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Safety and tolerability of a 2009 trivalent inactivated split-virion influenza vaccine in infants, children and adolescents.


ABSTRACT: OBJECTIVE:To evaluate the safety of CSL's split-virion inactivated trivalent 2009 Southern Hemisphere formulation influenza vaccine (TIV) in children. METHODS:We enrolled 1992 healthy children into three groups: Cohorts A, ? 6 months to <3 years; B, ? 3 years to <9 years; and C, ? 9 years to <18 years. Children received one or two doses of 0.25 ml (22.5 ?g haemagglutinin) or 0.5 ml (45 ?g) TIV, depending on age and prior vaccination history. We collected post-vaccination solicited adverse event (AE) data (days 0-6), including fever (temperature: ? 37.5°C axilla, ? 38.0°C oral), unsolicited AEs (days 0-29) and serious AEs (SAEs) and new-onset chronic illnesses (NOCIs; to day 180 after last vaccination). RESULTS:At least one solicited AE was reported by 80%/78%/78% of children in Cohorts A, B and C, respectively. Systemic AEs were more common among Cohort A (72% of participants), and local AEs were more common among Cohort C (71% of participants). Fever was more common in younger cohorts, in influenza vaccine-naïve children (29% of Cohort A receiving their first dose), and following first compared with second doses. Severe fever following a first dose prevented 20 participants receiving their second scheduled vaccine dose. A 7-month-old participant had a single uncomplicated febrile convulsion on the day of vaccination. CONCLUSIONS:Nearly 80% of subjects reported at least one solicited AE following immunization. Fever prevalence was highest in vaccine-naïve Cohort A participants, similar to other paediatric studies using CSL vaccine. Further research to understand fever-related AEs in children following CSL's TIV is recommended.

SUBMITTER: Lambert SB 

PROVIDER: S-EPMC5781200 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature

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Safety and tolerability of a 2009 trivalent inactivated split-virion influenza vaccine in infants, children and adolescents.

Lambert Stephen B SB   Chuk Lai-man R LM   Nissen Michael D MD   Nolan Terry M TM   McVernon Jodie J   Booy Robert R   Heron Leon L   Richmond Peter C PC   Walls Tony T   Marshall Helen S HS   Reynolds Graham J GJ   Hartel Gunter F GF   Hu Wilson W   Lai Michael H MH  

Influenza and other respiratory viruses 20130402 5


<h4>Objective</h4>To evaluate the safety of CSL's split-virion inactivated trivalent 2009 Southern Hemisphere formulation influenza vaccine (TIV) in children.<h4>Methods</h4>We enrolled 1992 healthy children into three groups: Cohorts A, ≥ 6 months to <3 years; B, ≥ 3 years to <9 years; and C, ≥ 9 years to <18 years. Children received one or two doses of 0.25 ml (22.5 μg haemagglutinin) or 0.5 ml (45 μg) TIV, depending on age and prior vaccination history. We collected post-vaccination solicited  ...[more]

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