Vaccine ingredients are safe.
Pervasive Developmental Disorders In Montreal, Quebec, Canada: Prevalence And Links With Immunizations |
Fombonne E, et al. Pediatrics. 2006;118:e139-150
A study found that thimerosal and MMR vaccine were not linked to prevalence of pervasive developmental disorders in 28,000 children in Montreal, Quebec, Canada, born between 1987-1998 (including 180 identified with a pervasive developmental disorder). Data ruled out an association between pervasive developmental disorder and either high levels of ethyl mercury exposure or 1- or 2-dose MMR vaccinations. |
Association Between Thimerosal-Containing Vaccine and Autism |
Hviid A, et al. JAMA. 2003;290:1763-1766
A study of 467,000 children born in Denmark between 1990 and 1996 compared children who were vaccinated with a thimerosal-containing vaccine to children who received a thimerosal-free formulation of the same vaccine. The risk of autism spectrum disorders did not differ significantly between children vaccinated with thimerosal-containing vaccine and children vaccinated with thimerosal-free vaccine. The results do not support a causal relationship between childhood vaccination with thimerosal-containing vaccines and development of autism spectrum disorders. |
Thimerosal Exposure in Infants and Developmental Disorders: A Prospective Cohort Study in the United Kingdom Does Not Support a Causal Association |
Heron J, et al. Pediatrics. 2004;114:577-583
Researchers monitored the thimerosal exposure of more than 14,000 children born in the United Kingdom between 1991 and 1992. The age at which doses of thimerosal-containing vaccines were administered was recorded, and measures of mercury exposure by 3, 4 and 6 months of age were calculated and compared with numerous measures of childhood cognitive and behavioral development between 6 and 91 months of age. No evidence was found that early exposure to thimerosal had a negative effect on neurologic or psychological outcomes. |
Thimerosal and the Occurrence of Autism: Negative Ecological Evidence From Danish Population-Based Data |
Madsen KM, et al. Pediatrics. 2003;112:604-606
Data were analyzed from the Danish Psychiatric Central Research Register recording all psychiatric admissions since 1971, and all outpatient contacts in psychiatric departments in Denmark since 1995. There was no trend toward an increase in the incidence of autism during the period when thimerosal was used in Denmark through 1990. From 1991-2000, the incidence increased and continued to rise after thimerosal was removed from vaccines. There also were increases among children born after thimerosal was no longer used. Data do not support a correlation between thimerosal-containing vaccines and the incidence of autism. |
Autism and Thimerosal-Containing Vaccines: Lack of Consistent Evidence for an Association |
Stehr-Green P, et al. Am J Prevent Med. 2003;25:101-106
A study compared the prevalence and incidence of autism in California, Sweden and Denmark from the mid-1980s to the late 1990s with average exposures to thimerosal-containing vaccines. In all three locations, the incidence and prevalence of autism spectrum disorders began to rise in the 1985-1989 period, and the rate of increase accelerated in the early 1990s. In California, the average thimerosal dose from vaccines increased throughout the 1990s. In Sweden and Denmark, exposure to thimerosal from vaccines was low during the 1970s and 1980s, decreased in the late 1980s and was eliminated in the early 1990s. The data do not support the theory that increased exposure to thimerosal-containing vaccines is responsible for the apparent increase in the rates of autism in young children being observed worldwide. |
Thimerosal Exposure in Infants and Developmental Disorders: A Retrospective Cohort Study in the United Kingdom Does Not Support a Causal Association |
Andrews N, et al. Pediatrics. 2004;114:584-591
A study analyzed thimerosal exposure and possible developmental delay in 109,863 children born in the UK from 1988 to 1997. Exposure was defined according to the number of diphtheria-tetanus-pertussis/diphtheria-tetanus (DTP/DT) doses received by 3 and 4 months of age, as well as the cumulative age-specific DTP/DT exposure by 6 months of age. With the possible exception of tics, there was no evidence that thimerosal exposure via DTP/DT vaccines causes neurodevelopmental disorders. |
Early Thimerosal Exposure and Neuropsychological Outcomes at 7-10 Years |
Thompson WW, et al. NEJM. 2007:357:1281-1292
