Evidence map›Paper›PMID 28835207›Full record

ArticleBMC immunology2017

Adverse events following immunization with pentavalent vaccine: experiences of newly introduced vaccine in Iran.

Manoochehr Karami, Pegah Ameri, Jalal Bathaei, Zeinab Berangi, Tahereh Pashaei, Ali Zahiri, Seyed Mohsen Zahraei, Hussein Erfani, Koen Ponnet

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Effect ofBioMed research international · 2021
    Trial
  2. Article
  3. Article
  4. Adverse Events Following Immunizations in Infants Under 1 Year of Age in Lorestan Province, Western Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Article
  5. Article
  6. Adverse events following pediatric immunization in an Indian city.Clinical and experimental vaccine research · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Manoochehr KaramiSocial Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. ma.karami@umsha.ac.ir.ORCID 0000-0002-9026-3757
Pegah AmeriDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Jalal BathaeiDeputy for Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Zeinab BerangiDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Tahereh PashaeiSocial Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Ali ZahiriDeputy for Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Seyed Mohsen ZahraeiCenter for Communicable Diseases Control, Ministry of Health, Tehran, Iran.
Hussein ErfaniDeputy for Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Koen PonnetDepartment of Communication Studies, Ghent University, Ghent, Belgium.
Hamedan University of Medical Sciences · IRKurdistan University of Medical Sciences · IRUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most important factors that affect the incidence of vaccine-related complications are the constituent biological components of the vaccine, injection site reactions, age and sex. The aim of this study is to determine the incidence rate of adverse events following immunization with pentavalent vaccine (DTPw-Hep B-Hib (PRP-T) vaccine (pentavac) (adsorbed) is manufactured by Serum Institute of India ltd), which was introduced in Iran in November 2014. It is important to monitor vaccine-related adverse events because of the role of vaccine safety in immunization program success.

methodsThis study was a mixed cohort study that included 1119 children less than 1 year of age. In 2015, the children were referred to Hamadan health centers to receive pentavalent vaccine at 2, 4 and 6 months of age. The data were collected from the parents of the children using a questionnaire that was administered either face-to-face or by telephone. The cumulative incidence of side effects and risk ratio was reported with 95% confidence intervals (CI). Chi-squared tests and logistic regressions were used to investigate the association between the variables.

resultsThe cumulative incidence rate of pentavalent-related adverse events during 48 h following immunization was estimated to be 15.8% for swelling, 10.9% for redness, 44.2% for pain, 12.6% for mild fever, 0.1% for high fever, 20.0% for drowsiness, 15.0% for loss of appetite, 32.9% for irritability, 4.6% for vomiting and 5.5% for persistent crying. There is no evidence for the occurrence of convulsion and encephalopathy among children who receive pentavalent vaccines.

conclusionFurther large studies with long time follow up are required to address rare events include convulsions, encephalopathy or persistent crying. However, Findings urge immunization programs to use pentavalent vaccinations and to continue implementing the current immunization program in children under 1 year of age.

Indexed as

Age FactorsCohort StudiesDiphtheria-Tetanus-Pertussis VaccineDose-Response Relationship, ImmunologicFemaleHaemophilus VaccinesHumansImmunization ProgramsIncidenceInfantInfant, NewbornIranMalePoliovirus Vaccine, InactivatedSurveys and QuestionnairesVaccinationDiphtheria-Tetanus-Pertussis VaccineHaemophilus VaccinesPentavacPoliovirus Vaccine, InactivatedVaccines, CombinedAdverse reactionsImmunizationIranVaccine

Identifiers

PMID28835207
PMCPMC5569531
OpenAlexW2748956857

What OpenQuestion holds

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LicenceCC BY
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.