Evidence map›Paper›PMID 33571237›Full record

Observational studyPloS one2021

Active pharmacovigilance of the seasonal trivalent influenza vaccine produced by Instituto Butantan: A prospective cohort study of five target groups.

Tazio Vanni, Beatriz da Costa Thomé, Mayra Martho Moura de Oliveira, Vera Lúcia Gattás, Maria da Graça Salomão, Marcelo Eiji Koike, Maria Beatriz Bastos Lucchesi, Patrícia Emília Braga, Roberta de Oliveira Piorelli, Juliana Yukari Koidara Viscondi and 9 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

19 authors at 5 institutions in 2 countries.

Tazio VanniClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.ORCID 0000-0003-0398-9814
Beatriz da Costa ThoméFederal University of São Paulo, São Paulo, São Paulo, Brazil.
Mayra Martho Moura de OliveiraClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Vera Lúcia GattásClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Maria da Graça SalomãoClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Marcelo Eiji KoikeClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.ORCID 0000-0002-4608-8365
Maria Beatriz Bastos LucchesiClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Patrícia Emília BragaClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Roberta de Oliveira PiorelliClinical Trials Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Juliana Yukari Koidara ViscondiClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Gabriella MondiniOxford University, Oxford, United Kingdom.
Anderson da SilvaClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Heloísa Maximo EspínolaClinical Trials Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Joane do Prado SantosClinical Trials Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Samanta Hosokawa Dias de Nóvoa RochaFederal University of Roraima, Boa Vista, Roraima, Brazil.
Lily Yin WeckxFederal University of São Paulo, São Paulo, São Paulo, Brazil.
Olga MenangCenter for Vaccine Innovation and Access, Program for Appropriate Technology in Health (PATH), Geneva, Switzerland.
Muriel SoquetCenter for Vaccine Innovation and Access, Program for Appropriate Technology in Health (PATH), Geneva, Switzerland.
Alexander Roberto PreciosoClinical Safety and Risk Management Centre, Instituto Butantan, São Paulo, São Paulo, Brazil.
Instituto Butantan · BRUniversidade Federal de São Paulo · BRUniversidade de São Paulo · BRUniversidade Federal de Roraima · BRUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionActive pharmacovigilance studies are pivotal to better characterize vaccine safety.

methodsThese are multicenter prospective cohort studies to evaluate the safety of the 2017 and 2018 seasonal trivalent influenza vaccines (TIVs) manufactured by Instituto Butantan, by means of active pharmacovigilance practices. Elderly, children, healthcare workers, pregnant women, and women in the puerperium period were invited to participate in the study during the 2017 and 2018 Brazilian national seasonal influenza vaccination campaigns. Following immunization, participants were observed for 30 minutes and they received a participant card to register adverse events information. All safety information registered were checked at a clinical site visit 14 days after immunization and by a telephone contact 42 days after immunization for unsolicited Adverse Events (AE) and Guillain-Barré Syndrome (GBS).

resultsA total of 942 volunteers participated in the two studies: 305 elderly, 109 children, 108 pregnant women, 32 women in the postpartum period, and 388 health workers. Overall, the median number of AR per participant ranged from 1 to 4. The lowest median number of AR per participant was observed among healthcare workers (1 AR per participant) and the highest among pregnant women (4 AR per participant). Overall, local pain (46.6%) was the most frequent solicited local AR. The most frequent systemic ARs were: headache (22.5%) followed by fatigue (16.0%), and malaise (11.0%). The majority of solicited ARs (96%) were mild, Grades 1 or 2), only 3% were Grade 3, and 1% was Grade 4. No serious AEs, including Guillain-Barré Syndrome, were reported up to 42 days postvaccination.

conclusionThe results from the two studies confirmed that the 2017 and 2018 seasonal trivalent influenza vaccines produced by Instituto Butantan were safe and that active pharmacovigilance studies should be considered, when it is feasible, as an important initiative to monitor vaccine safety in the post-marketing period.

Indexed as

PharmacovigilanceAgedBrazilChildChild, PreschoolFemaleHealth PersonnelHumansInfantInfluenza VaccinesMalePregnant PeopleInfluenza Vaccines

Identifiers

PMID33571237
PMCPMC7877614
OpenAlexW3128707694

What OpenQuestion holds

Textmetadata
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.