Evidence map›Paper›PMID 34011504›Full record

ReviewBMJ global health2021

Vaccine safety issues at the turn of the 21st century.

Laura Conklin, Anders Hviid, Walter A Orenstein, Andrew J Pollard, Melinda Wharton, Patrick Zuber

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  7. Article
  8. Infection and immunity · 2025
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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

6 authors at 4 institutions in 3 countries.

Laura ConklinGlobal Immunizations Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA dvj3@cdc.gov.
Anders HviidDepartment of Epidemiology Research, Statens Serum Institut, Kobenhavn, Denmark.
Walter A OrensteinEmory Vaccine Center, Emory University, Atlanta, Georgia, USA.
Andrew J PollardOxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
Melinda WhartonImmunization Services Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Patrick ZuberEssential Medicines and Health Products, Organisation mondiale de la Sante, Geneve, Switzerland.ORCID 0000-0002-8966-5054
Centers for Disease Control and Prevention · USEmory University · USStatens Serum Institut · DKUniversity of Oxford · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

Global gains in vaccination coverage during the early 21st century have been threatened by the emergence of antivaccination groups that have questioned the effectiveness of vaccines to generate public distrust of vaccines and immunisation programmes. This manuscript summarises six key topics that have been at the centre of global discussions on vaccine safety during the early 21st century: thiomersal in multi-dose non-live vaccines, aluminium adjuvants used with several non-live vaccines, autism and auto-immune conditions as possible consequences of vaccination, a risk of immune overload with increasing numbers of vaccinations, and detrimental non-specific effects (NSEs) of vaccination. For each topic, we describe the hypothesis behind the public concern, the evidence reviewed by the WHO's Global Advisory Committee for Vaccine Safety (GACVS) during 1999-2019, and any significant new data that has emerged since GACVS conclusions were made. Although the scientific evidence on these issues overwhelmingly supports the safety of vaccines, communication messages to caregivers and providers need to condense and convey scientific information in an appropriate way to address concerns contributing to vaccine distrust. In addition, there is need for further studies specifically designed to address both positive and negative NSE of vaccination. The role of GACVS will be increasingly important in evaluating the evidence and engaging the global community in promoting and assuring the safety of vaccines in the decades to come as we move into an era in which we use new vaccination platforms, antigens and formulations.

Indexed as

VaccinesAdvisory CommitteesAltruismCommunicationHumansVaccinationVaccinesimmunisationvaccines

Identifiers

PMID34011504
PMCPMC8137241
OpenAlexW3163446107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.