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Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons

Identifieur interne : 001913 ( PascalFrancis/Curation ); précédent : 001912; suivant : 001914

Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons

Auteurs : Lisa A. Jackson [États-Unis] ; Wilbur H. Chen [États-Unis] ; Jack T. Stapleton [États-Unis] ; Cornelia L. Dekker [États-Unis] ; Anna Wald [États-Unis] ; Rebecca C. Brady [États-Unis] ; Srilatha Edupuganti [États-Unis] ; Patricia Winokur [États-Unis] ; Mark J. Mulligan [États-Unis] ; Harry L. Keyserling [États-Unis] ; Karen L. Kotloff [États-Unis] ; Nadine Rouphael [États-Unis] ; Diana L. Noah [États-Unis] ; Heather Hill [États-Unis] ; Mark C. Wolff [États-Unis]

Source :

RBID : Pascal:12-0371820

Descripteurs français

English descriptors

Abstract

Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.
pA  
A01 01  1    @0 0022-1899
A02 01      @0 JIDIAQ
A03   1    @0 J. infect. dis.
A05       @2 206
A06       @2 6
A08 01  1  ENG  @1 Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons
A11 01  1    @1 JACKSON (Lisa A.)
A11 02  1    @1 CHEN (Wilbur H.)
A11 03  1    @1 STAPLETON (Jack T.)
A11 04  1    @1 DEKKER (Cornelia L.)
A11 05  1    @1 WALD (Anna)
A11 06  1    @1 BRADY (Rebecca C.)
A11 07  1    @1 EDUPUGANTI (Srilatha)
A11 08  1    @1 WINOKUR (Patricia)
A11 09  1    @1 MULLIGAN (Mark J.)
A11 10  1    @1 KEYSERLING (Harry L.)
A11 11  1    @1 KOTLOFF (Karen L.)
A11 12  1    @1 ROUPHAEL (Nadine)
A11 13  1    @1 NOAH (Diana L.)
A11 14  1    @1 HILL (Heather)
A11 15  1    @1 WOLFF (Mark C.)
A14 01      @1 Group Health Research Institute and @3 USA @Z 1 aut.
A14 02      @1 University of Washington, Seattle @2 Washington, Maryland @3 USA @Z 5 aut.
A14 03      @1 Center for Vaccine Development, University of Maryland School of Medicine @2 Baltimore @3 USA @Z 2 aut. @Z 11 aut.
A14 04      @1 The EMMES Corporation @2 Rockville, Maryland @3 USA @Z 14 aut. @Z 15 aut.
A14 05      @1 University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System @2 Iowa City, Iowa @3 USA @Z 3 aut. @Z 8 aut.
A14 06      @1 Stanford University School of Medicine @2 Stanford, California @3 USA @Z 4 aut.
A14 07      @1 Cincinnati Children's Hospital Medical Center @2 Cincinnati, Ohio @3 USA @Z 6 aut.
A14 08      @1 Emory University School of Medicine @2 Atlanta, Georgia @3 USA @Z 7 aut. @Z 9 aut. @Z 10 aut. @Z 12 aut.
A14 09      @1 Southern Research Institute @2 Birmingham, Alabama @3 USA @Z 13 aut.
A20       @1 811-820
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 2052 @5 354000509502200040
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 12-0371820
A60       @1 P
A61       @0 A
A64 01  1    @0 The Journal of infectious diseases
A66 01      @0 GBR
C01 01    ENG  @0 Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.
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C02 03  X    @0 002A05F04
C03 01  X  FRE  @0 Virus grippal A @2 NW @5 01
C03 01  X  ENG  @0 Influenza A virus @2 NW @5 01
C03 01  X  SPA  @0 Influenza A virus @2 NW @5 01
C03 02  X  FRE  @0 Homme @5 02
C03 02  X  ENG  @0 Human @5 02
C03 02  X  SPA  @0 Hombre @5 02
C03 03  X  FRE  @0 Immunogénicité @5 05
C03 03  X  ENG  @0 Immunogenicity @5 05
C03 03  X  SPA  @0 Inmunogenicidad @5 05
C03 04  X  FRE  @0 Vaccin @5 06
C03 04  X  ENG  @0 Vaccine @5 06
C03 04  X  SPA  @0 Vacuna @5 06
C03 05  X  FRE  @0 Adjuvant immunologique @5 07
C03 05  X  ENG  @0 Immunological adjuvant @5 07
C03 05  X  SPA  @0 Coadyuvante inmunológico @5 07
C03 06  X  FRE  @0 Personne âgée @5 08
C03 06  X  ENG  @0 Elderly @5 08
C03 06  X  SPA  @0 Anciano @5 08
C03 07  X  FRE  @0 Infection @5 09
C03 07  X  ENG  @0 Infection @5 09
C03 07  X  SPA  @0 Infección @5 09
C03 08  X  FRE  @0 Grippe A @5 14
C03 08  X  ENG  @0 Influenza A @5 14
C03 08  X  SPA  @0 Gripe A @5 14
C07 01  X  FRE  @0 Influenzavirus A @2 NW
C07 01  X  ENG  @0 Influenzavirus A @2 NW
C07 01  X  SPA  @0 Influenzavirus A @2 NW
C07 02  X  FRE  @0 Orthomyxoviridae @2 NW
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N21       @1 289
N44 01      @1 OTO
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Pascal:12-0371820

