measles, mumps & rubella combined vaccine (MMR)

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Indications

* MMR vaccine associated with less severe COVID-19[14]

Contraindications

Caution:

pregnancy-category -

safety in lactation ?

Dosage

Children > 15 months & adults: 0.5 mL SC

  • CDC recommends all children get two doses of MMR starting with 1st dose at 12-15 months of age, the 2nd dose at 4-6 years of age

Injection: 1000 TCID50 of measles & rubella vaccine 5000 TCID of mumps vaccine

Pharmacokinetics

  • 2-4 weeks for MUMPS protection after vaccination
  • duration of action is unknown, but may last 12-23 years
  • elimination: liver

Adverse effects

Drug interactions

Test interactions

  • temporary suppression of TB skin test reactivity with onset 3 days after vaccine administration

Mechanism of action

More general terms

Additional terms

References

  1. Kaiser Permanente Northern California Regional Drug Formulary, 1998
  2. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 871
  3. Drug Information & Medication Formulary, Veterans Affairs, Central California Health Care System, 1st ed., Ravnan et al eds, 1998
  4. 4.0 4.1 Journal Watch 22(24):185, 2002 Madsen KM el al, N Engl J Med 347:1477, 2002
  5. 5.0 5.1 Journal Watch 24(16):127-128, 2004 Vestergaard M, Hviid A, Madsen KM, Wohlfahrt J, Thorsen P, Schendel D, Melbye M, Olsen J. MMR vaccination and febrile seizures: evaluation of susceptible subgroups and long-term prognosis. JAMA. 2004 Jul 21;292(3):351-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15265850
  6. MUMPS Advisory #1, secretary of health
  7. 7.0 7.1 Ogbuanu IU et al Impact of a Third Dose of Measles-Mumps-Rubella Vaccine on a Mumps Outbreak Pediatrics. Nov 5, 2012 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23129075 <Internet> http://pediatrics.aappublications.org/content/early/2012/10/30/peds.2012-0177.abstract
    Cardemil CV, Dahl RM, James L et al Effectiveness of a Third Dose of MMR Vaccine for Mumps Outbreak Control. N Engl J Med 2017; 377:947-956. September 7, 2017. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28877026 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1703309
  8. 8.0 8.1 McLean HQ et al Prevention of Measles, Rubella, Congenital Rubella Syndrome, and Mumps, 2013: Summary Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. June 14, 2013 / 62(RR04);1-34 http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm
  9. 9.0 9.1 Heijstek MW et al Effects of the Live Attenuated Measles-Mumps-Rubella Booster Vaccination on Disease Activity in Patients With Juvenile Idiopathic Arthritis. A Randomized Trial. JAMA. 2013;309(23):2449-2456 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23780457 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=1697965
  10. 10.0 10.1 Hambidge SJ et al Timely Versus Delayed Early Childhood Vaccination and Seizures. Pediatrics. May 19, 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24843064 <Internet> http://pediatrics.aappublications.org/content/early/2014/05/14/peds.2013-3429.abstract
  11. 11.0 11.1 11.2 Maglione MA et al Safety of Vaccines Used for Routine Immunization of US Children: A Systematic Review. Pediatrics; published online July 1, 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25086160 <Internet> http://pediatrics.aappublications.org/content/early/2014/06/26/peds.2014-1079.full.pdf+html
    Byington CL Vaccines: Can Transparency Increase Confidence and Reduce Hesitancy? Pediatrics; published online July 1, 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25086161 <Internet> http://pediatrics.aappublications.org/content/early/2014/06/26/peds.2014-1494.full.pdf+html
  12. 12.0 12.1 Jain A, MarshallJ, Buikema A et al Autism Occurrence by MMR Vaccine Status Among US Children With Older Siblings With and Without Autism. JAMA. 2015;313(15):1534-1540 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25898051 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=2275444
    King BH Promising Forecast for Autism Spectrum Disorders. JAMA. 2015;313(15):1518-1519 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25898047 <Internet> http://jama.jamanetwork.com/article.aspx?articleid=2275426
  13. 13.0 13.1 Hviid A, Hansen JV, Frisch M, Melbye M. Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med. 2019. Mar 5. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30831578 https://annals.org/aim/article-abstract/2727726/measles-mumps-rubella-vaccination-autism-nationwide-cohort-study
    Omer SB, Yildirim I. Further Evidence of MMR Vaccine Safety: Scientific and Communications Considerations. Ann Intern Med. 2019. Mar 5. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30831577 https://annals.org/aim/article-abstract/2727208/further-evidence-mmr-vaccine-safety-scientific-communications-considerations
  14. 14.0 14.1 14.2 Reuters Staff MMR Vaccine Linked With Less Severe COVID-19. Medscape - Nov 20, 2020. https://www.medscape.com/viewarticle/941391
  15. 15.0 15.1 Medical Knowledge Self Assessment Program (MKSAP) 19 American College of Physicians, Philadelphia 2022