PMID- 33518629 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20211227 IS - 1884-2836 (Electronic) IS - 1344-6304 (Linking) VI - 74 IP - 5 DP - 2021 Sep 22 TI - Safety of Diphtheria and Tetanus Toxoids and Acellular Pertussis (DTaP) Vaccine in Adults in Japan. PG - 399-404 LID - 10.7883/yoken.JJID.2020.947 [doi] AB - Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine is generally used for booster vaccination of infants in Europe and the United States to avoid increased reactogenicity after diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccination. However, Japan has extended the use of additional DTaP vaccination without reducing the antigen dose for diphtheria and pertussis in adolescents and adults, despite limited reports on its safety in adults. This prospective, observational, questionnaire-based study investigated the occurrence of adverse events (AEs) following DTaP vaccination between June 2018 and June 2019 in participants aged 10 years or older. Of the 250 eligible participants, 235 (94%) responded regarding AEs. Among them, 133 (56.6%) reported AEs, of which 39 reported systemic AEs (16.6%) and 120 reported local AEs (51.1%) attributed to DTaP vaccination. The incidence of local AEs was markedly higher with DTaP vaccination than with non-DTaP vaccination (51.1% vs. 10.5%), and AEs appeared later (P < 0.01) and lasted longer (P < 0.01) with DTaP vaccination. However, more than 75% of these AEs resolved within 7 days. DTaP vaccination was not associated with any serious AEs. These results indicate that the DTaP vaccine can be widely used as a booster in adults as an alternative to the Tdap vaccine. FAU - Ujiie, Mugen AU - Ujiie M AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. AD - Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Japan. FAU - Tsuzuki, Shinya AU - Tsuzuki S AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Suzuki, Michiyo AU - Suzuki M AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Ota, Masayuki AU - Ota M AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Suzuki, Tetsuya AU - Suzuki T AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Nomoto, Hidetoshi AU - Nomoto H AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Yamamoto, Kei AU - Yamamoto K AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Saito, Sho AU - Saito S AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. FAU - Kokaze, Akatsuki AU - Kokaze A AD - Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Japan. FAU - Kinoshita, Noriko AU - Kinoshita N AD - Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. LA - eng PT - Journal Article PT - Observational Study DEP - 20210129 PL - Japan TA - Jpn J Infect Dis JT - Japanese journal of infectious diseases JID - 100893704 RN - 0 (Antibodies, Bacterial) RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (Diphtheria-Tetanus-acellular Pertussis Vaccines) RN - 0 (Toxoids) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Bacterial MH - Diphtheria/epidemiology/*prevention & control MH - Diphtheria-Tetanus-Pertussis Vaccine/administration & dosage/*adverse effects MH - Diphtheria-Tetanus-acellular Pertussis Vaccines/administration & dosage/*adverse effects MH - Humans MH - Immunization, Secondary MH - Incidence MH - Infant MH - Japan/epidemiology MH - Male MH - Prospective Studies MH - Tetanus/*prevention & control MH - Toxoids/administration & dosage/*adverse effects MH - Whooping Cough/epidemiology/*prevention & control OTO - NOTNLM OT - DTaP vaccine OT - Japan OT - Tdap vaccine OT - booster vaccination OT - vaccine safety EDAT- 2021/02/02 06:00 MHDA- 2021/12/28 06:00 CRDT- 2021/02/01 05:49 PHST- 2021/02/02 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/02/01 05:49 [entrez] AID - 10.7883/yoken.JJID.2020.947 [doi] PST - ppublish SO - Jpn J Infect Dis. 2021 Sep 22;74(5):399-404. doi: 10.7883/yoken.JJID.2020.947. Epub 2021 Jan 29.