Yellow fever vaccine: An updated assessment of advanced age as a risk factor for serious adverse events

Since 1996, the scientific community has become aware of 14 reports of yellow fever vaccine (YEL)-associated viscerotropic disease (YEL-AVD) cases and four reports of YEL-associated neurotropic disease (YEL-AND) worldwide, changing our understanding of the risks of the vaccine. Based on 722 adverse...

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Veröffentlicht in:Vaccine 2005-05, Vol.23 (25), p.3256-3263
Hauptverfasser: Khromava, Alena Y., Eidex, Rachel Barwick, Weld, Leisa H., Kohl, Katrin S., Bradshaw, Robert D., Chen, Robert T., Cetron, Martin S.
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container_end_page 3263
container_issue 25
container_start_page 3256
container_title Vaccine
container_volume 23
creator Khromava, Alena Y.
Eidex, Rachel Barwick
Weld, Leisa H.
Kohl, Katrin S.
Bradshaw, Robert D.
Chen, Robert T.
Cetron, Martin S.
description Since 1996, the scientific community has become aware of 14 reports of yellow fever vaccine (YEL)-associated viscerotropic disease (YEL-AVD) cases and four reports of YEL-associated neurotropic disease (YEL-AND) worldwide, changing our understanding of the risks of the vaccine. Based on 722 adverse event reports after YEL submitted to the U.S. Vaccine Adverse Event Reporting System in 1990–2002, we updated the estimates of the age-adjusted reporting rates of serious adverse events, YEL-AVD and YEL-AND. We found that the reporting rates of serious adverse events were significantly higher among vaccinees aged ≥60 years than among those 19–29 years of age (reporting rate ratio = 5.9, 95% CI 1.6–22.2). Yellow fever is a serious and potentially fatal disease. For elderly travelers, the risk for severe illness and death due to yellow fever infection should be balanced against the risk of a serious adverse event due to YEL.
doi_str_mv 10.1016/j.vaccine.2005.01.089
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subjects Adolescent
Adult
Adverse drug reaction reporting systems
Age
Age Factors
Age groups
Aged
Applied microbiology
Arboviroses
Armed forces
Biological and medical sciences
Cardiovascular disease
Child
Child, Preschool
Confidence intervals
Disease control
Family medical history
Female
Fever
Fundamental and applied biological sciences. Psychology
Hepatitis
Hepatitis A Vaccines - adverse effects
Human viral diseases
Humans
Infant
Infectious diseases
Logistic Models
Male
Medical sciences
Microbiology
Middle Aged
Military Personnel
Nervous System Diseases - etiology
Population Surveillance
Ratios
Risk Factors
Travel
Tropical viral diseases
Typhoid-Paratyphoid Vaccines - adverse effects
United States - epidemiology
Vaccination/adverse effects
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Vector-borne diseases
Viral diseases
Yellow fever
Yellow fever vaccine
Yellow Fever Vaccine - adverse effects
Yellow fever virus
title Yellow fever vaccine: An updated assessment of advanced age as a risk factor for serious adverse events
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