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Name of Expert, Affiliation: Mr. Nilanshu Manocha, Senior Research Fellow, Amity Institute of
Virology & Immunology, Amity University.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 1
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person in the community.
If administered to a person who has an
impaired immune system response, e.g. they
have leukaemia or HIV infection, or are taking
immunosuppressing medications,
administration of a live attenuated vaccine
may cause severe disease as a result of
uncontrolled replication (growth) of the
vaccine virus.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 2
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Subunit vaccines
These vaccines present proteins or sugars
derived from the disease-causing organism.
Protein vaccines
Protein vaccines may includee fragments
extracted from a virus or bacteria such as
inactivated bacterial toxoid proteins,
e.g. tetanus and diphtheria vaccines, or be
engineered without the disease-causing
organism, e.g. virus-like particles in hepatitis
B and human papillomavirus (HPV) vaccines.
Protein vaccines may also include bacterial
sugar/carbohydrate (polysaccharide)
molecules that are joined (conjugated)
to proteins, e.g. Haemophilus influenzae type
b (Hib), meningococcal and pneumococcal
conjugate vaccines. The immune system of
infants and young children is not able to
generate a useful immune response to the
sugar molecules on these bacteria, which is
one reason why their risk of disease and
complications is so high. Joining (conjugating)
each sugar molecule to a protein helps their
immune system can generate a protective
immune response. These vaccines also
generate an excellent immune response in
adults. Protein vaccines cannot cause the
disease and the inclusion of adjuvants in
some vaccines help generate an immune
response.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 3
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against pneumococcal or typhoid disease.
This type of vaccine can generate a
protective immune response in older children
and adults and cannot cause the disease.
RNA vaccines
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 4
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o Production of RNA vaccines is
laboratory based, and the process
could be standardised and scaled,
allowing quick responses to large
outbreaks and epidemics
o Most current research is into RNA
vaccines for infectious diseases and
cancer, for which there are several
early-stage clinical trials, there is also
some early research into the potential
of RNA vaccines for allergies
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 5
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emergency related to COVID-19 and
mobilized the Operating Divisions of HHS.1 In
addition, on March 13, 2020, there was a
Presidential declaration of a national
emergency in response to COVID-19.2 The
SARS-CoV-2 pandemic presents an
extraordinary challenge to global health.
There are currently no FDA-licensed vaccines
to prevent COVID-19. Commercial vaccine
manufacturers and other entities are
developing COVID-19 vaccine candidates
using different technologies including RNA,
DNA, protein, and viral vectored vaccines.
This guidance was first developed prior to
issuance of a EUA for a COVID-19 vaccine and
takes into account the EUAs currently in
place for COVID-19 vaccines. This guidance
describes FDA’s current recommendations
regarding the data and information needed
to support the issuance of an Emergency Use
Authorization (EUA) under section 564 of the
FD&C Act (21 U.S.C. 360bbb-3) for an
investigational vaccine to prevent COVID-19,
including chemistry, manufacturing, and
controls information (CMC); nonclinical data
and information; and clinical data and
information, as well as administrative and
regulatory information.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 6
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produced by "killing" the virus
Attenuated vaccines stimulate a strong and
effective immune response that is long-
lasting. In comparison to inactivated
vaccines, attenuated vaccines produce a
stronger and more durable immune response
with a quick immunity onset. Attenuated
vaccines function by encouraging the body to
create Common examples of live attenuated
vaccines are vaccines.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 7
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emergency use of the vaccine. The EUL exists
because, in a pandemic situation, products
that could benefit the lives of people all over
the world may be prevented from coming to
market with sufficient speed. The EUL is a
fast-tracked but rigorous process, designed
to bring impactful products to all those in
need, as quickly as possible, on a time-limited
basis and based on a risk-versus-benefit
evaluation. The WHO PQ/EUL
recommendation may be used by UN
agencies such as UNICEF and the Pan
American Health Organization Revolving
Fund for procurement decisions in low- and
middle-income countries. Gavi also relies on
WHO EUL/PQ to specify which vaccines its
funds may be used to purchase.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 8
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the process, as well as to ensure equitable
distribution of vaccines.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 9
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destination country, refrigerated lorries
transport the vaccines from the airport to the
warehouse cold room. From there, portable
iceboxes are used to transport vaccines from
the cold room to regional centres where
they’re stored in refrigerators. If vaccination
takes place outside of the regional facility,
the final step often requires portable
iceboxes to transport the goods to local areas
for vaccination campaigns. New technologies
have invented some portable devices that
can keep vaccines at their cold temperature
for several days without needing electricity.
Quality control
Once vaccines start being administered,
national authorities and WHO constantly
monitor for – and establish the severity of –
any possible adverse side effects and
responses from people who have received
the vaccine. The safety of the vaccine is
paramount, with regular assessments and
post-approval clinical studies to report on its
safety and effectiveness.
Studies are often conducted to determine
how long a given vaccine remains protective.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 10
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contain other ingredients to keep the vaccine
safe and effective. These latter ingredients
are included in most vaccines and have been
used for decades in billions of doses of
vaccine.
Each vaccine component serves a specific
purpose, and each ingredient is tested in the
manufacturing process. All ingredients are
tested for safety.
Antigen
All vaccines contain an active component
(the antigen) which generates an immune
response, or the blueprint for making the
active component. The antigen may be a
small part of the disease-causing organism,
like a protein or sugar, or it may be the whole
organism in a weakened or inactive form.
Preservatives
Preservatives prevent the vaccine from
becoming contaminated once the vial has
been opened, if it will be used for vaccinating
more than one person. Some vaccines don’t
have preservatives because they are stored
in one-dose vials and are discarded after the
single dose is administered. The most
commonly used preservative is 2-
phenoxyethanol. It has been used for many
years in a number of vaccines, is used in a
range of baby care products and is safe for
use in vaccines, as it has little toxicity in
humans.
Stabilizers
Stabilizers prevent chemical reactions from
occurring within the vaccine and keep the
vaccine components from sticking to the
vaccine vial.
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 11
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Stabilizers can be sugars (lactose, sucrose),
amino acids (glycine), gelatin, and proteins
(recombinant human albumin, derived from
yeast).
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM’s NMIMS, Mumbai 12