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Reactogenicity

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unexpected AEs and local vs systemic events, based on the risk profile of the intervention/investigational product. This information is found on the IB or package insert. Typically, reactogenicity AEs are solicited and collected on memory cards and documented on a reactogenicity CRF. This information comes from the participant who may also have a memory aid to help recollect their symptoms.
88:, which would require hospitalization or are life-threatening. Adverse events have been linked to a higher degree of reactogenicity; however, the links might have been coincidental. After assessing large databases relating to these events for many years, the FDA has not been able to make such a correlation. 113:
Reactogenicity events are AEs that are common and known to occur for the intervention/investigational product being studied and should be collected in a standard, systematic format using a grading scale based on functional assessment or magnitude of reaction. Provide a definition of expected vs
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to produce common, "expected" adverse reactions, especially excessive immunological responses and associated signs and symptoms, including fever and sore arm at the injection site. Other manifestations of reactogenicity typically identified in such trials include
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that is present in a vaccine. Reactogenicity describes the immediate short-term reactions of a system to vaccines and should not be confused with the long-term consequences
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The following is an example of a functional scale for assessing reactogenicity or other parameters not specifically listed in the toxicity table:
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Hervé, Caroline; Laupèze, Béatrice; Del Giudice, Giuseppe; Didierlaurent, Arnaud M.; Tavares Da Silva, Fernanda (24 September 2019).
911: 695: 524: 1431: 1382: 1310: 916: 948: 700: 626: 479: 306: 1358: 665: 298: 770: 80:. Assessments of reactogenicity are carried out to evaluate the safety and usability of an experimental vaccine (see 1399: 1337: 307: 958: 926: 921: 750: 210: 1016: 621: 814: 519: 105: 68:(FDA). All vaccines can induce reactogenicity, but reactogenicity is more likely in vaccines containing an 65: 936: 373: 356: 986: 84:). It is unclear whether a higher degree of reactogenicity to a vaccine correlates with more severe 941: 906: 901: 896: 81: 1387: 1320: 1301: 1097: 1069: 1031: 1026: 1006: 529: 125:
3 = Severe (incapacitating; unable to perform usual activities; requires absenteeism or bed rest)
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Hypothesised link between the innate immune response induced by vaccination and reactogenicity
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2 = Moderate (discomfort enough to cause interference with usual activity)
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1 = Mild (awareness of a symptom but the symptom is easily tolerated)
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Mechanisms underlying the cause of reactogenicity symptoms
