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Licensed for Use in the United States by the Food and Drug Administration (FDA) Cell Lines Used for Viral Production Current FDA list accessed 4 January 2021

Use of Cell Lines for Vaccine Production Vaccine Product Name No fetal cells (linked to FDA vaccine page Vaccine Trade Name fetal cells including package insert) -- no cell lines - bacteria grow independently WI-38 Adenovirus Type 4 and Type 7 Vaccine, No Trade Name Live, Oral

-- Vaccine Adsorbed Biothrax

-- BCG Live BCG Vaccine

-- BCG Live TICE BCG

-- Live Oral Vaxchora

Vero Dengue Tetravalent Vaccine, Live DENGVAXIA

-- & Adsorbed No Trade Name -- Diphtheria & Tetanus Toxoids & Acellular Infanrix Adsorbed -- Diphtheria & Tetanus Toxoids & Acellular DAPTACEL Pertussis Vaccine Adsorbed Yeast (HepB) Diphtheria & Tetanus Toxoids & Acellular Vero (polio) Pertussis Vaccine Adsorbed, Hepatitis B Pediarix -- diphtheria, tetanus, (recombinant) and Inactivated Poliovirus pertussis Vaccine Combined Vero (polio) Diphtheria and Tetanus Toxoids and -- diphtheria, tetanus, Acellular Pertussis Adsorbed and Inactivated KINRIX pertussis Poliovirus Vaccine Vero (polio) Diphtheria and Tetanus Toxoids and -- diphtheria, tetanus, Acellular Pertussis Adsorbed and Inactivated Quadracel pertussis Poliovirus Vaccine Yeast (HepB) Diphtheria and Tetanus Toxoids and Vero (polio) Acellular Pertussis Adsorbed, Inactivated -- diphtheria, tetanus, Poliovirus, Haemophilus b Conjugate VAXELIS pertussis, haemophilus [Meningococcal Protein Conjugate] and

Hepatitis B [Recombinant] Vaccine Vero (polio) Diphtheria and Tetanus Toxoids and Pentacel -- diphtheria, tetanus, Acellular Pertussis Adsorbed, Inactivated pertussis, haemophilus Use of Cell Lines for Vaccine Production Vaccine Product Name No fetal cells (linked to FDA vaccine page Vaccine Trade Name fetal cells including package insert) -- no cell lines - bacteria grow independently Poliovirus and Haemophilus b Conjugate

(Tetanus Conjugate) Vaccine

Vero Ebola Zaire Vaccine, Live ERVEBO -- Haemophilus b PedvaxHIB (Meningococcal Protein Conjugate) -- Haemophilus b Conjugate Vaccine (Tetanus ActHIB Toxoid Conjugate) -- Haemophilus b Conjugate Vaccine (Tetanus Hiberix Toxoid Conjugate)

MRC-5 , Inactivated Havrix

MRC-5 Hepatitis A Vaccine, Inactivated VAQTA MRC-5 (HepA) Hepatitis A Inactivated and Hepatitis B Twinrix Yeast (HepB) (Recombinant) Vaccine

Yeast (Recombinant) Recombivax HB

Yeast Hepatitis B Vaccine (Recombinant) Engerix-B Yeast Hepatitis B Vaccine (Recombinant), HEPLISAV-B Adjuvanted Yeast Human Papillomavirus Quadrivalent (Types 6, 11, 16, 18) Vaccine, Recombinant Yeast Human Papillomavirus 9-valent Vaccine, Gardasil 9 Recombinant Insect cells Human Papillomavirus Bivalent (Types 16, 18) Vaccine, Recombinant Chicken eggs Influenza A (H1N1) 2009 Monovalent No Trade Name Vaccine Chicken eggs Influenza A (H1N1) 2009 Monovalent No Trade Name Vaccine Chicken eggs Influenza A (H1N1) 2009 Monovalent No Trade Name Vaccine Chicken eggs Influenza A (H1N1) 2009 Monovalent No Trade Name Vaccine Chicken eggs Influenza A (H1N1) 2009 Monovalent No Trade Name Vaccine Use of Cell Lines for Vaccine Production Vaccine Product Name No fetal cells (linked to FDA vaccine page Vaccine Trade Name fetal cells including package insert) -- no cell lines - bacteria grow independently Chicken eggs Influenza Virus Vaccine, H5N1 (for National No Trade Name Stockpile) Chicken eggs Influenza A (H5N1) Virus Monovalent No Trade Name Vaccine, Adjuvanted MDCK cells Influenza A (H5N1) Monovalent Vaccine, AUDENZ Adjuvanted Chicken eggs FLUAD , Adjuvanted QUADRIVALENT

