Vaccine (Live Attenuated)Not Controlled

M-M-R II®/PRIORIX®

Measles, Mumps, Rubella Vaccine

Merck / GSK·FDA 1971·
2 doses: 12-15 months, 4-6 years

Version 2025-04 · Last reviewed April 1, 2025 · Methodology

List Price

$130

With Insurance

$0

The Short Version

Plain-language summary

M-M-R II (Measles, Mumps, Rubella Vaccine) contains weakened versions of measles, mumps, and rubella viruses. These can't cause disease but teach your immune system to fight the real thing, providing lifelong protection in most people.

How it works: The MMR vaccine contains live, weakened (attenuated) measles, mumps, and rubella viruses. The attenuated viruses replicate briefly in the body, not enough to cause disease, but enough to generate a full, long-lasting immune response similar to natural infection.

What people most commonly report

Injection site pain / redness
25-30%
Mild joint aching (rubella component)
20-25% in adult women
Temporary stiffness in joints
10-15% adult women
Fever (low-grade)
5-15%
Mild rash
5%

Normal immune response; apply ice for 10-20 minutes after

Studies include independent, publicly funded research, not just manufacturer data.

What Else the Evidence Supports

Non-drug options with clinical backing

MMR provides highly effective protection (>97%) against measles, mumps, and rubella; measles alone causes an estimated 100,000+ deaths annually in unvaccinated populations globally

Verify immunity (titer test)Emerging

Adults unsure of vaccination history can confirm immunity.

Vitamin AEmerging

Reduces measles mortality 50-80% in deficient children.

Vitamin DEmerging

May improve vaccine immune response.

What This Really Costs

Cost per dose based on current pricing

Per Dose

$115

$0 w/ insurance

without insurance

Full Series (2 doses)

$230

$0 w/ insurance

without insurance

Lifestyle alternative: $0/month in prescriptions. Verify immunity (titer test) - Adults unsure of vaccination history can confirm immunity.

The average American retiree spends $165,000 on healthcare after retirement (Fidelity, 2024). Informed choices today compound over decades.

Related Evidence

Explore related medications reviewed on EvidentMeds

Metabolic & Lifestyle Alternatives

Immune Health & Contextual Information

MMR provides highly effective protection (>97%) against measles, mumps, and rubella; measles alone causes an estimated 100,000+ deaths annually in unvaccinated populations globally

Important context: Evidence quality varies across these approaches. Some are well-studied with randomized controlled trial data; others are based on observational or smaller studies. These interventions are not guaranteed to replace medication for all patients. Discuss with your doctor whether any of these are appropriate for your clinical situation.

Global Prescribing & Pricing

MMR is universal globally, mandatory programs achieve 97% coverage vs. voluntary programs' 91%

🇺🇸

United States

Free (VFC) / $90–150 uninsured/mo

Rate

91–93% childhood coverage, below the 95% herd immunity threshold

Policy

Voluntary with state school entry requirements; no national mandate; coverage gaps persist

Cover

Free via VFC for uninsured children; covered by most insurance

🇩🇪

Germany

Free/mo

Rate

97% coverage, highest in EU; mandatory since 2020

Policy

Made mandatory for school and daycare entry in 2020 following measles outbreaks; highest EU coverage

Cover

Free, mandatory program

🇦🇺

Australia

Free (NIP)/mo

Rate

96% coverage, above herd immunity threshold

Policy

National immunization schedule with digital reminder systems; No Jab No Pay welfare rules

Cover

Free, National Immunisation Program

🇬🇧

United Kingdom

Free (NHS)/mo

Rate

94% coverage, near herd immunity threshold

Policy

NHS maternal recall system + GP follow-up letters; childhood schedule fully integrated

Cover

Free, NHS

🇯🇵

Japan

~$54 (municipally subsidized)/mo

Rate

94% coverage, strong public health campaigns

Policy

Routine 2-dose schedule; municipal-level vaccine promotion; MMR suspended 1993–2006 due to mumps strain concerns

Cover

Subsidized by municipalities

Germany's 2020 mandatory MMR law, passed after measles outbreaks, pushed coverage from 93% to 97% within two years. Australia ties vaccine compliance to welfare payments (No Jab No Pay), achieving 96%. The US relies on state-level voluntary requirements and has never crossed the 95% herd immunity threshold nationally.

Clinical Trials & Funding

Understanding who funds research helps contextualize results. Industry-funded trials are not automatically invalid - they undergo the same FDA review - but declared conflicts and sponsor effects are worth knowing. All linked trials can be verified on ClinicalTrials.gov.

Key Efficacy Results

Measles efficacy ~97%, Rubella ~97%, Mumps ~88% (more variable)

Referenced Studies

Each study shows its evidence level and Cochrane RoB-2 risk-of-bias rating - tap the bias badge for details.

Evidence & Transparency

Cochrane RoB-2 (Risk of Bias)

Badges reflect an editorial assessment using Cochrane's RoB-2 tool domains: randomization, intervention deviation, missing data, outcome measurement, and selective reporting. These are not certified Cochrane reviews. Learn more ↗

CMS Open Payments

Manufacturer payment disclosures are reported via the CMS Sunshine Act. Disclosure is legally required and does not imply bias or misconduct. Language uses "may," "suggests," or "appears", never definitive clinical claims. CMS Open Payments ↗

Live Clinical Trials

Live from ClinicalTrials.gov · refreshed every 4 hours

Currently enrolling, active, and recently completed studies involving Measles, Mumps, Rubella Vaccine. Data is pulled directly from the U.S. National Library of Medicine.

Recent Research

Live from PubMed · peer-reviewed literature · refreshed every 4 hours

Most recently indexed clinical trials and systematic reviews mentioning Measles, Mumps, Rubella Vaccine in PubMed.

Source Documentation

Structured citations for referenced clinical trials

Each referenced trial is listed with its registry ID, funding source, and bias assessment. Use the copy button to generate a formatted citation.

TrialRegistry IDCite
MMR Immunogenicity (GSK vs M-M-R II)NCT00861744

Bias ratings use Cochrane RoB-2 methodology. Editorial assessment - not a certified Cochrane review.

Our Methodology

Common Side Effects

While taking this medication, you may experience the following common side effects. We've included tips on how to manage them.

Injection site pain / redness

25-30%

Normal immune response; apply ice for 10-20 minutes after

Fever (low-grade)

5-15%

Typically peaks 7-12 days post-vaccination; acetaminophen can help

Mild rash

5%

Non-contagious rash may appear 7-12 days post-vaccination

Temporary swollen glands (neck/jaw)

5%

Normal immune response; usually resolves within a few weeks

Mild joint aching (rubella component)

20-25% in adult women

Can occur 1-3 weeks post-vaccination; usually brief

Temporary stiffness in joints

10-15% adult women

From the rubella component; usually self-limited

Runny nose / mild upper respiratory symptoms

5%

Not contagious; resolves within a few days

Temporary low platelet count (ITP)

1 in 30,000

Usually mild and resolves spontaneously; monitor for unusual bruising

Temporary mild decrease in white blood cells

Uncommon

Detected on lab tests; usually self-resolving

Parotid swelling (mumps component)

Rare

Rare case of mild parotid gland swelling; self-limiting

Serious Adverse Effects

  • Febrile seizures: 1 in 3,000 doses
  • Anaphylaxis: ~1-2 per million doses
  • Encephalitis: ~1 per million doses
  • Immune thrombocytopenic purpura (ITP): ~1 per 30,000

Drug Interactions

Major Interactions (Avoid)

ImmunosuppressantsContraindicated, live vaccine risk
Immune globulinDelay vaccine 3-11 months after IG administration

Moderate Interactions (Caution)

Aspirin (salicylates)Avoid for 6 weeks post-vaccination (Reye's syndrome risk)

When to Contact Your Doctor

This medication requires ongoing medical supervision. The following situations warrant a prompt conversation with your prescribing physician - do not wait for your next scheduled appointment.

Contact soon if you notice

  • Febrile seizures: 1 in 3,000 doses
  • Anaphylaxis: ~1-2 per million doses
  • Encephalitis: ~1 per million doses
  • Immune thrombocytopenic purpura (ITP): ~1 per 30,000

Also discuss if you want to

  • Review whether this medication is still appropriate for you
  • Consider dosage adjustments based on response
  • Explore lifestyle or non-drug alternatives
  • Understand stopping or tapering options
  • Plan monitoring labs and follow-up

In the US, call 911 or go to the nearest emergency room for severe symptoms. Poison Control: 1-800-222-1222.

FDA Adverse Event Reports

Patient-filed reports from the FDA FAERS database · refreshed daily

Anecdotal data. Reports are not confirmed causation. Always consult your provider.

Community Reports

User-reported experiences - anonymous & anecdotal

Join the Conversation

Premium subscribers can share their experience and confirm others' reports.

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Stopping This Medication Safely

Not Applicable

MMR is a childhood vaccine series given in 2 lifetime doses. There is no ongoing medication to taper, immunity is expected to be lifelong after the 2-dose series.

Never change or stop a medication without consulting your prescribing physician.

Questions for Your Doctor

$2.99, printable guide for your next appointment

Questions to Ask

  • 1.Do I need a titer test to confirm immunity?
  • 2.Is there a history of egg allergy concerns?
  • 3.Should my child get MMRV (with varicella)?
  • 4.Are there any immunocompromising conditions to consider?

Lab Tests to Request

  • MMR titer (IgG antibody test if unsure of history)
  • Immune status check
  • Pregnancy test (women of childbearing age)

Medical Disclaimer

The information on this page is compiled from publicly available clinical trial data, FDA prescribing information, and peer-reviewed literature. It is provided for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. Individual responses to medications vary. Always consult a qualified healthcare provider before starting, stopping, or changing any medication.

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