PMID- 25598306 OWN - NLM STAT- MEDLINE DCOM- 20150702 LR - 20220410 IS - 1097-6833 (Electronic) IS - 0022-3476 (Print) IS - 0022-3476 (Linking) VI - 166 IP - 4 DP - 2015 Apr TI - Adverse events following Haemophilus influenzae type b vaccines in the Vaccine Adverse Event Reporting System, 1990-2013. PG - 992-7 LID - S0022-3476(14)01163-9 [pii] LID - 10.1016/j.jpeds.2014.12.014 [doi] AB - OBJECTIVE: To characterize adverse events (AEs) after Haemophilus influenzae type b (Hib) vaccines reported to the US Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting surveillance system. STUDY DESIGN: We searched VAERS for US reports after Hib vaccines among reports received from January 1, 1990, to December 1, 2013. We reviewed a random sample of reports and accompanying medical records for reports classified as serious. All reports of death were reviewed. Physicians assigned a primary clinical category to each reviewed report. We used empirical Bayesian data mining to identify AEs that were disproportionally reported after Hib vaccines. RESULTS: VAERS received 29,747 reports after Hib vaccines; 5179 (17%) were serious, including 896 reports of deaths. Median age was 6 months (range 0-1022 months). Sudden infant death syndrome was the stated cause of death in 384 (51%) of 749 death reports with autopsy/death certificate records. The most common nondeath serious AE categories were neurologic (80; 37%), other noninfectious (46; 22%) (comprising mainly constitutional signs and symptoms); and gastrointestinal (39; 18%) conditions. No new safety concerns were identified after clinical review of reports of AEs that exceeded the data mining statistical threshold. CONCLUSION: Review of VAERS reports did not identify any new or unexpected safety concerns for Hib vaccines. CI - Published by Elsevier Inc. FAU - Moro, Pedro L AU - Moro PL AD - Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: pmoro@cdc.gov. FAU - Jankosky, Christopher AU - Jankosky C AD - Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD. FAU - Menschik, David AU - Menschik D AD - Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD. FAU - Lewis, Paige AU - Lewis P AD - Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA. FAU - Duffy, Jonathan AU - Duffy J AD - Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA. FAU - Stewart, Brock AU - Stewart B AD - Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA. FAU - Shimabukuro, Tom T AU - Shimabukuro TT AD - Immunization Safety Office, Centers for Disease Control and Prevention, Atlanta, GA. LA - eng GR - CC999999/Intramural CDC HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20150115 PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 RN - 0 (Haemophilus Vaccines) RN - 0 (Haemophilus influenzae type b polysaccharide vaccine) SB - IM MH - Adverse Drug Reaction Reporting Systems/*statistics & numerical data MH - Bacterial Capsules MH - Bayes Theorem MH - Child MH - Child, Preschool MH - Female MH - Follow-Up Studies MH - Haemophilus Infections/mortality/*prevention & control MH - Haemophilus Vaccines/*adverse effects MH - Haemophilus influenzae type b/*immunology MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Retrospective Studies MH - Risk Assessment/*methods MH - Survival Rate/trends MH - United States/epidemiology PMC - PMC6500451 MID - NIHMS1025290 COIS- Conflict of interest: None of the authors have a conflict of interest. EDAT- 2015/01/20 06:00 MHDA- 2015/07/03 06:00 PMCR- 2019/05/04 CRDT- 2015/01/20 06:00 PHST- 2014/08/20 00:00 [received] PHST- 2014/10/20 00:00 [revised] PHST- 2014/12/05 00:00 [accepted] PHST- 2015/01/20 06:00 [entrez] PHST- 2015/01/20 06:00 [pubmed] PHST- 2015/07/03 06:00 [medline] PHST- 2019/05/04 00:00 [pmc-release] AID - S0022-3476(14)01163-9 [pii] AID - 10.1016/j.jpeds.2014.12.014 [doi] PST - ppublish SO - J Pediatr. 2015 Apr;166(4):992-7. doi: 10.1016/j.jpeds.2014.12.014. Epub 2015 Jan 15.