PMID- 30660400 OWN - NLM STAT- MEDLINE DCOM- 20200727 LR - 20210109 IS - 1873-2518 (Electronic) IS - 0264-410X (Print) IS - 0264-410X (Linking) VI - 37 IP - 9 DP - 2019 Feb 21 TI - Safety of 9-valent human papillomavirus vaccine administration among pregnant women: Adverse event reports in the Vaccine Adverse Event Reporting System (VAERS), 2014-2017. PG - 1229-1234 LID - S0264-410X(18)31641-4 [pii] LID - 10.1016/j.vaccine.2018.11.077 [doi] AB - INTRODUCTION: 9-valent human papillomavirus vaccine (9vHPV) was approved by the Food and Drug Administration (FDA) in December 2014. 9vHPV is not recommended during pregnancy, but some women of childbearing age may be inadvertently exposed. This study aims to evaluate reports submitted to the Vaccine Adverse Event Reporting System (VAERS) of pregnant women exposed to 9vHPV. METHODS: We searched the VAERS database, a national post-licensure vaccine safety surveillance system, for reports of pregnant women vaccinated with 9vHPV in the United States between December 10, 2014 and December 31, 2017. Disproportionate reporting of adverse events (AEs) was assessed using proportional reporting ratios (PRRs). RESULTS: A total of 82 pregnancy reports were identified. Sixty reports (73.2%) did not describe an AE and were submitted only to report the vaccine exposure during pregnancy. The most frequently reported pregnancy-specific AE was spontaneous abortion (n = 3; 3.7%), followed by vaginal bleeding (n = 2; 2.4%). Among non-pregnancy-specific AEs, injection site reaction (n = 3; 3.7%) was most common. No disproportionate reporting of any AE was found. DISCUSSION: No unexpected AEs were observed among these pregnancy reports. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Landazabal, Claudia S AU - Landazabal CS AD - Emory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road, Atlanta, GA 30322, United States. Electronic address: claudialandazabal@alumni.emory.edu. FAU - Moro, Pedro L AU - Moro PL AD - Centers for Disease Control and Prevention, National Center for Zoonotic and Emerging Infectious Diseases, Division of Healthcare Quality Promotion, Immunization Safety Office, 1600 Clifton Road, Atlanta, GA 30333, United States. Electronic address: psm9@cdc.gov. FAU - Lewis, Paige AU - Lewis P AD - Centers for Disease Control and Prevention, National Center for Zoonotic and Emerging Infectious Diseases, Division of Healthcare Quality Promotion, Immunization Safety Office, 1600 Clifton Road, Atlanta, GA 30333, United States. Electronic address: fqv9@cdc.gov. FAU - Omer, Saad B AU - Omer SB AD - Emory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road, Atlanta, GA 30322, United States; Emory University Rollins School of Public Health, Hubert Department of Global Health, 1518 Clifton Road, Atlanta, GA 30322, United States; Emory Vaccine Center, 954 Gatewood Road, Atlanta, GA 30329, United States. Electronic address: somer@emory.edu. LA - eng GR - CC999999/ImCDC/Intramural CDC HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20190116 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (Papillomavirus Vaccines) SB - IM MH - Adolescent MH - Adult MH - Adverse Drug Reaction Reporting Systems/*statistics & numerical data MH - Child MH - Databases, Factual/*statistics & numerical data MH - Epidemiological Monitoring MH - Female MH - Humans MH - Injection Site Reaction MH - Papillomavirus Vaccines/*adverse effects MH - Pregnancy MH - *Pregnant Women MH - Product Surveillance, Postmarketing MH - United States MH - United States Food and Drug Administration MH - Vaccination/*adverse effects MH - Young Adult PMC - PMC6505695 MID - NIHMS1023485 OTO - NOTNLM OT - Adverse event OT - Epidemiology OT - Human papillomavirus vaccine OT - Surveillance OT - Vaccine safety EDAT- 2019/01/21 06:00 MHDA- 2020/07/28 06:00 PMCR- 2019/11/21 CRDT- 2019/01/21 06:00 PHST- 2018/09/01 00:00 [received] PHST- 2018/11/09 00:00 [revised] PHST- 2018/11/30 00:00 [accepted] PHST- 2019/01/21 06:00 [pubmed] PHST- 2020/07/28 06:00 [medline] PHST- 2019/01/21 06:00 [entrez] PHST- 2019/11/21 00:00 [pmc-release] AID - S0264-410X(18)31641-4 [pii] AID - 10.1016/j.vaccine.2018.11.077 [doi] PST - ppublish SO - Vaccine. 2019 Feb 21;37(9):1229-1234. doi: 10.1016/j.vaccine.2018.11.077. Epub 2019 Jan 16.