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Embargo date
2030-12-31
Sustainable Development Goals
03 Saúde e Bem-EstarCollections
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ADVERSE EVENTS FOLLOWING YELLOW FEVER IMMUNIZATION: REPORT AND ANALYSIS OF 67 NEUROLOGICAL CASES IN BRAZIL
Adverse event
Neurological disease
Neurotropic disease
Neurological autoimmune disease
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Abstract
Neurological adverse events following administration ofthe 17DD substrain of yellow fever vaccine (YELAND) in the Brazilian population are described and analyzed. Based on information obtained from the National Immunization Program through passive surveillance or intensified passive surveillance, from 2007 to 2012, descriptive analysis, national and regional rates of YFV associated neurotropic, neurological autoimmune disease, and reporting rate ratios with their respective 95% confidence intervals were calculated for first time vaccines stratified on age and year. Sixty-seven neurological cases were found, with the highest rate of neurological adverse events in the age group from 5 to 9 years (2.66 per 100,000 vaccine doses in Rio Grande do Sul state, and 0.83 per 100,000 doses in national analysis). Two cases had a combination of neurotropic and autoimmune features. This is the largest sample of YEL-AND already analyzed. Rates are similar to other recent studies, but on this study the age group from 5 to 9 years of age had the highest risk. As neurological adverse events have in general a good prognosis, they should not contraindicate the use of yellow fever vaccine in face of risk of infection by yellow fever virus.
Keywords
Yellow fever vaccineAdverse event
Neurological disease
Neurotropic disease
Neurological autoimmune disease
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