101. Solicited adverse events after influenza immunization among infants, toddlers, and their household contacts.
- Author
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Skowronski DM, Jacobsen K, Daigneault J, Remple VP, Gagnon L, Daly P, Arsenault G, Landry M, Pielak K, Duval B, Tam T, and De Serres G
- Subjects
- Child, Preschool, Female, Humans, Infant, Male, Multivariate Analysis, Family Health, Influenza Vaccines adverse effects, Vaccines, Inactivated adverse effects
- Abstract
Objectives: We assessed adverse events, including oculorespiratory syndrome, following influenza immunization during the first year of a publicly-funded program for infants, toddlers and their household members in Canada., Methods: Parents bringing infants and toddlers for influenza immunization to clinics in Quebec or British Columbia consented to structured telephone interview 5 to 10 days later. One adult provided information for all household members. Symptom experience commencing before and after immunization was assessed. Non-immunized persons also served as a comparison group for immunized household members., Results: Sample included 690 immunized infants and toddlers and 1801 household members, 1374 immunized. Only fussiness, fever, decreased appetite, drowsiness, and nasal congestion/coryza were reported for >5% of infants/ toddlers within 72 hours of immunization, but only arm discomfort was reported among >5% of immunized household contacts. In multivariate analysis, muscle ache was the only systemic symptom reported more often by immunized household members compared to non-immunized persons. Oculorespiratory symptoms were infrequent and there was no difference between immunized and non-immunized household members in their report. Less than 1% of adults required time off work because of adverse events following influenza immunization in the household. Less than 2% of subjects experiencing an adverse event following influenza immunization were considered unlikely to be vaccinated again., Conclusion: Influenza vaccine is well-tolerated by infants, toddlers and their household members. Post-marketing observational designs are an expedient way to assess adverse events following influenza immunization. These methods should be established and rehearsed annually in preparation for a pandemic.
- Published
- 2006
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