Safety and tolerability of pneumococcal vaccines in children

Susanna Esposito1, Nicola Principi1

  • 1a Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation , Università degli Studi di Milano Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico , Milan , Italy.

Insights

Pneumococcal vaccines are safe and recommended for children. Pneumococcal conjugate vaccines (PCVs) are preferred for their effectiveness, though ongoing surveillance for rare adverse events is crucial.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Pneumococcal vaccines have historically reduced disease burden from Streptococcus pneumoniae.
  • Established vaccines aim to mitigate medical, social, and economic impacts of pneumococcal diseases.

Purpose of the Study:

  • To review the safety and tolerability of current and historical pneumococcal vaccines in children.
  • To analyze the established doctrine on pneumococcal vaccine safety.

Main Methods:

  • Literature review of safety and tolerability data.
  • Analysis of post-marketing surveillance for adverse events.

Main Results:

  • Pneumococcal vaccines are generally safe and recommended for clinical use.
  • Pneumococcal conjugate vaccines (PCVs) are preferred in children due to superior immunogenicity and impact on nasopharyngeal carriage.
  • Severe adverse events following PCVs are rare, but vigilance is necessary.

Conclusions:

  • All marketed pneumococcal vaccines are safe and clinically recommended.
  • PCVs are the vaccines of choice for children, offering significant benefits.
  • Continued post-marketing surveillance is essential to monitor rare adverse events and ensure vaccine safety.
Abstract

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