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Secretary of Health and Human Services 1418: 163:"The how's and what's of vaccine reactogenicity" 265:The how’s and what’s of vaccine reactogenicity 292: 64:The term reactogenicity was coined by the US 299: 285: 186: 156: 154: 95: 18: 1419: 151: 280: 119:0 = Absence of the indicated symptom 13: 1359:Eradication of infectious diseases 1116:Androvax (androstenedione albumin) 14: 1448: 949:Respiratory syncytial virus (RSV) 232: 1338:Alternative vaccination schedule 308:Artificial induction of immunity 239: 1170:Ovandrotone albumin (Fecundin) 211:"DMID Interventional Template" 203: 16:Expected reaction to a vaccine 1: 701:Group B streptococcal disease 520:Vaccines for Children Program 144: 106:National Institutes of Health 91: 1432:Food and Drug Administration 66:Food and Drug Administration 7: 132: 10: 1453: 1377: 1346: 1285: 1217: 1108: 1080: 1047: 716: 547: 540: 459: 387: 339: 179:10.1038/s41541-019-0132-6 59: 696:Clostridioides difficile 82:Investigational New Drug 959:Tick-borne encephalitis 1369:List of vaccine topics 364:Mathematical modelling 130: 101: 24: 1364:Vaccinate Your Family 815:Japanese encephalitis 127:4 = Life-threatening 110: 99: 35:is the capacity of a 22: 1247:John Franklin Enders 216:. NIH. 25 March 2011 428:Virus-like particle 352:Vaccine ingredients 1404:Never to phase III 1203:Hexavalent vaccine 1017:Epstein–Barr virus 912:Oxford–AstraZeneca 600:NmVac4-A/C/Y/W-135 249:has a profile for 102: 25: 1414: 1413: 1326:Vaccines and SIDS 1213: 1212: 987:Hepatitis A and B 963:Varicella zoster 420:Subunit/component 255: 139:Vaccine hesitancy 1444: 1305:MMR autism fraud 1252:Maurice Hilleman 1237:Hilary Koprowski 545: 544: 301: 294: 287: 278: 277: 253: 243: 242: 226: 225: 223: 221: 215: 207: 201: 200: 190: 158: 1452: 1451: 1447: 1446: 1445: 1443: 1442: 1441: 1417: 1416: 1415: 1410: 1409: 1394:Clinical trials 1373: 1342: 1281: 1257:Stanley Plotkin 1219: 1209: 1121:Cancer vaccines 1104: 1098:Schistosomiasis 1076: 1070:Trypanosomiasis 1043: 1007:Cytomegalovirus 917:Pfizer–BioNTech 712: 536: 485:Vaccine wastage 455: 383: 335: 305: 261: 260: 259: 252:reactogenicity 244: 240: 235: 230: 229: 219: 217: 213: 209: 208: 204: 159: 152: 147: 135: 129: 126: 124: 122: 120: 118: 116: 115: 94: 62: 29:clinical trials 17: 12: 11: 5: 1450: 1440: 1439: 1434: 1429: 1412: 1411: 1408: 1407: 1406: 1405: 1402: 1391: 1385: 1379: 1378: 1375: 1374: 1372: 1371: 1366: 1361: 1356: 1350: 1348: 1344: 1343: 1341: 1340: 1335: 1328: 1323: 1318: 1313: 1308: 1295: 1289: 1287: 1283: 1282: 1280: 1279: 1274: 1272:Katalin KarikĂł 1269: 1264: 1259: 1254: 1249: 1244: 1239: 1234: 1229: 1223: 1221: 1215: 1214: 1211: 1210: 1208: 1207: 1206: 1205: 1200: 1195: 1190: 1182: 1177: 1172: 1167: 1162: 1161: 1160: 1155: 1154: 1153: 1148: 1138: 1133: 1128: 1118: 1112: 1110: 1106: 1105: 1103: 1102: 1101: 1100: 1095: 1086: 1084: 1078: 1077: 1075: 1074: 1073: 1072: 1064: 1063: 1062: 1051: 1049: 1045: 1044: 1042: 1041: 1040: 1039: 1034: 1029: 1027:Herpes simplex 1024: 1019: 1014: 1009: 1001: 1000: 999: 994: 989: 981: 976: 975: 974: 969: 961: 956: 951: 946: 945: 944: 939: 934: 929: 927:Sinopharm BIBP 924: 919: 914: 909: 904: 899: 894: 889: 884: 879: 877:Bharat Biotech 874: 864: 859: 854: 849: 848: 847: 842: 832: 827: 822: 817: 812: 811: 810: 805: 795: 790: 785: 