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Safety and tolerability of a 2009 trivalent inactivated split-virion influenza vaccine in infants, children and adolescents

To evaluate the safety of CSL's split-virion inactivated trivalent 2009 Southern Hemisphere formulation influenza vaccine (TIV) in children.

Authors:
Lambert SB, Chuk LMR, Nissen MD, Nolan TM, McVernon J, Booy R, Heron L, Richmond PC, et al.

Authors notes:
Influenza and other Respiratory Viruses. 2013:online

Keywords:
Adverse events, Fever, Influenza vaccine, Paediatrics, Safety

Abstract:
To evaluate the safety of CSL's split-virion inactivated trivalent 2009 Southern Hemisphere formulation influenza vaccine (TIV) in children.

At least one solicited adverse event (AE) was reported by 80%/78%/78% of children in Cohorts A, B and C, respectively.

Systemic AEs were more common among Cohort A (72% of participants), and local AEs were more common among Cohort C (71% of participants).

Fever was more common in younger cohorts, in influenza vaccine-naïve children (29% of Cohort A receiving their first dose), and following first compared with second doses.

Severe fever following a first dose prevented 20 participants receiving their second scheduled vaccine dose.

A 7-month-old participant had a single uncomplicated febrile convulsion on the day of vaccination.

Nearly 80% of subjects reported at least one solicited AE following immunization.

Fever prevalence was highest in vaccine-naïve Cohort A participants, similar to other paediatric studies using CSL vaccine.

Further research to understand fever-related AEs in children following CSL's TIV is recommended.