Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia

Immediate hypersensitivity reactions (IHR) are rare but potentially serious adverse events following immunization (AEFI). Surveillance of Adverse Events following Vaccination in the Community (SAEFVIC) is an enhanced passive surveillance system that collects, analyses and reports information about A...

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Main Authors: C.-M. Baxter, H. J. Clothier, K. P. Perrett
Format: Article
Language:English
Published: Taylor & Francis Group 2018-08-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2018.1460293
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author C.-M. Baxter
H. J. Clothier
K. P. Perrett
author_facet C.-M. Baxter
H. J. Clothier
K. P. Perrett
author_sort C.-M. Baxter
collection DOAJ
description Immediate hypersensitivity reactions (IHR) are rare but potentially serious adverse events following immunization (AEFI). Surveillance of Adverse Events following Vaccination in the Community (SAEFVIC) is an enhanced passive surveillance system that collects, analyses and reports information about AEFI in Victoria, Australia. We describe the incidence, timing and type of potential IHR following vaccination in preschool children reported over an 8-year period. A total of 2110 AEFI were reported in 1620 children, of which 23.5% (496) were classified as potential IHR. Of these, 37.1% (184) were suspected to be IgE-mediated, (including anaphylaxis, angioedema and/or urticaria) and 83.5% (414) occurred within 15 minutes of vaccination. The incidence of potential IHR was 5.4 per 100,000 doses, with that of suspected IgE-mediated IHR being 2.0 per 100,000 doses. The incidence of anaphylaxis was extremely low (0.13 per 100,000 doses) and is consistent with other published studies. Potential IHR following immunization should be reported to appropriate local pharmacovigilance systems and patients reviewed by specialists able to evaluate, investigate and manage future vaccinations.
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spelling doaj.art-8ab9e64cc26244318e54f3ae481419a02023-09-22T08:38:21ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2018-08-011482088209210.1080/21645515.2018.14602931460293Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, AustraliaC.-M. Baxter0H. J. Clothier1K. P. Perrett2The Royal Children's HospitalSurveillance of Adverse Events following Immunisation in Victoria (SAEFVIC), Murdoch Children's Research InstituteSchool of Population & Global Health, University of MelbourneImmediate hypersensitivity reactions (IHR) are rare but potentially serious adverse events following immunization (AEFI). Surveillance of Adverse Events following Vaccination in the Community (SAEFVIC) is an enhanced passive surveillance system that collects, analyses and reports information about AEFI in Victoria, Australia. We describe the incidence, timing and type of potential IHR following vaccination in preschool children reported over an 8-year period. A total of 2110 AEFI were reported in 1620 children, of which 23.5% (496) were classified as potential IHR. Of these, 37.1% (184) were suspected to be IgE-mediated, (including anaphylaxis, angioedema and/or urticaria) and 83.5% (414) occurred within 15 minutes of vaccination. The incidence of potential IHR was 5.4 per 100,000 doses, with that of suspected IgE-mediated IHR being 2.0 per 100,000 doses. The incidence of anaphylaxis was extremely low (0.13 per 100,000 doses) and is consistent with other published studies. Potential IHR following immunization should be reported to appropriate local pharmacovigilance systems and patients reviewed by specialists able to evaluate, investigate and manage future vaccinations.http://dx.doi.org/10.1080/21645515.2018.1460293vaccine hypersensitivityvaccine allergyadverse events following immunization (aefi)
spellingShingle C.-M. Baxter
H. J. Clothier
K. P. Perrett
Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
Human Vaccines & Immunotherapeutics
vaccine hypersensitivity
vaccine allergy
adverse events following immunization (aefi)
title Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
title_full Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
title_fullStr Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
title_full_unstemmed Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
title_short Potential immediate hypersensitivity reactions following immunization in preschool aged children in Victoria, Australia
title_sort potential immediate hypersensitivity reactions following immunization in preschool aged children in victoria australia
topic vaccine hypersensitivity
vaccine allergy
adverse events following immunization (aefi)
url http://dx.doi.org/10.1080/21645515.2018.1460293
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