Frequency of Adverse Events after Vaccination with Different Vaccinia Strains
2006

Adverse Events from Smallpox Vaccination with Different Strains

publication Evidence: moderate

Author Information

Author(s): Kretzschmar Mirjam, Wallinga Jacco, Teunis Peter, Xing Shuqin, Mikolajczyk Rafael

Primary Institution: Rijksinstituut voor Volksgezondheid en Milieu/National Institute for Public Health and the Environment

Hypothesis

How do different vaccinia strains affect the frequency of adverse events after smallpox vaccination?

Conclusion

Vaccination with the Lister strain leads to significantly higher rates of adverse events compared to the NYCBH strain.

Supporting Evidence

  • Vaccination with the NYCBH strain leads to an average of 1.4 deaths per million vaccinations.
  • Vaccination with the Lister strain leads to an average of 8.4 deaths per million vaccinations.
  • The study found large heterogeneity in adverse event rates across different studies.
  • Younger children are at higher risk for adverse events after vaccination.

Takeaway

Some smallpox vaccines can make people sick, and different types of vaccines can cause different amounts of sickness.

Methodology

The study conducted a systematic review and statistical analysis of historical vaccination data, focusing on adverse events related to different vaccinia strains.

Potential Biases

Different studies may have used varying methods for reporting adverse events, leading to potential biases.

Limitations

The quality of historical data varied, making it difficult to ensure reliability.

Participant Demographics

Data were collected from various countries and age groups, but specific demographics were not detailed.

Statistical Information

Confidence Interval

95% credible interval

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030272

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