Adverse events following administration to pregnant women of influenza A (H1N1) 2009 monovalent vaccine reported to the Vaccine Adverse Event Reporting System

被引:92
作者
Moro, Pedro L. [1 ]
Broder, Karen [1 ]
Zheteyeva, Yenlik [2 ]
Revzina, Natalya [3 ]
Tepper, Naomi [3 ]
Kissin, Dmitry [3 ]
Barash, Faith [6 ]
Arana, Jorge [1 ]
Brantley, Mary D. [4 ]
Ding, Helen [5 ]
Singleton, James A. [5 ]
Walton, Kimp [1 ]
Haber, Penina [1 ]
Lewis, Paige [1 ]
Yue, Xin [1 ]
DeStefano, Frank [1 ]
Vellozzi, Claudia [1 ]
机构
[1] Ctr Dis Control & Prevent, Immunizat Safety Off, Div Healthcare Qual Promot, Natl Ctr Emerging & Zoonot Infect Dis, Atlanta, GA 30333 USA
[2] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Off Workforce & Career Dev, Off Director, Atlanta, GA 30333 USA
[3] Ctr Dis Control & Prevent, Womens Hlth & Fertil Branch, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA
[4] Ctr Dis Control & Prevent, Appl Sci Branch, Div Reprod Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA
[5] Ctr Dis Control & Prevent, Assessment Branch, Immunizat Serv Div, Natl Ctr Immunizat & Resp Dis, Atlanta, GA 30333 USA
[6] US FDA, Off Biostat & Epidemiol, Ctr Biol Evaluat & Res, Rockville, MD 20857 USA
关键词
influenza A (H1N1); pregnancy; surveillance; vaccine safety; IMMUNIZATION SAFETY DATA; UNITED-STATES; ROTAVIRUS VACCINE; CASE DEFINITIONS; BELLS-PALSY; INTUSSUSCEPTION; GUIDELINES; PREECLAMPSIA; COLLECTION; CHILDREN;
D O I
10.1016/j.ajog.2011.06.047
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The objective of the study was to evaluate and summarize reports to the Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting system, in pregnant women who received influenza A (H1N1) 2009 monovalent vaccine to assess for potential vaccine safety problems. STUDY DESIGN: We reviewed reports of adverse events (AEs) in pregnant women who received 2009-H1N1 vaccines from Oct. 1, 2009, through Feb. 28, 2010. RESULTS: VAERS received 294 reports of AEs in pregnant women who received 2009-H1N1 vaccine: 288 after inactivated and 6 after the live attenuated vaccines. Two maternal deaths were reported. Fifty-nine women (20.1%) were hospitalized. We verified 131 pregnancy-specific outcomes: 95 spontaneous abortions (<20 weeks); 18 stillbirths (>= 20 weeks); 7 preterm deliveries (<37 weeks); 3 threatened abortions; 2 preterm labor; 2 preeclampsia; and 1 each of fetal hydronephrosis, fetal tachycardia, intrauterine growth retardation, and cleft lip. CONCLUSION: Review of reports to VAERS following H1N1 vaccination in pregnant women did not identify any concerning patterns of maternal or fetal outcomes.
引用
收藏
页码:473.e1 / 473.e9
页数:9
相关论文
共 43 条
[1]  
[Anonymous], 1997, FED REGISTER, V7, P52252
[2]  
[Anonymous], Medical Dictionary for Regulatory Activities (MedDRA).
[3]  
[Anonymous], 2010, MMWR-MORBID MORTAL W, V59, P363
[4]   Importance of background rates of disease in assessment of vaccine safety during mass immunisation with pandemic H1N1 influenza vaccines [J].
Black, Steven ;
Eskola, Juhani ;
Siegrist, Claire-Anne ;
Halsey, Neal ;
MacDonald, Noni ;
Law, Barbara ;
Miller, Elizabeth ;
Andrews, Nick ;
Stowe, Julia ;
Salmon, Daniel ;
Vannice, Kirsten ;
Izurieta, Hector S. ;
Akhtar, Aysha ;
Gold, Mike ;
Oselka, Gabriel ;
Zuber, Patrick ;
Pfeifer, Dina ;
Vellozzi, Claudia .
LANCET, 2009, 374 (9707) :2115-2122
[5]  
Broder K., 2009, Morbidity and Mortality Weekly Report, V58, P1351
[6]  
Centers for Disease Control and Prevention (CDC), 1999, MMWR Morb Mortal Wkly Rep, V48, P577
[7]  
Centers for Disease Control Prevention, 2009, MMWR MORBID MORTAL W, V58
[8]   Safety of varicella vaccine after licensure in the United States: Experience from reports to the vaccine adverse event reporting system, 1995-2005 [J].
Chaves, Sandra S. ;
Haber, Penina ;
Walton, Kimp ;
Wise, Robert P. ;
Izurieta, Hector S. ;
Schmid, D. Scott ;
Seward, Jane F. .
JOURNAL OF INFECTIOUS DISEASES, 2008, 197 :S170-S177
[9]  
Cunningham G., 2001, WILLIAMS OBSTET, V21st, DOI DOI 10.1016/S1526-9523(03)00291-5
[10]  
Federal Immunization Safety Task Force, FED PLANS MON IMM SA