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VNA of Care New England
VNA of Care New England

Delayed First Measles Vaccine May Up Risk of Adverse Effects

Increased risk of seizures post immunization greater in older children
MONDAY, Oct. 14 (HealthDay News) -- The increased risk of seizures following immunization with measles-containing vaccines is lower when the first dose is administered on schedule at 12 to 15 months, according to research published online Oct. 14 in JAMA Pediatrics.
Ali Rowhani-Rahbar, M.D., M.P.H., Ph.D., of the Kaiser Permanente Vaccine Study Center in Oakland, Calif., and colleagues analyzed data for 840,348 children to assess the effect of age on the risk of fever and seizures following immunization with a measles-containing vaccine.
The researchers found that the increased risk of seizures at seven to 10 days following immunization was significantly greater in children aged 16 to 23 months than in children aged 12 to 15 months (relative risk, 6.5 versus 3.4; attributable risk, 9.5 versus 4.0 excess cases per 10,000 doses). The relative risk, but not attributable risk, of post-immunization fever was significantly greater in older than in younger children.
"These results are striking for the additional risk of fever or seizure attributable to delaying vaccination," write the authors of an accompanying editorial.
Several authors disclosed financial ties to pharmaceutical companies.
Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1750204#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1750204 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1750202 )
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