Evidence map›Paper›PMID 34622421›Full record

ReviewDrug safety2021

An Analysis of Spontaneously Reported Data of Vesicular and Bullous Cutaneous Eruptions Occurring Following Vaccination with the Adjuvanted Recombinant Zoster Vaccine.

Paola Pirrotta, Fernanda Tavares-Da-Silva, Maribel Co, Nicolas Lecrenier, Caroline Hervé, Jens-Ulrich Stegmann

Open access · hybridAbstract readReview
In one paragraph

Review in Drug safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Transient Increased Risk of Shingles Post-Shingrix Vaccination: Self-Controlled Case-Series Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. [Vaccination in old age: an overview].Zeitschrift fur Gerontologie und Geriatrie · 2023
    Article
  7. Review
  8. 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

6 authors at 1 institution in 1 country.

Paola PirrottaGSK, Avenue Fleming 20, 1300, Wavre, Belgium. paola.x.pirrotta@gsk.com.ORCID 0000-0002-1465-4529
Fernanda Tavares-Da-SilvaGSK, Avenue Fleming 20, 1300, Wavre, Belgium.ORCID 0000-0003-2411-8065
Maribel CoGSK, Avenue Fleming 20, 1300, Wavre, Belgium.ORCID 0000-0002-0208-9649
Nicolas LecrenierGSK, Avenue Fleming 20, 1300, Wavre, Belgium.ORCID 0000-0002-0321-6283
Caroline HervéGSK, Avenue Fleming 20, 1300, Wavre, Belgium.ORCID 0000-0002-0794-8748
Jens-Ulrich StegmannGSK, Avenue Fleming 20, 1300, Wavre, Belgium.ORCID 0000-0002-3792-4368
GlaxoSmithKline (Belgium) · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the approval of the adjuvanted recombinant zoster vaccine (RZV; Shingrix, GSK) in October 2017, GSK established enhanced safety surveillance measures to allow prompt identification of potential safety signals not observed during clinical development. In Germany, cases of vesicular and bullous cutaneous eruptions following RZV vaccination were reported.

objectiveOur objective was to search and analyse 2.5 years of worldwide spontaneously reported post-marketing data for vesicular and bullous cutaneous eruptions, represented by adverse events suggestive of (1) herpes zoster (HZ) and (2) non-HZ vesicular and bullous cutaneous eruptions, that occurred following RZV vaccination.

methodsWe conducted a descriptive analysis of all identified reports of HZ and non-HZ vesicular and bullous cutaneous eruptions following RZV vaccination and an observed versus expected (O/E) analysis of reports of HZ that met criteria of varicella zoster virus (VZV) reactivations following RZV vaccination (i.e., time to onset [TTO] of the event < 30 days or missing after any dose).

resultsUntil the data lock point, 32,597,779 RZV doses had been distributed globally. There were 2423 reports of HZ (including complications) identified, of which 645 met the criteria of possible vaccination failure (i.e., TTO of the event ≥ 30 days or missing following a complete RZV vaccination schedule). The O/E analysis of 1928 reports assessed as possible VZV reactivations indicated that the observed number of cases was lower than that expected in the general population. Additionally, 810 reports of non-HZ vesicular and bullous cutaneous eruptions were identified, including injection site rashes attributed to the vaccine's reactogenicity.

conclusionThis review of spontaneously reported post-marketing data did not raise safety concerns regarding the occurrence of vesicular and bullous cutaneous eruptions following vaccination with RZV.

Indexed as

Herpes ZosterHerpes Zoster VaccineHerpesvirus 3, HumanHumansVaccinationVaccines, SyntheticHerpes Zoster VaccineVaccines, Synthetic

Identifiers

PMID34622421
PMCPMC8626369
OpenAlexW3202476493

What OpenQuestion holds

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LicenceCC BY-NC
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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.