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

Abstract:

: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 > or =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.

journal_name

Vaccine

journal_title

Vaccine

authors

Khromava AY,Eidex RB,Weld LH,Kohl KS,Bradshaw RD,Chen RT,Cetron MS,Yellow Fever Vaccine Safety Working Group.

doi

10.1016/j.vaccine.2005.01.089

subject

Has Abstract

pub_date

2005-05-09 00:00:00

pages

3256-63

issue

25

eissn

0264-410X

issn

1873-2518

pii

S0264-410X(05)00128-3

journal_volume

23

pub_type

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