Rx
🏭 Sanofi Pasteur
❄️ Cold Chain
⭐ 4-in-1 Combo
Tetraxim · Sanofi Pasteur · 0.5 mL Prefilled Syringe (PFS) · Intramuscular Route
Active ingredients & excipients · Sanofi Pasteur manufacturer label · verified by VacciHub
🛡️ 4 Diseases Tetraxim Protects Against
Diphtheria
Bacterial infection forming a thick grey membrane in the throat, causing airway blockage, heart failure and nerve damage. Highly fatal in unvaccinated children under 5.
Tetanus (Lockjaw)
Clostridium tetani toxin causes severe muscle spasms, jaw locking and respiratory failure. No cure exists — vaccination is the only effective prevention.
Pertussis (Whooping Cough)
Extremely contagious — causes violent coughing "whoops." Deadly for infants under 6 months. Can cause pneumonia, brain damage, or death. Tetraxim uses 2 purified antigens (PT + FHA).
Poliomyelitis (All 3 Types)
Viral disease causing permanent paralysis. Tetraxim covers Type 1 (Mahoney) – 40 DU, Type 2 (MEF-1) – 8 DU, Type 3 (Saukett) – 32 DU. All produced on VERO cells.
ℹ️ Why Acellular Pertussis (aP)? Tetraxim uses only purified Pertussis Toxoid (25 µg) + Filamentous Haemagglutinin (25 µg) — NOT the whole bacterium. This means significantly fewer fever episodes, less injection-site swelling, and better tolerability vs older DTwP.
🔬 Tetraxim Composition – Per 0.5 mL Dose
As per Sanofi Pasteur manufacturer label. Each prefilled syringe (0.5 mL) contains:
| Component | Quantity | Notes |
|---|---|---|
| ACTIVE INGREDIENTS | ||
| Diphtheria Toxoid | ≥ 30 IU | Adsorbed on aluminium hydroxide |
| Tetanus Toxoid | ≥ 40 IU | Adsorbed on aluminium hydroxide |
| Pertussis Toxoid (PT) | 25 µg | Acellular — purified antigen |
| Filamentous Haemagglutinin (FHA) | 25 µg | Acellular — purified antigen |
| Poliovirus Type 1 (Mahoney) – Inactivated | 40 DU | Produced on VERO cells |
| Poliovirus Type 2 (MEF-1) – Inactivated | 8 DU | Produced on VERO cells |
| Poliovirus Type 3 (Saukett) – Inactivated | 32 DU | Produced on VERO cells |
| ADJUVANT & EXCIPIENTS | ||
| Aluminium hydroxide, hydrated | 0.3 mg Al³⁺ | Adjuvant (boosts immune response) |
| Phenoxyethanol | 2.5 µl | Preservative |
| Ethanol anhydrous | 2.5 µl | Solvent |
| Formaldehyde solution | 10 µg | Trace inactivating agent |
| Medium 199 Hanks 10xC (without phenol red) | 0.05 ml | Culture medium |
| Acetic acid / Sodium hydroxide | Trace | pH adjustment |
| Water for injection | Up to 0.5 mL | Vehicle |
DU = D-antigen unit. IU values are lower confidence limits (p=0.95). Mean values used for Poliovirus antigens.
📅 IAP 2024 – Tetraxim (DTaP-IPV) Vaccination Schedule
As per Indian Academy of Pediatrics (IAP) 2024 immunisation guidelines for India:
| Dose | Age | Vaccine | Site |
|---|---|---|---|
| Primary 1 | 6 Weeks | DTaP-IPV-Hib-HepB (6-in-1) | Anterolateral thigh IM |
| Primary 2 | 10 Weeks | DTaP-IPV-Hib-HepB (6-in-1) | Anterolateral thigh IM |
| Primary 3 | 14 Weeks | DTaP-IPV-Hib-HepB (6-in-1) | Anterolateral thigh IM |
| ⭐ Booster 1 | 15–18 Months | Tetraxim (DTaP-IPV) ← preferred | Anterolateral thigh IM |
| Booster 2 | 4–6 Years | Tdap / DTaP (pre-school) | Deltoid IM |
⚠️ Important: Tetraxim is most commonly administered as the 15–18 month booster following 3 primary doses of a 6-in-1 vaccine (Infanrix Hexa / Hexaxim). Always consult your paediatrician for a personalised schedule. Do not interchange brands without medical advice.