Researchers compared early exposure to mercury from thimerosal-containing vaccines and thimerosal-containing immune globulin to 42 neuropsychological outcomes in 1,047 children ranging in age from 7 to 10 years. Immune globulin is a substance used to boost the immune system in people with certain conditions. Exposure to mercury from thimerosal was determined from computerized immunization records, medical records, personal immunization records and parent interviews. The study did not support a causal association between early exposure to thimerosal used in vaccines and immune globulin and deficits in neuropsychological functioning at the age of 7 to 10 years. |
Continuing Increases in Autism Reported to California’s Developmental Services System: Mercury in Retrograde |
Schechter R, et al. Arch Gen Psychiatry. 2008;65:19-24
Autism client data from the California Department of Developmental Services were analyzed between 1995-2007. Thimerosal was removed from recommended childhood vaccines after 2002, but autism cases continued to increase each quarter. The data do not show a decrease in autism in California even after trace levels of thimerosal were removed from nearly all childhood vaccines. Data did not support the hypothesis that exposure to thimerosal during childhood is a primary cause of autism. |
Prenatal and Infant Exposure to Thimerosal From Vaccines and Immunoglobulins and Risk of Autism |
Price C, et al. Pediatrics. 2010;126:656-664
Researchers reviewed managed care organization records and conducted interviews with the parents of 256 children with autism spectrum disorder (ASD). Another 752 children without autism, matched to the ASD children by birth year, gender and managed care organization, were also studied. Prenatal and early-life exposure to mercury from thimerosal-containing vaccines and immune globulin (a substance used to boost the immune system in people with certain conditions) was not related to increased risk of ASDs. |
Lack of Association Between Measles-Mumps-Rubella Vaccination and Autism in Children: A Case-Control Study |
Budzyn D, et al. Pediatr Infect Dis J. 2010;29:397-400
Researchers in Poland compared vaccination history and autism diagnosis in 96 children age 2 to 15 years with autism and 192 children in a control group. For those vaccinated before a diagnosis of autism, the autism risk was lower for individuals who received the MMR vaccine than for those who were not vaccinated. The result was similar for children who received a single-antigen measles vaccine. |
Association vs. causation
What do ice cream cone and air conditioner sales teach about vaccine studies?
In a study, if two things happen at the same time or one after another, researchers look closely for any way that one could affect the other. Two things can happen at the same time, but one does not always cause the other. For example, a store sells ice cream cones and air conditioners. The shopkeeper notices that when the store sells more ice cream cones, it also sells more air conditioners. There is an association between ice cream sales and air conditioning sales. However, one of these does not cause or lead to the other. When a person experiences a health problem after a vaccine, they can report it to the U.S. Vaccine Adverse Events Reporting System (VAERS)—even if the health problem was not caused by the vaccine. Read more about how VAERS is used as part of a larger safety monitoring system here.
Investigating vaccine safety: uncovering the truth
In 2011, British journalist Brian Deer investigated Dr. Andrew Wakefield (the man who initially claimed a link between autism and the MMR vaccine). A 2011 BMJ feature article Secrets of the MMR Scare: How the Case Against the MMR Vaccine Was Fixed explores Wakefield’s practices during the study that was published on the alleged connection between MMR vaccine and autism. The article also uncovers truths that lead to the decision to take away Dr. Wakefield’s medical license and the retraction of the study published on the subject. The 1998 study was cited more than 600 times before it was retracted in 2010. The retracted study serves as an example of how easily misinformation could spread about vaccines and how difficult it has been to disprove the misinformation. After the study was published, vast resources were used to respond to these theories that could have been put toward new research.
More evidence on the Wakefield study is presented in a 2021 PLoS One study, Quantifying the effect of Wakefield et al. (1998) on skepticism about MMR vaccine safety in the U.S., and 2019 JAMA original investigation, “Assessment of Citations of the Retracted Article by Wakefield et al With Fraudulent Claims of an Association Between Vaccination and Autism.”
On Feb. 12, 2009, the U.S. Court of Federal Claims (also called the “vaccine court”) ruled in three test cases, finding the scientific evidence to be overwhelmingly contrary to the theory that MMR vaccine and the vaccine preservative thimerosal are linked to autism.
Remember
If you have any questions about vaccines and your child, don’t hesitate to talk with your pediatrician.