780: 775: 774: 773: 768: 763: 758: 743: 742: 741: 731: 726: 720: 718: 714: 713: 711: 710: 709: 708: 703: 698: 690: 689: 688: 683: 675: 670: 669: 668: 663: 653: 652: 651: 641: 636: 631: 630: 629: 624: 614: 609: 604: 603: 602: 597: 587: 582: 577: 572: 567: 562: 557: 551: 549: 542: 538: 537: 535: 534: 533: 532: 527: 522: 517: 512: 504: 503: 502: 500:Vaccine injury 497: 492: 487: 482: 477: 472: 463: 461: 460:Administration 457: 456: 454: 453: 448: 443: 434: 417: 416: 415: 410: 402: 397: 391: 389: 385: 384: 382: 381: 376: 371: 366: 361: 360: 359: 349: 343: 341: 337: 336: 304: 303: 296: 289: 281: 275: 274: 245: 238: 237: 236: 234: 233:External links 231: 228: 227: 202: 149: 148: 146: 143: 142: 141: 134: 131: 111: 93: 90: 86:adverse events 61: 58: 33:reactogenicity 15: 9: 6: 4: 3: 2: 1449: 1438: 1435: 1433: 1430: 1428: 1425: 1424: 1422: 1403: 1401: 1398: 1397: 1395: 1392: 1389: 1386: 1384: 1381: 1380: 1376: 1370: 1367: 1365: 1362: 1360: 1357: 1355: 1352: 1351: 1349: 1345: 1339: 1336: 1334: 1333: 1329: 1327: 1324: 1322: 1319: 1317: 1314: 1312: 1309: 1306: 1304: 1299: 1296: 1294: 1291: 1290: 1288: 1284: 1278: 1277:Drew Weissman 1275: 1273: 1270: 1268: 1265: 1263: 1262:H. Fred Clark 1260: 1258: 1255: 1253: 1250: 1248: 1245: 1243: 1240: 1238: 1235: 1233: 1232:Louis Pasteur 1230: 1228: 1227:Edward Jenner 1225: 1224: 1222: 1216: 1204: 1201: 1199: 1198:DTwP-HepB-Hib 1196: 1194: 1193:DTaP-IPV-HepB 1191: 1189: 1186: 1185: 1184:combination: 1183: 1181: 1178: 1176: 1173: 1171: 1168: 1166: 1163: 1159: 1156: 1152: 1149: 1147: 1144: 1143: 1142: 1139: 1137: 1134: 1132: 1129: 1127: 1124: 1123: 1122: 1119: 1117: 1114: 1113: 1111: 1107: 1099: 1096: 1094: 1091: 1090: 1088: 1087: 1085: 1083: 1082:Helminthiasis 1079: 1071: 1068: 1067: 1065: 1061: 1058: 1057: 1056: 1053: 1052: 1050: 1046: 1038: 1035: 1033: 1030: 1028: 1025: 1023: 1020: 1018: 1015: 1013: 1010: 1008: 1005: 1004: 1002: 998: 995: 993: 990: 988: 985: 984: 983:combination: 982: 980: 977: 973: 970: 968: 965: 964: 962: 960: 957: 955: 952: 950: 947: 943: 940: 938: 935: 933: 930: 928: 925: 923: 920: 918: 915: 913: 910: 908: 905: 903: 900: 898: 895: 893: 890: 888: 885: 883: 880: 878: 875: 873: 870: 869: 868: 865: 863: 860: 858: 855: 853: 850: 846: 843: 841: 838: 837: 836: 833: 831: 828: 826: 823: 821: 818: 816: 813: 809: 806: 804: 801: 800: 799: 796: 794: 791: 789: 786: 784: 781: 779: 776: 772: 769: 767: 764: 762: 759: 756: 752: 749: 748: 747: 744: 740: 737: 736: 735: 732: 730: 727: 725: 722: 721: 719: 715: 707: 704: 702: 699: 697: 694: 693: 691: 687: 684: 682: 681:DPT/DTwP/DTaP 679: 678: 677:combination: 676: 674: 671: 667: 664: 662: 659: 658: 657: 654: 650: 647: 646: 645: 642: 640: 637: 635: 632: 628: 625: 623: 620: 619: 618: 615: 613: 610: 608: 605: 601: 598: 596: 593: 592: 591: 590:Meningococcus 588: 586: 583: 581: 580:Leptospirosis 578: 576: 573: 571: 568: 566: 563: 561: 558: 556: 553: 552: 550: 546: 543: 539: 531: 528: 526: 523: 521: 518: 516: 515:Vaccine court 513: 511: 508: 507: 505: 501: 498: 496: 493: 491: 488: 486: 483: 481: 478: 476: 473: 471: 470:GAVI Alliance 468: 467: 465: 464: 462: 458: 452: 449: 447: 444: 442: 438: 435: 433: 429: 425: 421: 418: 414: 411: 409: 406: 405: 403: 401: 398: 396: 393: 392: 390: 386: 380: 377: 375: 372: 370: 367: 365: 362: 358: 355: 354: 353: 350: 348: 345: 344: 