Evidence map›Paper›PMID 34590140›Full record

ArticleThe Journal of infectious diseases2021

Live Attenuated Varicella Vaccine: Prevention of Varicella and of Zoster.

Anne A Gershon, Michael D Gershon, Eugene D Shapiro

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Global burden of varicella and herpes zoster in women of childbearing age: insights from the global burden of disease study 1990-2021.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Varicella zoster virus and the central nervous system.Nature reviews. Microbiology · 2026
    Review
  6. Review
  7. Antigen-specific TScience advances · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Effectiveness and safety of upadacitinib in refractory pediatric inflammatory bowel disease: A single-arm meta-analysis of observational studies.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  13. Clinical progress note: Varicella Zoster.Journal of hospital medicine · 2025
    Review
  14. Review
  15. A fresh look at varicella vaccination.Human vaccines & immunotherapeutics · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

3 authors at 2 institutions in 1 country.

Anne A GershonColumbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Michael D GershonColumbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Eugene D ShapiroYale School of Medicine, New Haven, Connecticut, USA.
Columbia University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
VZV in the enteric nervous system: pathogenesis and consequencesR01DK093094 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MICHAEL D GERSHON, Anne A. Gershon · 2011 to 2026
$5.9M
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863NIDDK NIH HHS R01 DK093094
6 · The paper itself

Abstract

Michiaki Takahashi developed the live attenuated varicella vaccine in 1974 . This was the first, and is still the only, herpesvirus vaccine. Early studies showed promise, but the vaccine was rigorously tested on immunosuppressed patients because of their high risk of fatal varicella; vaccination proved to be lifesaving. Subsequently, the vaccine was found to be safe and effective in healthy children. Eventually, varicella vaccine became a component of measles mumps rubella vaccine, 2 doses of which are administered in the USA to ~90% of children. The incidence of varicella has dropped dramatically in the USA since vaccine-licensure in 1995. Varicella vaccine is also associated with a decreased incidence of zoster and is protective for susceptible adults. Today, immunocompromised individuals are protected against varicella due to vaccine-induced herd immunity. Latent infection with varicella zoster virus occurs after vaccination; however, the vaccine strain is impaired for its ability to reactivate.

Indexed as

Antigens, ViralChickenpoxChickenpox VaccineHerpesvirus 3, HumanHerpes ZosterHerpes Zoster VaccineHumansIncidenceMeasles-Mumps-Rubella VaccineUnited StatesVaccinationVaccines, AttenuatedVaccines, CombinedAntigens, ViralChickenpox VaccineHerpes Zoster VaccineMeasles-Mumps-Rubella VaccineVaccines, AttenuatedVaccines, Combinedanti-viral therapyfluorescent antibody to membrane antigen (FAMA)latencyleukemiareactivationvaricella zoster virus

Identifiers

PMID34590140
PMCPMC8482020
OpenAlexW3202682586

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.