Evidence map›Paper›PMID 29866795›Full record

ArticlePediatrics2018

Safety Surveillance of Diphtheria and Tetanus Toxoids and Acellular Pertussis (DTaP) Vaccines.

Pedro L Moro, Silvia Perez-Vilar, Paige Lewis, Marthe Bryant-Genevier, Hajime Kamiya, Maria Cano

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-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

9 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Pedro L MoroImmunization Safety Office, Division of Healthcare Quality Promotion and pmoro@cdc.gov.
Silvia Perez-VilarCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland; and.
Paige LewisImmunization Safety Office, Division of Healthcare Quality Promotion and.
Marthe Bryant-GenevierCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland; and.
Hajime KamiyaEpidemiology Intelligence Service, Meningitis and Vaccine Preventable Diseases Branch, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Maria CanoImmunization Safety Office, Division of Healthcare Quality Promotion and.
Center for Biologics Evaluation and Research · USNational Institute of Infectious Diseases · JP

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo assess the safety of currently licensed diphtheria-tetanus-acellular pertussis (DTaP) vaccines in the United States by using data from the Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting surveillance system.

methodsWe searched VAERS for US reports of DTaP vaccinations occurring from January 1, 1991, through December 31, 2016, and received by March 17, 2017. We reviewed available medical records for all death reports and a random sample of reports classified as nondeath serious. We used Empirical Bayesian data mining to identify adverse events that were disproportionally reported after DTaP vaccination.

resultsVAERS received 50 157 reports after DTaP vaccination; 43 984 (87.7%) of them reported concomitant administration of other vaccines, and 5627 (11.2%) were serious. Median age at vaccination was 19 months (interquartile range 35 months). The most frequently reported events were injection site erythema (12 695; 25.3%), pyrexia (9913; 19.8%), injection site swelling (7542; 15.0%), erythema (5599; 11.2%), and injection site warmth (4793; 9.6%). For 3 of the DTaP vaccines, we identified elevated values for vaccination errors using Empirical Bayesian data mining.

conclusionsNo new or unexpected adverse events were detected. The observed disproportionate reporting for some nonserious vaccination errors calls for better education of vaccine providers on the specific indications for each of the DTaP vaccines.

Indexed as

Adverse Drug Reaction Reporting SystemsAnaphylaxisBayes TheoremChild, PreschoolDiphtheria-Tetanus-acellular Pertussis VaccinesFemaleHumansInfantInfant MortalityMaleUnited StatesDiphtheria-Tetanus-acellular Pertussis Vaccines

Identifiers

PMID29866795
PMCPMC6476554
OpenAlexW2806615591

What OpenQuestion holds

Textmetadata
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.