Evidence map›Paper›PMID 28958404›Full record

ArticlePediatric neurology2017

Febrile Seizure Risk after Vaccination in Children One to Five Months of Age.

Jonathan Duffy, Simon J Hambidge, Lisa A Jackson, Elyse O Kharbanda, Nicola P Klein, Allison Naleway, Saad B Omer, Eric Weintraub, Vaccine Safety Datalink

Abstract read
In one paragraph

Article in Pediatric neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Child Neglect by Any Other Name.Pediatric neurology · 2020
    Article
  5. Risk Factors of Febrile Status Epilepticus.Iranian journal of child neurology · 2019
    Article
  6. Article
  7. [The universal influenza vaccination in children with Vaxigrip TetraJournal of preventive medicine and hygiene · 2018
    Article
  8. Febrile seizures: an overview.Drugs in context · 2018
    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

9 authors at 7 institutions in 1 country.

Jonathan DuffyImmunization Safety Office, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: jduffy@cdc.gov.
Simon J HambidgeInstitute for Health Research, Kaiser Permanente Colorado and Ambulatory Care Services, Denver Health, Denver, Colorado.
Lisa A JacksonKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Elyse O KharbandaHealthPartners Institute, Minneapolis, Minnesota.
Nicola P KleinKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California, Oakland, California.
Allison NalewayCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Saad B OmerKaiser Permanente Georgia and Emory University, Atlanta, Georgia.
Eric WeintraubImmunization Safety Office, Centers for Disease Control and Prevention, Atlanta, Georgia.
Vaccine Safety Datalink
Kaiser Permanente · USCenters for Disease Control and Prevention · USHealthPartners · USKaiser Permanente Center for Health Research · USKaiser Permanente Washington Health Research Institute · USNational Center for Immunization and Respiratory Diseases · USUniversity of Colorado Denver · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe risk of febrile seizure is temporarily increased for a few days after the administration of certain vaccines in children aged six to 23 months. Our objective was to determine the febrile seizure risk following vaccination in children aged one to five months, when six different vaccines are typically administered.

methodsWe identified emergency department visits and inpatient admissions with International Classification of Diseases, Ninth Revision, febrile seizure codes among children enrolled in nine Vaccine Safety Datalink participating health care organizations from 2006 through 2011. Febrile seizures were confirmed by medical record abstraction. We used the self-controlled risk-interval method to compare the incidence of febrile seizure during postvaccination days 0 to 1 (risk interval) versus days 14 to 20 (control interval).

resultsWe identified 15 febrile seizure cases that occurred after 585,342 vaccination visits. The case patients were aged three to five months. The patients had received a median of four (range two to six) vaccines simultaneously. The incidence rate ratio of febrile seizure after vaccination was 23 (95% confidence interval 5.13 to 100.8), and the attributable risk was 3.92 (95% confidence interval 1.68 to 6.17) febrile seizure cases per 100,000 persons vaccinated.

conclusionsVaccination in children aged three to five months was associated with a large relative risk of febrile seizure on the day of and the day after vaccination, but the risk was small in absolute terms. Postvaccination febrile seizure should not be a concern for the vast majority of children receiving vaccines, but clinicians might take this risk into consideration when evaluating and treating children susceptible to seizures precipitated by fever.

Indexed as

Age FactorsFemaleHumansInfantInfant, NewbornMaleRiskSeizures, FebrileVaccinationcohort studiesfebrile seizureimmunizationinfantvaccines

Identifiers

PMID28958404
PMCPMC6636632
OpenAlexW2746642200

What OpenQuestion holds

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LicenceTDM
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.