接种疫苗后神经系统不良事件的征兆

Darrell O. Ricke, Jessica Rose
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引用次数: 0

摘要

有报道称接种疫苗后会出现神经系统不良事件(AEs)。在此,我们回顾性地检查了疫苗不良事件报告系统(VAERS)数据库中有关接种疫苗后神经系统不良事件的报告。由于 VAERS 是一个被动报告系统,为了尽量减少报告偏差并减少背景事件,这项回顾性研究同时检查了免疫接种后 24 小时内发病的年龄分层 AE 报告,以及不考虑免疫接种时间框架的年龄分层 AE 报告。在多种疫苗中观察到了发热性惊厥、癫痫发作和晕厥 AE 的即刻发病数据模式。对于 3 岁以下婴儿的年龄分层异常反应,观察到以下高度关联模式:(i) 发现失语症、自闭症谱系障碍和语言障碍与麻疹、腮腺炎和风疹以及乙型肝炎 (HepB) 疫苗高度相关;(ii) 发现发热惊厥和晕厥与 B 群脑膜炎球菌疫苗高度相关;以及 (iii) 发现癫痫发作与白喉和破伤风类毒素以及全细胞百日咳 (DTP) 疫苗高度相关。
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Signatures of neurological adverse events after vaccination
There have been reports associated with the development of neurological adverse events (AEs) post-vaccination. Here, we retrospectively examine the Vaccine Adverse Events Reporting System (VAERS) database for neurological AEs reported following vaccination. Since VAERS is a passive reporting system, to minimize reporting bias and to reduce background events, this retrospective study examines both age-stratified AE reports made with onset within 24 h of immunization, and age-stratified AE reports regardless of timeframe from immunization. Immediate temporal onset data patterns for febrile convulsion, seizure, and syncope AEs were observed for multiple vaccines. For age-stratified AEs in infants up to 3 years of age, the following patterns of high association were observed: (i) Aphasia, autism spectrum disorder, and speech disorder were found to be highly associated with the measles, mumps, and rubella and hepatitis B (HepB) vaccines; (ii) febrile convulsion and syncope were found to be highly associated with the meningococcal group B vaccine; and (iii) seizures were found to be highly associated with diphtheria and tetanus toxoids and whole-cell pertussis (DTP) vaccines.
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