PMID- 17382435 OWN - NLM STAT- MEDLINE DCOM- 20070820 LR - 20070430 IS - 0264-410X (Print) IS - 0264-410X (Linking) VI - 25 IP - 21 DP - 2007 May 22 TI - Safety review of the purified chick embryo cell rabies vaccine: Data from the Vaccine Adverse Event Reporting System (VAERS), 1997-2005. PG - 4244-51 AB - On October 20, 1997, the U.S. Food and Drug Administration (FDA) licensed Purified Chick Embryo Cell (PCEC, RabAvert) vaccine against rabies in humans following clinical trials demonstrating safety and efficacy. From October 1997 through December 2005, the Vaccine Adverse Event Reporting System (VAERS) received 336 reports of adverse events (AEs) following vaccination with PCEC vaccine in the U.S.; there were no death reports. Serious events, including 20 hospitalizations and 13 neurological events, were described in 24 (7%) reports. There was no pattern among the 13 neurological AEs suggesting a plausible relationship to vaccination. A total of 20 AEs, 3 serious, were classified as possible anaphylaxis. There were 312 non-serious AEs (93%). Nineteen reports (6%) described that the vaccination series was discontinued because of non-serious AEs. Most reported AEs are non-serious and consistent with pre-licensure safety data. The rabies risk must be carefully considered before vaccine discontinuation. FAU - Dobardzic, Azra AU - Dobardzic A AD - Food and Drug Administration, Center for Biologics Evaluation and Research, 1401 Rockville Pike, Rockville, MD 20852, USA. azra.dobardzic@fda.hhs.gov FAU - Izurieta, Hector AU - Izurieta H FAU - Woo, Emily Jane AU - Woo EJ FAU - Iskander, John AU - Iskander J FAU - Shadomy, Sean AU - Shadomy S FAU - Rupprecht, Charles AU - Rupprecht C FAU - Ball, Robert AU - Ball R FAU - Braun, M Miles AU - Braun MM LA - eng PT - Clinical Trial, Phase IV PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20070315 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (Rabies Vaccines) SB - IM MH - Adolescent MH - Adult MH - Adverse Drug Reaction Reporting Systems MH - Aged MH - Aged, 80 and over MH - Anaphylaxis MH - Arthus Reaction/etiology MH - Child MH - Child, Preschool MH - Female MH - Hospitalization MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Medication Errors MH - Middle Aged MH - Nervous System Diseases/etiology MH - Rabies Vaccines/administration & dosage/*adverse effects MH - Syncope/etiology EDAT- 2007/03/27 09:00 MHDA- 2007/08/21 09:00 CRDT- 2007/03/27 09:00 PHST- 2006/12/27 00:00 [received] PHST- 2007/02/22 00:00 [revised] PHST- 2007/02/23 00:00 [accepted] PHST- 2007/03/27 09:00 [pubmed] PHST- 2007/08/21 09:00 [medline] PHST- 2007/03/27 09:00 [entrez] AID - S0264-410X(07)00276-9 [pii] AID - 10.1016/j.vaccine.2007.02.075 [doi] PST - ppublish SO - Vaccine. 2007 May 22;25(21):4244-51. doi: 10.1016/j.vaccine.2007.02.075. Epub 2007 Mar 15.