Document Detail


Pediatric deaths reported after vaccination: the utility of information obtained from parents.
MedLine Citation:
PMID:  11897461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The federally administered Vaccine Adverse Event Reporting System (VAERS) is a passive reporting system that receives domestic and foreign reports of adverse events that occur following immunization. This investigation explored whether routinely interviewing parents for follow-up of VAERS pediatric deaths would provide additional information important to vaccine safety. METHODS: The study was designed to follow up 100 consecutive pediatric deaths reported to VAERS by interviewing a parent and a healthcare provider (HCP) for each case. Several strategies contributed to successful follow-up. A standardized questionnaire was utilized to interview HCPs and parents. Overall and specific group frequencies (HCPs and parents) were calculated for each variable. McNemar's statistical tests of exact inference were calculated to assess whether there were statistically significant differences between HCP and parent knowledge by case for various variables. RESULTS: The median age of the cases was 4 months. Approximately half of the deaths were attributed to sudden infant death syndrome. In many instances, the information was equivalent in quality. For certain variables, such as knowledge of the child's position when found in distress, more parents than HCPs indicated that they knew the answer. CONCLUSIONS: Conducting parental and HCP follow-up for pediatric deaths reported to VAERS was resource intensive. In some instances, parents were more likely than HCPs to provide information regarding some important variables about the nature of the death. None of the additional information obtained from parents, however, provided a signal or confirmation of a causal link between the vaccine and death.
Authors:
Linda E Silvers; Frederick E Varricchio; Susan S Ellenberg; Carol L Krueger; Robert P Wise; Marcel E Salive
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  22     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-03-18     Completed Date:  2003-04-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  170-6     Citation Subset:  IM    
Affiliation:
U.S. Food and Drug Administration, Center for Biologics Evaluation and Research, Office of Biostatistics and Epidemiology, Rockville, Maryland 20855, USA. Lsilvers@cvm.fda.gov
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MeSH Terms
Descriptor/Qualifier:
Adverse Drug Reaction Reporting Systems
Causality
Cause of Death
Child
Child, Preschool
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Immunization Schedule
Infant
Infant Mortality / trends
Male
Parents*
Qualitative Research
Questionnaires / standards
Safety
Sudden Infant Death / etiology,  pathology
Vaccination / adverse effects*,  mortality*
Vaccines / adverse effects
Chemical
Reg. No./Substance:
0/Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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