Evidence map›Paper›PMID 34520127›Full record

ArticleInfluenza and other respiratory viruses2022

Exposure to quadrivalent influenza vaccine during pregnancy: Results from a global pregnancy registry.

Shaleesa Ledlie, Sonja Gandhi-Banga, Anju Shrestha, Tamala Mallett Moore, Alena Khromava

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01945424 (Sanofi Pasteur Quadrivalent Influenza Vaccine Pregnancy Registry Protocol), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT01945424 completednot on this map

Sanofi Pasteur Quadrivalent Influenza Vaccine Pregnancy Registry Protocol

Typeobservational_patient_registrySponsorSanofi Pasteur, a Sanofi CompanyRan2013 to 2019Enrolled244ConditionsPregnancy, InfluenzaArmsQuadrivalent Influenza Vaccine (QIV)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Summary of the National Advisory Committee on Immunization (NACI) Updated Guidance on Influenza Vaccination During Pregnancy.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2024
    Article
  3. Article
  4. Maternal vaccination-current status, challenges, and opportunities.The journal of obstetrics and gynaecology research · 2023
    Review
  5. Article
  6. 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

5 authors at 1 institution in 3 countries.

Shaleesa LedlieEpidemiology and Benefit Risk, Sanofi Pasteur, North York, Ontario, Canada.ORCID 0000-0002-9928-7894
Sonja Gandhi-BangaEpidemiology and Benefit Risk, Sanofi Pasteur, North York, Ontario, Canada.ORCID 0000-0003-3581-9318
Anju ShresthaGlobal Pharmacovigilance, Sanofi Pasteur, Swiftwater, Pennsylvania, USA.ORCID 0000-0001-5945-841X
Tamala Mallett MooreGlobal Pharmacovigilance, Sanofi Pasteur, Swiftwater, Pennsylvania, USA.ORCID 0000-0001-9325-4779
Alena KhromavaEpidemiology and Benefit Risk, Sanofi Pasteur, North York, Ontario, Canada.ORCID 0000-0002-5374-9782
Sanofi (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Fluzone® Quadrivalent (IIV4, Sanofi Pasteur) Pregnancy Registry was created to monitor vaccine safety during pregnancy (clinicaltrials.gov, NCT01945424). Here, we describe maternal, pregnancy, obstetrical and neonatal outcomes after vaccine exposure in pregnant women between August 2013 and September 2019.

methodsAll women exposed to IIV4 during their pregnancy were eligible for inclusion. Outcomes were prospective (reported following vaccine exposure but before knowledge of pregnancy outcome ascertained through prenatal tests) or retrospective (prenatal tests were undertaken before the exposure was reported).

resultsAmong 239 IIV4 vaccine exposure reports received, there were 105 prospective and 10 retrospective reports of maternal adverse events (AEs). The most frequent prospectively reported maternal AEs were medication errors (expired product [n = 8, 3.8%]; extra dose [n = 7, 3.3%]) and injection site pain (n = 7, 3.3%). Among 62 prospectively reported pregnancy and obstetrical events with available follow-up information, seven AEs were reported, four (6.4%) of which were spontaneous abortions. A further seven AEs were reported among the 29 retrospective pregnancy and obstetrical events with available follow-up information. Among neonatal outcomes (15 prospective; 28 retrospective), >85% were reported as full-term births. One premature birth was reported prospectively. Four other neonatal AEs were reported, all retrospectively: two cases of talipes (club foot), one central nervous system anomaly and one atrial septal defect. All infants with available information had normal APGAR scores at 5 minutes.

conclusionsThe frequency of AEs following exposure to IIV4 during pregnancy did not indicate new safety concerns.

Indexed as

Influenza, HumanInfluenza VaccinesAntibodies, ViralFemaleHumansInfantInfant, NewbornPregnancyProspective StudiesRegistriesRetrospective StudiesVaccines, InactivatedAntibodies, ViralInfluenza VaccinesVaccines, InactivatedFluzoneIIV4maternal immunizationpassive surveillancepregnancy registryquadrivalent influenza vaccine

Identifiers

PMID34520127
PMCPMC8692812
OpenAlexW3201396436

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.