⚙️ How Does Tetraxim Work?
1
Antigen Injection into Muscle
Tetraxim is injected into the anterolateral thigh. It delivers purified toxoids (Diphtheria & Tetanus), acellular Pertussis proteins (PT & FHA), and inactivated Poliovirus (all 3 types) in a single 0.5 mL dose.
2
Aluminium Adjuvant Effect
Aluminium hydroxide (0.3 mg Al³⁺) acts as an adjuvant — slowing antigen release and activating innate immune pathways. This creates a depot effect, giving the immune system more time to respond strongly.
3
Antibody & Memory Cell Production
The immune system recognises each antigen and produces specific IgG antibodies against Diphtheria toxin, Tetanus toxin, Pertussis proteins, and all 3 Polio serotypes. Memory B-cells and T-cells are generated simultaneously.
4
Long-Lasting Protection
Peak antibody levels develop within 2–4 weeks. Booster doses at 15–18 months and 4–6 years maintain high protective titres. Acellular pertussis is gentler — fewer fever episodes and injection-site reactions vs older DTP.
⚠️ Tetraxim Side Effects – What to Expect
Tetraxim (acellular formulation) has fewer adverse reactions than older whole-cell DTP vaccines. Most effects are mild and self-limiting.
🟡 Common (Expected, Mild)
- Pain, redness or swelling at injection site
- Low-grade fever (<38.5°C)
- Irritability / prolonged crying
- Drowsiness or restlessness
- Temporary loss of appetite
🔴 Rare – Seek Medical Attention
- ✗High fever (>39°C)
- ✗Prolonged crying >3 hours
- ✗Hypotonic-hyporesponsive episode
- ✗Febrile seizure (very rare)
- ✗Anaphylaxis (extremely rare)
💡 Post-vaccination care: Apply a clean cold cloth (not ice) to the injection site. Paracetamol may be given as per your paediatrician's advice for fever. Observe the child for 30 minutes post-vaccination. Our VacciHub nurses monitor the child before leaving.
⚖️ Tetraxim (DTaP-IPV) vs Whole-Cell DTP (DTwP) – Comparison
Why most paediatricians now prefer acellular pertussis vaccines like Tetraxim:
| Feature | Tetraxim (DTaP-IPV) | Whole-Cell DTP (DTwP) |
|---|---|---|
| Pertussis Component | ✓ Acellular (purified PT + FHA) | Whole killed bacteria |
| Fever Risk Post-Dose | ✓ Low | Higher — very common |
| Local Reactions | ✓ Minimal swelling/pain | Frequent, can be significant |
| Polio Coverage | ✓ All 3 types (IPV included) | Requires separate OPV drops |
| Manufacturer | ✓ Sanofi Pasteur (France) | Multiple manufacturers |
| IAP Recommendation | ✓ Preferred for boosters | Acceptable for primary series |
| Hospital Visits Needed | ✓ Can be done at home | Typically clinic/hospital |
| Storage | 2°C – 8°C | 2°C – 8°C |
🚫 Precautions & Contraindications
Do NOT give Tetraxim if:
- Severe allergic reaction (anaphylaxis) to any prior DTaP, DT, Tdap or IPV dose
- Known hypersensitivity to any ingredient (phenoxyethanol, formaldehyde, aluminium)
- Encephalopathy of unknown origin within 7 days of prior pertussis-containing vaccine
- Unstable progressive neurological disorder or uncontrolled epilepsy
Use with Caution – Consult Doctor First:
- Acute febrile illness on vaccination day — defer until recovery
- Previous febrile seizure or family history of seizures
- Thrombocytopenia or coagulation disorders
- Immunosuppressive therapy or confirmed HIV infection
- Hypersensitivity to neomycin, streptomycin or polymyxin B (trace residuals possible)
⚠️ Always observe the child for at least 30 minutes after vaccination. VacciHub nurses carry emergency protocols and first-aid supplies during all home visits.
