Evidence map›Paper›PMID 26518405›Full record

ArticleVaccine2015

Surveillance of adverse events after the first trivalent inactivated influenza vaccine produced in mammalian cell culture (Flucelvax(®)) reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2013-2015.

Pedro L Moro, Scott Winiecki, Paige Lewis, Tom T Shimabukuro, Maria Cano

Abstract read
In one paragraph

Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guillain-Barré syndrome and influenza vaccines: current evidence.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Summary of the NACI Supplemental Statement on Mammalian Cell Culture-Based Influenza Vaccines.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2020
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pedro L MoroImmunization Safety Office, Centers for Disease Control and Prevention, United States. Electronic address: pmoro@cdc.gov.
Scott WinieckiCenter for Biologics Evaluation and Research, Food and Drug Administration, United States.
Paige LewisImmunization Safety Office, Centers for Disease Control and Prevention, United States.
Tom T ShimabukuroImmunization Safety Office, Centers for Disease Control and Prevention, United States.
Maria CanoImmunization Safety Office, Centers for Disease Control and Prevention, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundIn November 2012, the first cell cultured influenza vaccine, a trivalent subunit inactivated influenza vaccine (Flucelvax(®), ccIIV3), was approved in the US for adults aged ≥ 18 years.

objectiveTo assess adverse events (AEs) after ccIIV3 reported to the US Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting surveillance system.

methodsWe searched VAERS for US reports after ccIIV3 among persons vaccinated from July 1, 2013-March 31, 2015. Medical records were requested for reports classified as serious (death, hospitalization, prolonged hospitalization, disability, life-threatening-illness), and those suggesting anaphylaxis and Guillain-Barré syndrome (GBS). Physicians reviewed available information and assigned a primary clinical category using MedDRA system organ classes (SOC) to each report. Empirical Bayesian data mining was used to identify disproportional AE reporting following ccIIV3.

resultsVAERS received 629 reports following ccIIV3 of which 313 were for administration of vaccine to persons <18 years. Among 309 reports with an AE documented, 19 (6.1%) were serious and the most common categories were 152 (49.2%) general disorders and administration site conditions (mostly injection site and systemic reactions) and 73 (23.6%) immune system disorders with two reports of anaphylaxis. Four reports of GBS were submitted. Disproportional reporting was identified for 'drug administered to patient of inappropriate age.'

conclusionsReview of VAERS reports did not identify any concerning pattern of AEs after ccIIV3. Injection site and systemic reactions were the most commonly reported AEs, similar to the pre-licensure clinical trials. Reports following ccIIV3 in persons <18 years highlight the need for education of healthcare providers regarding approved ccIIV3 use.

Indexed as

Product Surveillance, PostmarketingAdolescentAdultAgedAged, 80 and overCell Culture TechniquesChildChild, PreschoolDrug-Related Side Effects and Adverse ReactionsFemaleHumansInfantInfluenza VaccinesMaleMiddle AgedTechnology, PharmaceuticalInfluenza VaccinesVaccines, InactivatedAdverse eventCell cultureSurveillanceTrivalent inactivated influenza vaccineVaccine safety

Identifiers

PMID26518405
PMCPMC6500456

What OpenQuestion holds

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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.