Evidence map›Paper›PMID 31064675›Full record

ArticleVaccine2019

Vaccine safety in HIV-infected adults within the Vaccine Safety Datalink Project.

Rulin C Hechter, Lei Qian, Sara Y Tartof, Lina S Sy, Nicola P Klein, Eric Weintraub, Cheryl Mercado, Allison Naleway, Huong Q McLean, Steven J Jacobsen

Abstract readMulticenter Study
In one paragraph

Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Influenza Vaccination Uptake and Associated Factors Among Adults With and Without Human Immunodeficiency Virus in a Large, Integrated Healthcare System.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  3. 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

10 authors at 3 institutions in 2 countries.

Rulin C HechterKaiser Permanente Southern California, USA. Electronic address: Rulin.C.Hechter@kp.org.
Lei QianKaiser Permanente Southern California, USA. Electronic address: Lei.X.Qian@kp.org.
Sara Y TartofKaiser Permanente Southern California, USA. Electronic address: Sara.Y.Tartof@kp.org.
Lina S SyKaiser Permanente Southern California, USA. Electronic address: Lina.S.Sy@kp.org.
Nicola P KleinKaiser Permanente Northern California, USA. Electronic address: Nicola.Klein@kp.org.
Eric WeintraubImmunization Safety Office, Centers for Disease Control and Prevention, USA. Electronic address: eiw8@cdc.gov.
Cheryl MercadoKaiser Permanente Southern California, USA. Electronic address: Cheryl.M.Carlson@kp.org.
Allison NalewayKaiser Permanente Northwest, USA. Electronic address: Allison.Naleway@kpchr.org.
Huong Q McLeanMarshfield Clinic Research Institute, USA. Electronic address: mclean.huong@marshfieldresearch.org.
Steven J JacobsenKaiser Permanente Southern California, USA. Electronic address: Steven.J.Jacobsen@kp.org.
Kaiser Permanente · USCenters for Disease Control and Prevention · USMarshfield Clinic · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesWe evaluate safety of routine vaccination among adults infected with human immunodeficiency virus (HIV) in five healthcare organizations in the United States.

methodsWe conducted a retrospective cohort study of HIV-infected adults who received inactivated influenza vaccines, hepatitis B vaccines, pneumococcal vaccines, or tetanus, diphtheria, and acellular pertussis vaccines between 2002 and 2013. We conducted self-controlled case series analysis to estimate the relative risk (RR) for 11 pre-specified adverse events (AEs) requiring medical attention.

resultsAmong 20,417 HIV-infected adults (90.2% male), a total of 137,674 vaccine doses were administered. Based on ICD-9 codes, we detected an increased risk of cellulitis and infection (RR: 1.18, 95% CI: 1.03-1.35) among all patients, and an increased risk of stroke/cerebrovascular diseases among patients with an HIV viral load >10,000 copies/ml (adjusted RR: 3.94, 95% CI: 1.32-11.72). Further analyses on chart confirmed cases of stroke/cerebrovascular diseases indicated no statistically significant increased risk (adjusted RR: 1.72, 95% CI: 0.41-7.24). There was no evidence of increased risk for other AEs following routine vaccination in HIV-infected adults.

conclusionsRoutinely administered vaccines are generally safe for HIV-infected adults.

Indexed as

AdultAgedAged, 80 and overCerebrovascular DisordersElectronic Health RecordsFemaleHIV InfectionsHumansImmunization ScheduleInfluenza VaccinesMaleMiddle AgedRetrospective StudiesStrokeUnited StatesVaccinationInfluenza VaccinesVaccinesVaccines, CombinedVaccines, InactivatedHIVVaccine safetyVaccine Safety Datalink

Identifiers

PMID31064675
PMCPMC6538462
OpenAlexW2944430553

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.