{"id":111,"date":"2024-06-26T13:54:39","date_gmt":"2024-06-26T13:54:39","guid":{"rendered":"https:\/\/www.merckvaccines.com\/vaxneuvance\/?page_id=111"},"modified":"2025-12-22T11:10:21","modified_gmt":"2025-12-22T11:10:21","slug":"safety-tolerability","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/vaxneuvance\/safety-tolerability\/","title":{"rendered":"Safety tolerability"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-50-50 horizontal mobile text-align-left has-primary-dark-color is-default-style mobile-is-split-style mobile-split-image-bottom mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:290px\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/uploads\/sites\/173\/2024\/10\/Safety-and-Tol-Header_Mobile.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/uploads\/sites\/173\/2024\/10\/Safety-and-Tol-Header_Mobile.webp?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/uploads\/sites\/173\/2024\/08\/Safety-and-Tol-Header_NEW_Desktop.webp\" src=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/uploads\/sites\/173\/2024\/08\/Safety-and-Tol-Header_NEW_Desktop.webp\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:51%;--mobile-focal-y:51%;--tablet-focal-x:51%;--tablet-focal-y:51%\"\/><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:30px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightRegular\"><strong>Key safety and tolerability data for VAXNEUVANCE<\/strong><\/h1><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:16px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a642fd1ae-7208-4290-afe3-e5e020b21bba\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Most commonly reported adverse reactions<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:32px;height:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1777396162' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card aef9f84e9-3446-4cb7-93c5-b0f4dec35612 vivid360-block-card has-text-align-left card-horizontal has-white-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;background-color:#007948\"><div class=\"card-content\"><div class=\"card-content-wrap\"><div class=\"card-desc has-regular-font-size\">\n\n<p>Most commonly reported solicited adverse reactions in children vaccinated with a 4-dose series at <strong>2, 4, 6, and 12 through 15 months <\/strong>of age, provided as a range across the series<\/p>\n\n\n<div style=\"background-color:transparent;height:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-32\"><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-table-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/style.min.css?ver=6.8.5' media='all' \/>\n<link rel='stylesheet' id='vivid360-table-sortable-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/sortable.min.css?ver=6.8.5' media='all' \/>\n\n<figure class=\"wp-block-vivid360-table content-width mt-0 mb-0\"><table id=\"a326ba973-cdaa-4b58-aae0-634fcc8f6813-vivid360-table-id\" class=\"a326ba973-cdaa-4b58-aae0-634fcc8f6813 squished\" style=\"--tableBorder:none;--tableBorderRadius:0\"><thead><tr style=\"background-color:#fff\"><th class=\"has-regular-font-size\" style=\"background-color:#007948;color:undefined!important\"><strong>Adverse reactions<\/strong><\/th><th class=\"has-regular-font-size\" style=\"background-color:#007948;color:undefined!important\"><strong>Range across series<\/strong><\/th><\/tr><\/thead><tbody><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Irritability<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">57.3% &#8211; 63.4%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Somnolence<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">24.2% &#8211; 47.5%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site pain<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">25.9% &#8211; 40.3%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Fever \u226538.0\u00b0C<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">13.3% &#8211; 20.4%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Decreased appetite<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">14.1% &#8211; 19.0%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site induration<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">13.2% &#8211; 15.4%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site erythema<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">13.7% &#8211; 21.4%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site swelling<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">11.3% &#8211; 13.4%<\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n\n\n<link rel='stylesheet' id='vivid360-separator-css-css' href='https:\/\/www.merckvaccines.com\/vaxneuvance\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/separator\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background mobileWidth  mt-0 mb-0\" style=\"height:2px;background-color:#007948;color:#007948;--mobileWidth:100%\"\/>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card ac17ca5a0-6df7-43b8-9a24-daf0501a6ef9 vivid360-block-card has-text-align-left card-horizontal has-primary-background-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-content\"><div class=\"card-content-wrap\"><div class=\"card-desc has-regular-font-size\">\n<p class=\"has-white-color has-text-color\">Most commonly reported solicited adverse reactions in children and adolescents <strong>2 through 17 years <\/strong>of age vaccinated with a single dose<br><\/p>\n\n\n\n<div style=\"background-color:transparent;height:56px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-56\"><\/div>\n<\/div><\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<figure class=\"wp-block-vivid360-table content-width mt-0 mb-0\" id=\"a88b0bc1b-9836-41e9-9b50-aa3453b6b459-vivid360-table-id\"><table id=\"aaecf4ff3-4589-4659-929f-613966f80e50-vivid360-table-id\" class=\"aaecf4ff3-4589-4659-929f-613966f80e50 squished\" style=\"--tableBorder:none;--tableBorderRadius:0\"><thead><tr style=\"background-color:#fff\"><th class=\"has-primary-dark-background-color has-regular-font-size\" style=\"color:undefined!important\"><strong><strong>Adverse reactions<\/strong><\/strong><\/th><th class=\"has-primary-dark-background-color has-regular-font-size\" style=\"color:undefined!important\"><strong><strong>Single dose<\/strong><\/strong><\/th><\/tr><\/thead><tbody><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site