experience, and voluntary reports, and it is very important to understand that it is not always possible to establish a causal relationship to vaccination for these adverse effects. So just because something is listed here, whether it is SIDS, autism, drowning, or a car accident, doesn’t mean that it was actually caused by the vaccine.
  7. Drug Interactions – any reactions you might expect between the vaccine and other drugs
  8. Use in Specific Populations – can include recommendations for use in pregnancy, nursing mothers, pediatric use, and geriatric use
  9.  Drug abuse and dependence – usually blank
  10.  Overdosage – usually blank
  11. Description – general information about the vaccine, including how it was made and all vaccine ingredients.
  12. Clinical Pharmacology – how the vaccine works, including how long you might expect protection to last
  13. Nonclinical Toxicology – must include a section on carcinogenesis, mutagenesis, impairment of fertility, even if it is to say that the vaccine “has not been evaluated for the potential to cause carcinogenicity, genotoxicity, or impairment of male fertility.”
  14. Clinical Studies – a discussion of the clinical studies that help us understand how to use the drug safely and effectively
  15. References – when necessary, a list of references that are important to decisions about the use of the vaccine
  16. How Supplied/Storage and Handling
  17. Patient Counseling Information – information necessary for patients to use the drug safely and effectively

In addition to not having sections 9 and 10, some vaccines don’t have a section 13. It is not a conspiracy. Some older vaccines, like Varivax, do not have to have a section 13 per FDA labeling rules.

Myths About Package Inserts

Just as important as what’s listed in a vaccine package insert, is what the package insert doesn’t say.

Or what you might be led to believe it says.

“To ensure the safety of new vaccines, preclinical toxicology studies are conducted prior to the initiation of, and concurrently with, clinical studies. There are five different types of preclinical toxicology study in the evaluation of vaccine safety: single and/or repeat dose, reproductive and developmental, mutagenicity, carcinogenicity, and safety pharmacology. If any adverse effects are observed in the course of these studies, they should be fully evaluated and a final safety decision made accordingly. ”

M.D. Green on the Preclinical Toxicology of Vaccines

When reading a package insert, don’t be misled into thinking that:

  • you should be worried if a package insert states that a vaccine has not been evaluated for carcinogenic (being known or suspected of being able to cause cancer) or mutagenic (being known or suspected of causing mutations in our DNA, which can lead to cancer) potential or impairment of male fertility. Vaccines don’t cause cancer or impair male fertility, or female fertility for that matter. And as you probably know, many vaccines actually prevent cancer. Formaldehyde is the only vaccine ingredient on the list of known carcinogens, but it is the long-term exposure to high amounts of formaldehyde, usually inhaled formaldehyde, that is carcinogenic, not the residual amounts you might get in a vaccine over short amounts of time.
  • any vaccine actually causes SIDS or autism
  • pediatricians are trying to keep parents from reading package inserts. Your pediatrician is probably just confused as to why you want it, as the VIS is designed for parents, not the package insert. But if even if your pediatrician doesn’t hand you a package insert for each and every vaccine your child is going to get, they are readily available from the FDA and many other websites.

Better yet, just don’t be misled by anti-vaccine misinformation.

“Based on previous experience, carcinogenicity studies are generally not needed for adjuvants or adjuvanted vaccines.”

WHO Guidelines on Nonclinical Evaluation of Vaccine Adjuvants and Adjuvanted Vaccines

Vaccines are thoroughly tested for both efficacy and safety before they are approved.

It is also important to understand that the WHO Guidelines on Nonclinical Evaluation of Vaccine Adjuvants and Adjuvanted Vaccines and the European Medicines Evaluation Agency both state that mutagenicity and carcincogenicity studies are typically not required for vaccines.

Why not?

It is because vaccines have a low risk of inducing tumors.

There are also very specific guidelines and rules for when a manufacturer needs to perform fertility studies.

So, as expected, there are no surprises in vaccine package inserts. You can be sure that everything that needs to be tested to show that a vaccine is safe has been done. If it has “not been evaluated,” it is simply because it was not necessary.

Get educated about vaccines and get your family vaccinated and protected against vaccine preventable diseases.

What to Know About Reading Vaccine Package Inserts

Learn how to read vaccine package inserts so that you aren’t misled by many of the myths about what they do and don’t say, including why they are likely missing information on the vaccine’s potential to cause carcinogenicity, mutagenicity, or impairment of fertility.

More on How to Read a Package Insert for a Vaccine: