| アブストラクト | BACKGROUND: Post marketing safety evaluations of quadrivalent meningococcal diphtheria-toxoid conjugate vaccine (MenACWY-D) have focused on post-vaccination risk of Guillain Barre syndrome (GBS), adverse events (AEs) after maternal vaccination, and comparative studies with the newer quadrivalent meningococcal CRM197 conjugate vaccine (MenACWY-CRM). To provide an updated general safety assessment, we reviewed reports of AEs following MenACWY-D submitted to the Vaccine Adverse Event Reporting System (VAERS). METHODS: VAERS is a national spontaneous reporting vaccine safety surveillance system co-administered by the Centers for Disease Control and Prevention and the U.S. Food and Drug Administration. We searched the VAERS database for U.S. reports of AEs after administration of MenACWY-D from January 2005 through June 2016. We conducted clinical reviews of serious reports after MenACWY-D administered alone, reports of MenACWY-D use during pregnancy, and reports of selected pre-specified outcomes. We screened for disproportionate reporting of AEs after MenACWY-D using empirical Bayesian data mining. RESULTS: VAERS received 13,075 U.S. reports after receipt of MenACWY-D; most (86%) described vaccination in adolescents, were classified as non-serious (94%), and described AEs consistent with pre-licensure studies. We did not find any evidence that reported deaths were related to vaccination. In serious reports, GBS and meningococcal infection were the most commonly reported medical conditions. Many reports of MenACWY-D use during pregnancy described inadvertent vaccination; most (61%) did not report any AE. CONCLUSIONS: Findings from our comprehensive review of reports to VAERS following MenACWY-D are consistent with data from pre-licensure studies and provide further reassurance on the safety of MenACWY-D. |
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| 投稿日 | 2020/8/5 |
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| 投稿者 | Myers, Tanya R; McNeil, Michael M; Ng, Carmen S; Li, Rongxia; Marquez, Paige L; Moro, Pedro L; Omer, Saad B; Cano, Maria V |
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| ジャーナル名 | Vaccine |
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| 組織名 | Division of Healthcare Quality Promotion, Immunization Safety Office, National;Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and;Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA. Electronic address:;vje9@cdc.gov.;Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA.;Yale Institute for Global Health, 1 Church Street, New Haven, CT 06517, USA. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/32747215/ |
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