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Published on: January 28, 2019
Intussusception among recipients of rotavirus vaccine--United States, 1998-1999
Insights
A rotavirus vaccine (RRV-TV) was linked to 15 infant intussusception cases reported to VAERS. Further studies are ongoing to understand the association between this vaccine and bowel obstruction in infants.
Area of Science:
- Pediatrics
- Vaccinology
- Gastroenterology
Background:
- A tetravalent rhesus-based rotavirus vaccine (RRV-TV) was licensed for infant vaccination in the US in 1998.
- Routine use of RRV-TV was recommended by major health organizations for healthy infants.
Purpose of the Study:
- To summarize clinical and epidemiologic features of intussusception cases in infants who received RRV-TV.
- To present preliminary data from ongoing studies on intussusception and rotavirus vaccine.
Main Methods:
- Analysis of 15 cases of intussusception reported to the Vaccine Adverse Event Reporting System (VAERS) between September 1998 and July 1999.
- Review of clinical and epidemiological data associated with RRV-TV vaccination.
Main Results:
- Fifteen cases of intussusception were reported in infants who had received the RRV-TV vaccine.
- The Vaccine Adverse Event Reporting System (VAERS) collected these reports during a specific timeframe.
Conclusions:
- The study highlights a potential association between RRV-TV and intussusception in infants.
- Ongoing research is crucial to further investigate this link and inform public health recommendations regarding rotavirus vaccination.
Abstract:
On August 31, 1998, a tetravalent rhesus-based rotavirus vaccine (RotaShield, Wyeth Laboratories, Inc., Marietta, Pennsylvania) (RRV-TV) was licensed in the United States for vaccination of infants. The Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics, and the American Academy of Family Physicians have recommended routine use of RRV-TV for vaccination of healthy infants. During September 1, 1998-July 7, 1999, 15 cases of intussusception (a bowel obstruction in which one segment of bowel becomes enfolded within another segment) among infants who had received RRV-TV were reported to the Vaccine Adverse Event Reporting System (VAERS). This report summarizes the clinical and epidemiologic features of these cases and preliminary data from ongoing studies of intussusception and rotavirus vaccine.
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