pain<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">54.8%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Myalgia<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">23.7%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site swelling<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">20.9%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site erythema<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">19.2%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Fatigue<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">15.8%<\/td><\/tr><tr style=\"background-color:#F4F4F4\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Headache<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">11.9%<\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">Injection-site induration<\/td><td class=\"has-regular-font-size\" style=\"color:undefined!important\" scope=\"\">6.8%<\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-primary-dark-background-color has-primary-dark-color mobileWidth  mt-0 mb-0\" style=\"height:2px;--mobileWidth:100%\"\/>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aebffe3b3-933b-438f-b078-683e156a6242\"><h2 class=\"has-white-color has-text-align-center has-primary-dark-background-color content-width fontWeightRegular mt-0 mb-0 padding-left-right15 padding-top-bottom15\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Comparable safety profile to PCV13<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:30px;--tablet-spacer:30px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-background\" style=\"background-color:#dfeaf4\">The safety profile of VAXNEUVANCE was comparable to that of PCV13 in clinical trials of both healthy children and those at increased risk for IPD.<sup>a<\/sup><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-background\" style=\"background-color:#dfeaf4\">The safety profile of a series initiated with PCV13 and completed with VAXNEUVANCE was similar to the safety profile following a complete 4-dose regimen of either vaccine.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:10px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Pediatric populations with risk conditions were preterm infants, children living with HIV or SCD (immunocompromising diseases), or children who had received an allo-HSCT (an immunocompromising condition): preterm infants, &lt;37 weeks gestation at birth; children living with HIV, 6\u201317 years of age; children living with SCD, 5\u201317 years of age; and recipients of allo-HSCT, 3\u201317 years of age.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-small-font-size\">Allo-HSCT, allogeneic hematopoietic stem cell transplant; HIV, human immunode\ufb01ciency virus; IPD, invasive pneumococcal disease; PCV13, 13-valent pneumococcal conjugate vaccine; SCD, sickle cell disease.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--mobile-spacer:35px;--tablet-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px;height:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a14c7e5fa-f28c-48cc-a66a-70c6b41a426c vivid360-block-card has-text-align-left hasBoxShadow card-horizontal full-page-width mt-0 mb-0\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media align-center\"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-clipboard \" style=\"background-color:#ff5d08\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>See details on reimbursement<\/strong><\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/reimbursement\/\" role=\"button\" aria-label=\"See details on reimbursement\" style=\"border-radius:4px\" title=\"See details on reimbursement\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"See details on reimbursement\" data-design-module=\"element\">See details on reimbursement<\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a425ed14e-0eae-4f79-a94c-3b622a8b91f9 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal full-page-width mt-0 mb-0\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media align-center\"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-book \" style=\"background-color:#ff5d08\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>Discover resources for your practice <\/strong><\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/resources\/\" role=\"button\" style=\"border-radius:4px\" title=\"Discover resources for your practice \" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"Discover resources for your practice \" data-design-module=\"element\">Discover resources for your practice <\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a1cd46aeb-e708-48b9-ae83-4db15ef07705 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal full-page-width mt-0 mb-0\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media align-center\"><i role=\"img\" aria-label=\"\" class=\"icon-calendar \" style=\"background-color:#ff5d08\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>See dosage &amp; administration for VAXNEUVANCE<\/strong><\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/dosage-administration\/\" role=\"button\" aria-label=\"See dosage &amp; administration for VAXNEUVANCE\" style=\"border-radius:4px\" title=\"See dosage &amp; administration for VAXNEUVANCE\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"See dosage &amp; administration for VAXNEUVANCE\" data-design-module=\"element\">See dosage &amp; administration for VAXNEUVANCE<\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a74705f15-5e5d-42b7-ac0e-35e3b3f4fcaa vivid360-block-card has-text-align-left hasBoxShadow card-horizontal full-page-width mt-0 mb-0\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media align-center\"><i role=\"img\" aria-label=\"\" class=\"icon-list-checklist \" style=\"background-color:#ff5d08\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>Review CDC, AAP, and AAFP recommendations<\/strong><\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/vaxneuvance\/recommendations\/\" style=\"border-radius:4px\" title=\"Review CDC, AAP, and AAFP recommendations\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"Review CDC, AAP, and AAFP recommendations\" data-design-module=\"element\">Review CDC, AAP, and AAFP recommendations<\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"img\" aria-label=\"\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:48px;--tablet-spacer:48px;--mobile-spacer:48px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' 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