PMID- 34887130 OWN - NLM STAT- MEDLINE DCOM- 20220126 LR - 20230122 IS - 1873-2518 (Electronic) IS - 0264-410X (Print) IS - 0264-410X (Linking) VI - 40 IP - 2 DP - 2022 Jan 21 TI - Safety surveillance of meningococcal group B vaccine (Bexsero(R)), Vaccine Adverse Event Reporting System, 2015-2018. PG - 247-254 LID - S0264-410X(21)01545-0 [pii] LID - 10.1016/j.vaccine.2021.11.071 [doi] AB - BACKGROUND: Bexsero(R) (GlaxoSmithKline) is a four-component Neisseria meningitidis serogroup B vaccine (MenB-4C). It was licensed in the United States in 2015 for use among individuals ages 10-25 years. We aimed to assess the post-licensure safety profile of MenB-4C by examining reports received in the Vaccine Adverse Event Reporting System (VAERS). METHODS: VAERS is a national passive surveillance system for adverse events (AEs) following immunization that uses the Medical Dictionary for Regulatory Activities to code reported AEs and the Code of Federal Regulations to classify reports by seriousness. In this case series, we analyzed U.S. reports involving MenB-4C received between January 23, 2015 through December 31, 2018. We used Empirical Bayesian data mining to identify MenB-4C/AE combinations reported at least twice as often as expected. RESULTS: VAERS received 1,867 reports following MenB-4C administration, representing 332 reports per million doses distributed. Most reports were for females (59%), with a median age of 17 years (interquartile range: 16-18 years); 40% of reports described simultaneous administration of other vaccines. The majority of reports were classified as non-serious (96%). The most commonly reported AEs were injection site pain (22%), pyrexia (16%), and headache (16%). Data mining identified disproportionate reporting for "injected limb mobility decreased" secondary to injection site reactions, including extensive swelling of the vaccinated limb and injection site pain. CONCLUSIONS: Analysis of passive surveillance data from over 5.6 million doses of MenB-4C distributed in the United States did not reveal new safety concerns. The large majority of reports were classified as non-serious and the reported AEs were generally consistent with the safety experience described in clinical studies and the product's package insert. While our results are reassuring, continued post-marketing surveillance is warranted. CI - Published by Elsevier Ltd. FAU - Perez-Vilar, Silvia AU - Perez-Vilar S AD - Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, United States. Electronic address: silvia.perezvilar@fda.hhs.gov. FAU - Dores, Graca M AU - Dores GM AD - Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, United States. Electronic address: graca.dores@fda.hhs.gov. FAU - Marquez, Paige L AU - Marquez PL AD - Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, United States. Electronic address: fqv9@cdc.gov. FAU - Ng, Carmen S AU - Ng CS AD - Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, United States. Electronic address: csng14@hku.hk. FAU - Cano, Maria V AU - Cano MV AD - Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, United States. Electronic address: canmz007@aol.com. FAU - Rastogi, Anuja AU - Rastogi A AD - Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, United States. Electronic address: anuja.rastogi@fda.hhs.gov. FAU - Lee, Lucia AU - Lee L AD - Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, United States. Electronic address: lucia.lee@fda.hhs.gov. FAU - Su, John R AU - Su JR AD - Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, United States. Electronic address: ezu2@cdc.gov. FAU - Duffy, Jonathan AU - Duffy J AD - Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, United States. Electronic address: jduffy@cdc.gov. LA - eng GR - CC999999/ImCDC/Intramural CDC HHS/United States PT - Journal Article DEP - 20211207 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (4CMenB vaccine) RN - 0 (Meningococcal Vaccines) SB - IM MH - Adolescent MH - Adult MH - Adverse Drug Reaction Reporting Systems MH - Bayes Theorem MH - Child MH - Female MH - Humans MH - *Meningococcal Vaccines/adverse effects MH - *Neisseria meningitidis, Serogroup B MH - United States/epidemiology MH - Young Adult PMC - PMC9009159 MID - NIHMS1793307 OTO - NOTNLM OT - 4CMenB vaccine OT - Meningococcal vaccines OT - Neisseria meningitidis serogroup B OT - Pharmacovigilance OT - Vaccine Adverse Event Reporting System COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/12/11 06:00 MHDA- 2022/01/27 06:00 PMCR- 2023/01/21 CRDT- 2021/12/10 05:49 PHST- 2021/09/22 00:00 [received] PHST- 2021/11/20 00:00 [revised] PHST- 2021/11/23 00:00 [accepted] PHST- 2021/12/11 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2021/12/10 05:49 [entrez] PHST- 2023/01/21 00:00 [pmc-release] AID - S0264-410X(21)01545-0 [pii] AID - 10.1016/j.vaccine.2021.11.071 [doi] PST - ppublish SO - Vaccine. 2022 Jan 21;40(2):247-254. doi: 10.1016/j.vaccine.2021.11.071. Epub 2021 Dec 7.