Le document en format XML

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<name sortKey="Kotloff, Karen L" sort="Kotloff, Karen L" uniqKey="Kotloff K" first="Karen L." last="Kotloff">Karen L. Kotloff</name>
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<title xml:lang="en" level="a">Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons</title>
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<name sortKey="Jackson, Lisa A" sort="Jackson, Lisa A" uniqKey="Jackson L" first="Lisa A." last="Jackson">Lisa A. Jackson</name>
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<name sortKey="Chen, Wilbur H" sort="Chen, Wilbur H" uniqKey="Chen W" first="Wilbur H." last="Chen">Wilbur H. Chen</name>
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<name sortKey="Stapleton, Jack T" sort="Stapleton, Jack T" uniqKey="Stapleton J" first="Jack T." last="Stapleton">Jack T. Stapleton</name>
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</affiliation>
</author>
<author>
<name sortKey="Dekker, Cornelia L" sort="Dekker, Cornelia L" uniqKey="Dekker C" first="Cornelia L." last="Dekker">Cornelia L. Dekker</name>
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<inist:fA14 i1="06">
<s1>Stanford University School of Medicine</s1>
<s2>Stanford, California</s2>
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<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Wald, Anna" sort="Wald, Anna" uniqKey="Wald A" first="Anna" last="Wald">Anna Wald</name>
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<inist:fA14 i1="02">
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</affiliation>
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<name sortKey="Brady, Rebecca C" sort="Brady, Rebecca C" uniqKey="Brady R" first="Rebecca C." last="Brady">Rebecca C. Brady</name>
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<inist:fA14 i1="07">
<s1>Cincinnati Children's Hospital Medical Center</s1>
<s2>Cincinnati, Ohio</s2>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Edupuganti, Srilatha" sort="Edupuganti, Srilatha" uniqKey="Edupuganti S" first="Srilatha" last="Edupuganti">Srilatha Edupuganti</name>
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<inist:fA14 i1="08">
<s1>Emory University School of Medicine</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Winokur, Patricia" sort="Winokur, Patricia" uniqKey="Winokur P" first="Patricia" last="Winokur">Patricia Winokur</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System</s1>
<s2>Iowa City, Iowa</s2>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Mulligan, Mark J" sort="Mulligan, Mark J" uniqKey="Mulligan M" first="Mark J." last="Mulligan">Mark J. Mulligan</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Emory University School of Medicine</s1>
<s2>Atlanta, Georgia</s2>
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<sZ>10 aut.</sZ>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Keyserling, Harry L" sort="Keyserling, Harry L" uniqKey="Keyserling H" first="Harry L." last="Keyserling">Harry L. Keyserling</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Emory University School of Medicine</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Kotloff, Karen L" sort="Kotloff, Karen L" uniqKey="Kotloff K" first="Karen L." last="Kotloff">Karen L. Kotloff</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Center for Vaccine Development, University of Maryland School of Medicine</s1>
<s2>Baltimore</s2>
<s3>USA</s3>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
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<author>
<name sortKey="Rouphael, Nadine" sort="Rouphael, Nadine" uniqKey="Rouphael N" first="Nadine" last="Rouphael">Nadine Rouphael</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Emory University School of Medicine</s1>
<s2>Atlanta, Georgia</s2>
<s3>USA</s3>
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<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
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</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Noah, Diana L" sort="Noah, Diana L" uniqKey="Noah D" first="Diana L." last="Noah">Diana L. Noah</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Southern Research Institute</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Hill, Heather" sort="Hill, Heather" uniqKey="Hill H" first="Heather" last="Hill">Heather Hill</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>The EMMES Corporation</s1>
<s2>Rockville, Maryland</s2>
<s3>USA</s3>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author>
<name sortKey="Wolff, Mark C" sort="Wolff, Mark C" uniqKey="Wolff M" first="Mark C." last="Wolff">Mark C. Wolff</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>The EMMES Corporation</s1>
<s2>Rockville, Maryland</s2>
<s3>USA</s3>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Elderly</term>
<term>Human</term>
<term>Immunogenicity</term>
<term>Immunological adjuvant</term>
<term>Infection</term>
<term>Influenza A</term>
<term>Influenza A virus</term>
<term>Vaccine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Virus grippal A</term>
<term>Homme</term>
<term>Immunogénicité</term>
<term>Vaccin</term>
<term>Adjuvant immunologique</term>
<term>Personne âgée</term>
<term>Infection</term>
<term>Grippe A</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
<term>Vaccin</term>
<term>Personne âgée</term>
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<front>
<div type="abstract" xml:lang="en">Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.</div>
</front>
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<s1>STAPLETON (Jack T.)</s1>
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<s1>DEKKER (Cornelia L.)</s1>
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<s1>WALD (Anna)</s1>
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<s1>BRADY (Rebecca C.)</s1>
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<s1>EDUPUGANTI (Srilatha)</s1>
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<s1>WINOKUR (Patricia)</s1>
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<s1>MULLIGAN (Mark J.)</s1>
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<s1>KEYSERLING (Harry L.)</s1>
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<s1>KOTLOFF (Karen L.)</s1>
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<s1>ROUPHAEL (Nadine)</s1>
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<s1>Group Health Research Institute and</s1>
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</fA14>
<fA14 i1="02">
<s1>University of Washington, Seattle</s1>
<s2>Washington, Maryland</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
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<fA14 i1="03">
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<sZ>11 aut.</sZ>
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<fA14 i1="05">
<s1>University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System</s1>
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<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
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<s1>Stanford University School of Medicine</s1>
<s2>Stanford, California</s2>
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<sZ>4 aut.</sZ>
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<fA14 i1="07">
<s1>Cincinnati Children's Hospital Medical Center</s1>
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<s1>Emory University School of Medicine</s1>
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<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
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<fA14 i1="09">
<s1>Southern Research Institute</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
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<s1>811-820</s1>
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<s0>Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.</s0>
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