342: 338: 333: 329: 325: 321: 317: 313: 309: 302: 297: 295: 290: 288: 283: 282: 279: 272: 271: 266: 263: 262: 257: 256: 248: 212: 206: 198: 194: 189: 184: 180: 176: 172: 168: 164: 157: 155: 150: 140: 137: 136: 128: 109: 107: 98: 89: 87: 83: 79: 75: 71: 67: 57: 55: 51: 47: 43: 38: 34: 30: 21: 1354:Epidemiology 1330: 1302: 1188:DTaP-IPV/Hib 979:Yellow fever 892:EpiVacCorona 644:Tuberculosis 617:Pneumococcal 585:Lyme disease 413:Heterologous 312:Immunization 268: 251: 218:. Retrieved 205: 170: 167:npj Vaccines 166: 112: 103: 63: 32: 26: 1437:Drug safety 1427:Vaccination 1390:from market 1286:Controversy 1220:researchers 1136:Hepatitis B 1022:Hepatitis C 967:Chicken pox 793:Hepatitis E 788:Hepatitis B 783:Hepatitis A 729:Chikungunya 706:Shigellosis 560:Brucellosis 446:Therapeutic 400:Inactivated 340:Development 328:Inoculation 320:Vaccination 1421:Categories 1321:Thiomersal 1267:Paul Offit 1242:Jonas Salk 1218:Inventors/ 1089:research: 1066:research: 1003:research: 932:Skycovione 922:Sanofi–GSK 867:SARS-CoV-2 778:Hantavirus 739:rVSV-ZEBOV 724:Adenovirus 692:research: 570:Diphtheria 408:Attenuated 254:(Q7300322) 220:30 January 145:References 92:Definition 50:induration 1400:Phase III 1388:Withdrawn 1316:Pox party 1126:ALVAC-CEA 1048:Protozoan 937:Sputnik V 887:CoronaVac 857:Rotavirus 755:Pandemrix 607:Pertussis 548:Bacterial 432:Synthetic 395:Conjugate 347:Adjuvants 324:Infection 173:(1): 39. 1158:Prostvac 1151:Gardasil 1146:Cervarix 1093:Hookworm 972:Shingles 954:Smallpox 872:Corbevax 808:Gardasil 803:Cervarix 541:Vaccines 495:Schedule 466:Global: 374:Timeline 316:Vaccines 197:31583123 133:See also 78:sequelae 70:adjuvant 54:swelling 42:bruising 1347:Related 1293:General 1055:Malaria 942:Valneva 907:Novavax 902:Moderna 897:Janssen 882:CanSino 862:Rubella 820:Measles 686:Td/Tdap 656:Typhoid 639:Tetanus 634:Q fever 565:Cholera 555:Anthrax 424:Peptide 388:Classes 369:Storage 247:Scholia 188:6760227 104:The US 74:antigen 46:redness 37:vaccine 1383:WHO-EM 1303:Lancet 1180:TA-NIC 1165:NicVAX 1012:Dengue 852:Rabies 673:Typhus 612:Plague 490:Policy 451:Toxoid 379:Trials 273:(2019) 270:Nature 214:(docx) 195:  185:  60:Origin 52:, and 1311:NCVIA 1175:TA-CD 1109:Other 1060:RTS,S 840:Sabin 835:Polio 830:Mumps 734:Ebola 717:Viral 666:ViCPS 661:Ty21a 595:MeNZB 525:VAERS 475:NITAG 404:Live 1037:Zika 997:MMRV 845:Salk 825:Mpox 771:LAIV 766:H5N8 761:H5N1 751:H1N1 627:PPSV 510:ACIP 506:US: 480:SAGE 441:mRNA 357:list 222:2021 193:PMID 1298:MMR 1141:HPV 1131:BCG 1032:HIV 992:MMR 798:HPV 746:Flu 649:BCG 622:PCV 575:Hib 530:VSD 437:DNA 332:J07 183:PMC 175:doi 27:In 1423:: 1396:: 439:/ 430:/ 426:/ 422:/ 326:, 322:, 318:, 314:: 310:/ 267:, 191:. 181:. 169:. 165:. 153:^ 56:. 48:, 44:, 31:, 1307:) 1300:( 757:) 753:( 334:) 330:( 300:e 293:t 286:v 258:. 224:. 199:. 177:: 171:4

Index


clinical trials
vaccine
bruising
redness
induration
swelling
Food and Drug Administration
adjuvant
antigen
sequelae
Investigational New Drug
adverse events

National Institutes of Health
Vaccine hesitancy


"The how's and what's of vaccine reactogenicity"
doi
10.1038/s41541-019-0132-6
PMC
6760227
PMID
31583123
"DMID Interventional Template"
Scholia
reactogenicity (Q7300322)
The how’s and what’s of vaccine reactogenicity
Nature

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