Unmasking in an observational vaccine safety study: Using type 2 diabetes mellitus as an example

Highlights • Establishing the timing of adverse events is essential to vaccine safety studies. • Pre-existing conditions are usually excluded from safety analysis. • Exclusion of T2DM on or prior to Day 0 does not reliably exclude all pre-existing T2DM. • Work up performed at the time of vaccination...

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Veröffentlicht in:Vaccine 2015-11, Vol.33 (46), p.6224-6226
Hauptverfasser: Ackerson, Bradley K, Sy, Lina S, Slezak, Jeff, Chao, Chun R, Hechter, Rulin C, Takhar, Harpreet S, Jacobsen, Steven J
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container_end_page 6226
container_issue 46
container_start_page 6224
container_title Vaccine
container_volume 33
creator Ackerson, Bradley K
Sy, Lina S
Slezak, Jeff
Chao, Chun R
Hechter, Rulin C
Takhar, Harpreet S
Jacobsen, Steven J
description Highlights • Establishing the timing of adverse events is essential to vaccine safety studies. • Pre-existing conditions are usually excluded from safety analysis. • Exclusion of T2DM on or prior to Day 0 does not reliably exclude all pre-existing T2DM. • Work up performed at the time of vaccination may unmask pre-existing conditions. • Chart review may be required to assess whether symptom onset preceded vaccination.
doi_str_mv 10.1016/j.vaccine.2015.09.080
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subjects Adolescent
Adult
Adverse event
Allergy and Immunology
Automation
Bias
California
Child
Codes
Computerized physician order entry
Diabetes
Diabetes Mellitus, Type 2 - chemically induced
Diabetes Mellitus, Type 2 - epidemiology
Drug-Related Side Effects and Adverse Reactions - epidemiology
Drug-Related Side Effects and Adverse Reactions - pathology
Emergency medical services
Female
Human papillomavirus
Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18 - administration & dosage
Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18 - adverse effects
Humans
Laboratories
Licenses
Medical records
Methodology
Papillomavirus Infections - prevention & control
Product Surveillance, Postmarketing - methods
Safety
Studies
Surveillance
Vaccine safety
Vaccines
Young Adult
Young adults
title Unmasking in an observational vaccine safety study: Using type 2 diabetes mellitus as an example
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