Is the rotavirus vaccine a live vaccine?

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Last updated: February 6, 2025View editorial policy

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From the Guidelines

The rotavirus vaccine is a live vaccine.

Key Characteristics

  • The vaccine is administered orally and contains either a human rotavirus strain or reassortant rotaviruses developed from human and bovine parent rotavirus strains 1.
  • The live, oral vaccine is safe and efficacious in preventing rotavirus gastroenteritis among infants and children, as demonstrated in several clinical trials 1.
  • The vaccine is typically administered in a three-dose series at ages 2,4, and 6 months, with a minimum interval of 3 weeks between doses 1.
  • The use of live, oral rotavirus vaccines has been recommended by the Advisory Committee on Immunization Practices (ACIP) for the prevention of rotavirus gastroenteritis among children 1.

Vaccine Types

  • There are different types of rotavirus vaccines, including monovalent and multivalent vaccines, with the latter providing serotype-specific immunity against all common human rotavirus strains 1.
  • Examples of licensed rotavirus vaccines include RV1 and RotaTeq, which are both live, oral vaccines 1.

From the Research

Rotavirus Vaccine Type

  • The rotavirus vaccine is a live vaccine, as stated in studies 2, 3, 4.
  • These studies specifically mention that the Rotarix vaccine is a live oral rotavirus vaccine developed from a single protective human strain following multiple passages in tissue culture to attenuate the strain.
  • However, there are also efforts to develop inactivated rotavirus vaccines 5 and non-replicating mRNA vaccines 6 as alternative approaches.

Live Attenuated Rotavirus Vaccines

  • Live attenuated rotavirus vaccines, such as Rotarix, have been shown to be safe and effective in preventing severe rotavirus gastroenteritis and hospitalization 2, 3, 4.
  • These vaccines are administered orally and have been licensed globally for use in children.

Alternative Vaccine Approaches

  • Inactivated rotavirus vaccines are being developed as an alternative to live oral vaccines, particularly for use in challenging populations where live oral vaccines may not be effective 5.
  • mRNA vaccines, such as the VP7-mRNA vaccine, are also being developed as a non-replicating alternative to live attenuated vaccines 6.

References

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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