Influenza Clinical Trial
Official title:
A Post-marketing Study to Monitor the Safety of Beijing Tiantan Biological's Influenza Virus Vaccine Administered in Chinese Subjects Aged 60 Years or Older
To monitor the safety of Beijing Tiantan Biological's influenza vaccine in elderly through
Adverse Events Following Immunization Surveillance System of China.
The hypothesis is that there is no significant difference in the occurrence of adverse
events among influenza vaccines manufactured by independent companies.
In 2011 and 2012, Beijing Municipal Health Bureau launched the free influenza vaccination
campaign among children aged 6-18 years old and the elderly aged 60 years old and above.
Inactivated split-virion vaccines from Beijing Tiantan Biological Products Company were used
for the elderly in the campaign.
All vaccine recipients provided written informed consent, containing information about the
vaccine, possible adverse effects, and medical care.
Adverse events were collected through the National Immunization Information System's
National Adverse Events Following Immunization (AEFI) Surveillance System, which was
established in 2005 on the basis of World Health Organization (WHO) guidelines. According to
the Guideline for the Identification of Adverse Reaction after Immunization issued by the
Chinese Ministry of Health in 2008, Beijing CDC and local prefectural CDC must organize an
expert panel to investigate adverse events and assess causality, using criteria based on
Chinese Standard Procedures for Vaccination. The panels consist of physicians,
epidemiologists, pharmacists, and other relevant experts. In general, expert panels
investigate deaths, life-threatening illnesses, and permanent disabilities, and
immunization-program managers or vaccination providers investigate common, minor adverse
events. Adverse events are classified into one of five categories: vaccine reactions (common
and minor to rare and more serious), program errors, coincidental illnesses, psychogenic
reactions, and unclassifiable events.
At the time of vaccination, vaccinees were instructed to report any adverse event to
physicians or vaccination providers. Adverse events that were fatal or that resulted in
disability and clusters of events (i.e., notably high numbers of similar adverse events
related to a certain vaccine) were required to be reported within 2 hours after their
occurrence. The following adverse events were required to be reported within 2 days after
their occurrence: anaphylaxis or other allergic reactions occurring within 24 hours after
vaccination; fever (axillary temperature, >37.5°C), angioedema, or a local injection-site
reaction (diameter, >2.5 cm) occurring within 5 days after vaccination; purpura, an Arthus
reaction, febrile convulsion, seizure, or polyneuritis occurring within 15 days after
vaccination; and the Guillain-Barré syndrome occurring within 3 months after vaccination.
Other reactions that were common and minor (e.g., mild pain and fatigue) were not required
to be reported.
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Observational Model: Ecologic or Community
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