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Serologic Responses and Systemic Reactions in Adults After Vaccination with Monovalent A/USSR/77 and Trivalent A/USSR/77, A/Texas/77, B/Hong Kong/72 Influenza Vaccines

Identifieur interne : 002579 ( Main/Exploration ); précédent : 002578; suivant : 002580

Serologic Responses and Systemic Reactions in Adults After Vaccination with Monovalent A/USSR/77 and Trivalent A/USSR/77, A/Texas/77, B/Hong Kong/72 Influenza Vaccines

Auteurs : Gerald V. Quinnan [États-Unis] ; Robert Schooley [États-Unis] ; Raphael Dolin [États-Unis] ; Francis A. Ennis [États-Unis] ; Peter Gross [États-Unis] ; Jack M. Gwaltney [États-Unis]

Source :

RBID : ISTEX:5F25A0577E5E5BD135A3E8BEC4A35B9F29D970A8

Abstract

Four hundred twenty-six volunteers aged 16 to 83 years were given experimental doses of inactivated monovalent [A/USSR/77 (H1N1)] and trivalent [A/USSR/77 (H1N1), A/Texas/77 (H3N2), B/Hong Kong/72] influenza vaccines as part of a double-blinded, placebo-controlled, national collaborative study. Local reactions at inoculation sites occurred in <6.6% of volunteers. Systemic reactions, generally consisting of low-grade fever, myalgia, or headache, lasting <24 hr, did not occur more frequently in vaccinees than in placebo recipients. Vaccines containing lower doses of the A/Texas/77 (H3N2) hemagglutinin (8–10 µg) and B/Hong Kong/72 hemagglutinin (6–9 µg) produced hemagglutinin-inhibiting (HAI) antibody responses equivalent to those produced by higher doses (15–28 and 19–28 µg, respectively) in all age groups. Single injections of vaccines containing lower doses of A/USSR/77 (HINl) hemagglutinin (4–7 µg) induced titers of HAI antibody of >1:40 in 93% of volunteers ⩾26 years of age but in only 58% of volunteers <26 years of age. In this latter group, two injections containing higher doses (10–19 µg) induced better antibody responses. Vaccines containing approximately 6–15 µg) of hemagglutinin of each antigen can be expected to be well tolerated and to induce good HAI antibody responses in a one- or two-dose regimen, depending on the age group.

Url:
DOI: 10.1093/clinids/5.4.748


Affiliations:


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<div type="abstract">Four hundred twenty-six volunteers aged 16 to 83 years were given experimental doses of inactivated monovalent [A/USSR/77 (H1N1)] and trivalent [A/USSR/77 (H1N1), A/Texas/77 (H3N2), B/Hong Kong/72] influenza vaccines as part of a double-blinded, placebo-controlled, national collaborative study. Local reactions at inoculation sites occurred in <6.6% of volunteers. Systemic reactions, generally consisting of low-grade fever, myalgia, or headache, lasting <24 hr, did not occur more frequently in vaccinees than in placebo recipients. Vaccines containing lower doses of the A/Texas/77 (H3N2) hemagglutinin (8–10 µg) and B/Hong Kong/72 hemagglutinin (6–9 µg) produced hemagglutinin-inhibiting (HAI) antibody responses equivalent to those produced by higher doses (15–28 and 19–28 µg, respectively) in all age groups. Single injections of vaccines containing lower doses of A/USSR/77 (HINl) hemagglutinin (4–7 µg) induced titers of HAI antibody of >1:40 in 93% of volunteers ⩾26 years of age but in only 58% of volunteers <26 years of age. In this latter group, two injections containing higher doses (10–19 µg) induced better antibody responses. Vaccines containing approximately 6–15 µg) of hemagglutinin of each antigen can be expected to be well tolerated and to induce good HAI antibody responses in a one- or two-dose regimen, depending on the age group.</div>
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