PMID- 10370805 OWN - NLM STAT- MEDLINE DCOM- 19990701 LR - 20190831 IS - 0929-693X (Print) IS - 0929-693X (Linking) VI - 6 IP - 5 DP - 1999 May TI - [Adverse effects of the vaccines Tetracoq, IPAD/DTCP and DTCP. A French study of regional drug monitoring centers]. PG - 510-5 AB - On request of the French Drug Agency, the Regional Pharmacovigilance Center (RPVC) of Tours has been in charge of the analysis of adverse events (AEs) associated with tetravalent vaccines IPAD/DTCP, DTCP and Tetracoq, and reported to the RPVC or to the pharmaceutical companies that produce them. METHODS: All AEs spontaneously reported during use of one of these vaccines to one of the French Pharmacovigilance Centers or to the responsible firms between January 1, 1986 and December 31, 1990 were take into account. An AE was noted as "serious" in accordance with the European criteria. The incidence of adverse effects was estimated by evaluating the ratio of adverse effects and the number of sales of the vaccine for the same period. RESULTS: From 1986 to 1990, 631 AEs (with 19 duplicate cases) associated with tetravalent vaccines in 606 children (75% < 1 year) were reported. The most frequent AEs were: local AEs at the site of injection (43%), neurologic disorders (12%), hyperthermia (10%) and allergic reactions (10%). Serious AEs represented 25% of all AEs and were similar to those usually described with these vaccines, particularly persistent crying (23), febrile seizures (12), apyretic seizures (14), uneasiness (28) and, rarely, shock (3). CONCLUSION: Incidences of AEs reported with pentavalent vaccines are very low, probably underestimated because of the under-notification by prescribers of AEs of vaccines licensed some time ago. It will be interesting to compare these data with AEs of penta- and hexavalent vaccines since they have replaced tetravalent vaccines. FAU - Jonville-Bera, A P AU - Jonville-Bera AP AD - Service de pharmacologie clinique, Hopital Bretonneau, Tours, France. FAU - Autret-Leca, E AU - Autret-Leca E FAU - Radal, M AU - Radal M LA - fre PT - Comparative Study PT - English Abstract PT - Journal Article TT - Effets indesirables des vaccins Tetracoq, IPAD/DTCP et DTCP. Enquete francaise des centres regionaux de pharmacovigilance. PL - France TA - Arch Pediatr JT - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie JID - 9421356 RN - 0 (DTPP vaccine) RN - 0 (Diphtheria Toxoid) RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (Pertussis Vaccine) RN - 0 (Poliovirus Vaccine, Inactivated) RN - 0 (Tetanus Toxoid) RN - 0 (Vaccines, Combined) SB - IM MH - Adult MH - Adverse Drug Reaction Reporting Systems MH - Brain Diseases/etiology MH - Child MH - Child, Preschool MH - Crying/physiology MH - Diphtheria Toxoid/*adverse effects MH - *Diphtheria-Tetanus-Pertussis Vaccine MH - Drug Industry MH - Female MH - Fever/etiology MH - France MH - Humans MH - Hypersensitivity/etiology MH - Incidence MH - Infant MH - Injections, Intramuscular/adverse effects MH - Male MH - Pertussis Vaccine/*adverse effects MH - Poliovirus Vaccine, Inactivated/*adverse effects MH - Psychomotor Agitation/etiology MH - Seizures/etiology MH - Shock/etiology MH - Skin Diseases/etiology MH - Tetanus Toxoid/*adverse effects MH - Vaccines, Combined/*adverse effects EDAT- 1999/06/17 10:00 MHDA- 2000/05/05 09:00 CRDT- 1999/06/17 10:00 PHST- 1999/06/17 10:00 [pubmed] PHST- 2000/05/05 09:00 [medline] PHST- 1999/06/17 10:00 [entrez] AID - S0929693X99805569 [pii] AID - 10.1016/s0929-693x(99)80556-9 [doi] PST - ppublish SO - Arch Pediatr. 1999 May;6(5):510-5. doi: 10.1016/s0929-693x(99)80556-9.