Chicken eggs Influenza Vaccine, Adjuvanted FLUAD Chicken eggs AFLURIA Influenza Vaccine QUADRIVALENT MDCK cells Flucelvax Influenza Vaccine Quadrivalent Chicken eggs Influenza Virus Vaccine Afluria (Trivalent, Types A and B) Chicken eggs Influenza Virus Vaccine FluLaval (Trivalent, Types A and B) Chicken eggs Influenza Vaccine, Live, Intranasal FluMist (Trivalent, Types A and B) Chicken eggs Influenza Virus Vaccine Fluarix (Trivalent, Types A and B) Chicken eggs Influenza Virus Vaccine Fluvirin (Trivalent, Types A and B) Chicken eggs Influenza Virus Vaccine Agriflu (Trivalent, Types A and B) Chicken eggs Fluzone, Fluzone Influenza Virus Vaccine High-Dose and (Trivalent, Types A and B) Fluzone Intradermal MDCK cells Influenza Virus Vaccine Flucelvax (Trivalent, Types A and B)

Insect cells Influenza Vaccine (Trivalent) Flublok

Insect cells Influenza Vaccine (Quadrivalent) Flublok Quadrivalent Chicken eggs Influenza Vaccine, Live, Intranasal FluMist Quadrivalent (Quadrivalent, Types A and Types B) Use of Cell Lines for Vaccine Production Vaccine Product Name No fetal cells (linked to FDA vaccine page Vaccine Trade Name fetal cells including package insert) -- no cell lines - bacteria grow independently Chicken eggs Influenza Virus Vaccine Fluarix Quadrivalent (Quadrivalent, Types A and Types B) Chicken eggs Influenza Virus Vaccine Fluzone Quadrivalent (Quadrivalent, Types A and Types B)

Chicken eggs Influenza Vaccine Flulaval Quadrivalent Vero Japanese Encephalitis Virus Vaccine, Ixiaro Inactivated, Adsorbed Chick cells (Measles, Measles, Mumps, and Rubella Virus Vaccine, Mumps) M-M-R II Live WI-38 (Rubella) Chick cells (Measles, Mumps) Measles, Mumps, Rubella and Varicella Virus WI-38 (Rubella) ProQuad Vaccine Live MRC-5 (Varicella- Zoster) -- Meningococcal (Groups A, C, Y, and W-135) Oligosaccharide Diphtheria CRM197 Menveo

Conjugate Vaccine -- Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Menactra

Vaccine

-- Meningococcal Group B Vaccine BEXSERO

-- Meningococcal Group B Vaccine TRUMENBA -- Meningococcal Polysaccharide Vaccine, Menomune-A/C/Y/W-

Groups A, C, Y and W-135 Combined 135 -- Meningococcal (Groups A, C, Y, W) MenQuadfi Conjugate Vaccine -- Vaccine No trade name

-- , Polyvalent Pneumovax 23 -- Pneumococcal 13-valent Conjugate Vaccine Prevnar 13 (Diphtheria CRM197 Protein) Poliovirus Vaccine Inactivated (Human Poliovax Diploid Cell) (discontinued in U.S.) Vero Poliovirus Vaccine Inactivated (Monkey IPOL Kidney Cell) Use of Cell Lines for Vaccine Production Vaccine Product Name No fetal cells (linked to FDA vaccine page Vaccine Trade Name fetal cells including package insert) -- no cell lines - bacteria grow independently

MRC-5 Imovax

Chicken cells Rabies Vaccine RabAvert Monkey cells Rabies Vaccine Adsorbed No Trade Name

Vero , Live, Oral ROTARIX

Vero Rotavirus Vaccine, Live, Oral, Pentavalent RotaTeq Chicken cells Smallpox and Monkeypox Vaccine, Live, JYNNEOS Non-Replicating

Vero Smallpox (Vaccinia) Vaccine, Live ACAM2000

-- Tetanus & Diphtheria Toxoids, Adsorbed TDVAX -- Tetanus & Diphtheria Toxoids Adsorbed for TENIVAC Adult Use

-- Tetanus Toxoid Adsorbed No Trade Name -- Tetanus Toxoid, Reduced Diphtheria Toxoid Adacel and Acellular Pertussis Vaccine, Adsorbed -- Tetanus Toxoid, Reduced Diphtheria Toxoid Boostrix and Acellular Pertussis Vaccine, Adsorbed

-- Live Oral Vivotif

-- Typhoid Vi Polysaccharide Vaccine TYPHIM Vi

MRC-5 Varicella Virus Vaccine Live Varivax

Chicken eggs YF-Vax

MRC-5 , Live, (Oka/Merck) Zostavax

CHO cells Zoster Vaccine Recombinant, Adjuvanted SHINGRIX