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Safety Comparison of Two Enterovirus 71 (EV71) Inactivated Vaccines in Yiwu, China
Shuying Luo1, Fei Wu1, Xiaojun Ye1
1Division of Planned Immunization, Yiwu Center for Disease Prevention and Control, Zhejiang Province, China.
Insights
This study assessed the safety of two enterovirus 71 (EV71) vaccines in China. Both vaccines demonstrated satisfactory safety profiles, with no severe adverse events reported in vaccinated children.
Area of Science:
- Vaccinology
- Public Health
- Pediatrics
Background:
- Enterovirus 71 (EV71) poses a significant public health threat, particularly to young children.
- The development and post-marketing surveillance of effective EV71 vaccines are crucial for disease prevention.
- Understanding the safety of different EV71 vaccine formulations is essential for widespread adoption.
Purpose of the Study:
- To evaluate and compare the safety of two post-marketing enterovirus 71 (EV71) vaccines in a Chinese population.
- To identify any significant differences in adverse event profiles between the two vaccine groups.
- To assess the safety of EV71 vaccination across different age strata.
Main Methods:
- A randomized controlled study involving 14 vaccination clinics.
- Children received a two-dose vaccination schedule (0 and 28 days) with either the Sinovac or CAMS EV71 vaccine.
- Participants were monitored for adverse events at 30 minutes post-vaccination, and via phone or on-site follow-up at days 3 and 30.
Main Results:
- No severe EV71-associated adverse events were reported in either vaccine group.
- No significant difference in overall adverse events was observed between the Sinovac and CAMS vaccine groups (p=0.556).
- A higher proportion of adverse events was noted in the CAMS group compared to the Sinovac group among children aged 24-35 months (5.3% vs. 2.5%, p<0.001).
Conclusions:
- Both EV71 vaccines evaluated demonstrated satisfactory safety profiles.
- Adverse events following vaccination were generally normal and acceptable.
- While overall safety was comparable, specific age groups may exhibit slightly different adverse event proportions, warranting continued surveillance.
Abstract:
The safety of two kinds of post-marketing enterovirus 71 (EV71) vaccine in China was evaluated in this study. Fourteen vaccination clinics were randomly assigned in a 1:1 ratio, and both children in two groups were administered according to a two-dose schedule (on a 0 and 28 day schedule). Written informed consent was obtained, and recipients in this study were observed for 30 min after inoculation in the clinic, and then followed via phone or on-site follow-up at day 3 and 30. No severe EV71-associated adverse event was reported. No significant difference was noticed between Group Sinovac and Group CAMS (χz = 0.346, p = 0.556). There was no significant difference in the occurrence of adverse events among recipients aged less than 24 months; however, the proportion of adverse events was higher in Group CAMS than in Group Sinovac among the subjects aged 24-35 months (5.3% vs. 2.5%, p < 0.001). The two kinds of EV71 vaccines showed satisfactory safety. Adverse events after vaccination were normal and acceptable.
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