🏥 Why Book Tetraxim with VacciHub?
Certified Nursing Staff
All vaccinations by trained, certified nurses with hands-on paediatric immunisation experience.
Cold Chain Guaranteed
Vaccines transported in calibrated cold boxes maintaining 2°C–8°C throughout delivery. Potency preserved.
100% Genuine Sanofi
Sourced directly from authorised distributors. Batch numbers verifiable. Zero counterfeit risk.
Comfort of Home
No waiting rooms, no hospital queues. Baby stays calm in familiar surroundings. Stress-free experience.
Digital Vaccination Record
Complete vaccination history maintained digitally. Post-visit report shared on WhatsApp.
Flexible Timing
Morning to evening slots, including Saturdays & Sundays. Same-day bookings available.
📍 Tetraxim Home Vaccination – Cities We Serve
VacciHub provides home vaccination with Tetraxim (DTaP-IPV) across all major areas of Delhi NCR:
🏛️Delhi (All Areas)
🏙️Gurgaon
🌆Noida
🏘️Ghaziabad
🏗️Faridabad
🌇Greater Noida
Not sure if we cover your pincode? Call us at +91 92050 04114 and we'll confirm instantly.
❓ Frequently Asked Questions – Tetraxim Vaccine
Tetraxim (DTaP-IPV) is a 4-in-1 combination vaccine by Sanofi Pasteur. It protects children against four serious diseases: Diphtheria (throat membrane infection), Tetanus (lockjaw), Pertussis (whooping cough), and all three types of Poliomyelitis. The acellular pertussis (aP) formulation uses purified protein antigens rather than whole bacteria, making it safer with fewer side effects.
As per IAP 2024 guidelines, the Tetraxim booster is given at 15–18 months of age, following primary doses at 6, 10 and 14 weeks (usually given as Infanrix Hexa or Hexaxim 6-in-1). A second pre-school booster (Tdap/DTaP) is given at 4–6 years.
Infanrix Hexa is a 6-in-1 vaccine (DTaP + IPV + Hib + HepB) used for the primary series at 6, 10 and 14 weeks. Tetraxim is a 4-in-1 vaccine (DTaP + IPV) used as the 15–18 month booster. It does not include Hib and HepB because those components are already complete by 14 weeks.
Yes, Tetraxim is clinically proven safe and well-tolerated. Common side effects include mild injection-site pain, redness, low-grade fever, irritability and temporary drowsiness — all resolving in 48–72 hours. Because it uses acellular pertussis (not whole-cell bacteria), it causes significantly fewer adverse reactions than older DTP vaccines. Severe reactions like anaphylaxis are extremely rare.
Absolutely. VacciHub provides home vaccination with genuine Sanofi Tetraxim across Delhi, Gurgaon, Noida, Ghaziabad, Faridabad and Greater Noida. Our certified nurses bring the vaccine in a validated cold box and administer it safely at your home. Call +91 92050 04114 to book.
Please call or WhatsApp us at +91 92050 04114 for current pricing. VacciHub's price is inclusive of the nurse home visit, validated cold chain delivery, and digital vaccination record. We maintain transparent pricing with no hidden charges.
DTaP (acellular) like Tetraxim uses only purified pertussis protein antigens (Pertussis Toxoid + FHA), not the whole killed bacterium. This results in significantly fewer fever episodes, less injection-site swelling and better tolerability — while providing equally robust immunity. DTwP (whole-cell) is cheaper but causes more frequent adverse reactions.