Hepatitis A virus (HAV) remains a common infection in Thai children. Two HAV vaccines are available: inactivated vaccine (I-HAV, 2 doses) and live-attenuated vaccine (L-HAV, single dose), but neither is included in Thailand's national immunization program. Our previous randomized, active-controlled, open-label, non-inferiority trial trial found that some participants remained seronegative after one L-HAV dose (anti-HAV IgG \<1 S/CO) (preliminary data). This study aims to evaluate the immunogenicity and safety of an additional dose of I-HAV in healthy Thai children and adolescents who did not develop protective antibody levels after a single dose of L-HAV.
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Anti-HAV immunoglobulin G (IgG) seropositivity rate
Timeframe: at baseline (1 year after L-HAV vaccination) and 4 weeks after an additional I-HAV vaccination.
Incidence of adverse events following I-HAV vaccination
Timeframe: immediate and until 4 weeks after an additional I-HAV vaccination.