Small increase in febrile seizures.
The increase of febrile seizures when combining these vaccines is small, and the CDC does not recommend delivering them on separate days.
Source: G&G 14e · p812
bacterial vaccine · vaccine
Acellular pertussis vaccine incorporates antigen fragments derived from Bordetella pertussis. The native pertussis toxin's A subunit, once in the cell cytosol, ADP-ribosylates the α subunit of the Gi protein, which normally couples inhibitory G protein-coupled receptor signaling to adenylyl cyclase to reduce cyclic AMP production. This action contributes to the symptoms of whooping cough.
Small increase in febrile seizures.
The increase of febrile seizures when combining these vaccines is small, and the CDC does not recommend delivering them on separate days.
Source: G&G 14e · p812
Continue into a citation-backed clinical answer with the drug context already attached.
Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team