Evidence map›Paper›PMID 18762618›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2008

Anaphylaxis following quadrivalent human papillomavirus vaccination.

Julia M L Brotherton, Mike S Gold, Andrew S Kemp, Peter B McIntyre, Margaret A Burgess, Sue Campbell-Lloyd, New South Wales Health HPV Adverse Events Panel

Open access · goldAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
9.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 126 citations in OpenAlex.

  1. Article
  2. Allergo Journal : interdisziplinare Zeitschrift fur Allergologie und Umweltmedizin : Organ der Deutschen Gesellschaft fur Allergie- und Immunitatsforschung · 2022
    Review
  3. Anaphylaxis to additives in vaccines.Allergo journal international · 2022
    Review
  4. Review
  5. Review
  6. Vaccine-associated hypersensitivity.The Journal of allergy and clinical immunology · 2018
    Review
  7. Risk of anaphylaxis after vaccination in children and adults.The Journal of allergy and clinical immunology · 2016
    Article
  8. Human papillomavirus vaccination for boys.Canadian family physician Medecin de famille canadien · 2015
    Article
  9. HPV vaccine for cancer and wart prevention.Canadian family physician Medecin de famille canadien · 2015
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Evidence-based clinical guidelines for immigrants and refugees.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011
    Article
  16. Article
  17. Review
  18. Review of Gardasil.Journal of vaccines & vaccination · 2010
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Julia M L BrothertonNational Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead and University of Sydney, NSW, Australia. juliab2@chw.edu.au
Mike S Gold
Andrew S Kemp
Peter B McIntyre
Margaret A Burgess
Sue Campbell-Lloyd
New South Wales Health HPV Adverse Events Panel
Children's Hospital at Westmead · AUWomen's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2007, Australia implemented the National human papillomavirus (HPV) Vaccination Program, which provides quadrivalent HPV vaccine free to all women aged 12-26 years. Following notification of 7 presumptive cases of anaphylaxis in the state of New South Wales, Australia, we verified cases and compared the incidence of anaphylaxis following HPV vaccination to other vaccines in comparable settings.

methodsWe contacted all patients with suspected anaphylaxis and obtained detailed histories from telephone interviews and a review of medical records. A multidisciplinary team determined whether each suspected case met the standardized Brighton definition. Some participants also received skin-prick allergy testing for common antigens and components of the HPV vaccine.

resultsOf 12 suspected cases, 8 were classified as anaphylaxis. Of these, 4 participants had negative skin-prick test results for intradermal Gardasil. From the 269 680 HPV vaccine doses administered in schools, 7 cases of anaphylaxis were identified, which represents an incidence rate of 2.6 per 100 000 doses (95% CI 1.0-5.3 per 100 000). In comparison, the rate of identified anaphylaxis was 0.1 per 100 000 doses (95% CI 0.003-0.7) for conjugated meningococcal C vaccination in a 2003 school-based program.

interpretationBased on the number of confirmed cases, the estimated rate of anaphylaxis following quadrivalent HPV vaccine was significantly higher than identified in comparable school-based delivery of other vaccines. However, overall rates were very low and managed appropriately with no serious sequelae.

Indexed as

AdolescentAdultAnaphylaxisChildFemaleHumansImmunization ScheduleInterviews as TopicMedical RecordsNew South WalesPapillomavirus VaccinesSchool Health ServicesSeverity of Illness IndexSkin TestsSurveys and QuestionnairesPapillomavirus Vaccines

Identifiers

PMID18762618
PMCPMC2527382
OpenAlexW2171701618

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.