title: Analysis of adverse events after anthrax immunization in US Army medical personnel.
abstract: A broad range of health effects in a cohort of 601 health care personnel, immunized with anthrax vaccine adsorbed (AVA) as a military occupational health requirement, were assessed to evaluate adverse events both qualitatively and quantitatively. Active surveillance showed that localized reactions were common and occurred more often in women than men. Five patients were reported to the Vaccine Adverse Event Reporting System, but only one event could be definitively attributed to immunization, a large localized reaction. Two separate cohort studies, one using nested data from a standardized health risk appraisal instrument and the other comparing rates of outpatient visits and hospitalizations, did not reveal significant differences between AVA-immunized and unimmunized individuals. Our findings suggest that AVA is relatively reactogenic but do not indicate serious adverse health effects due to immunization.
authors.affiliation: Preventive Medicine Department, Tripler Army Medical Center, Honolulu, Hawaii, USA. glenn.wasserman@amedd.army.mil
authors.forename: Glenn M
authors.initials: GM
authors.lastname: Wasserman
authors.forename: John D
authors.initials: JD
authors.lastname: Grabenstein
authors.forename: Phillip R
authors.initials: PR
authors.lastname: Pittman
authors.forename: Mark V
authors.initials: MV
authors.lastname: Rubertone
authors.forename: Paul P
authors.initials: PP
authors.lastname: Gibbs
authors.forename: Linda Z
authors.initials: LZ
authors.lastname: Wang
authors.forename: Lance G
authors.initials: LG
authors.lastname: Golder
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D000881:Anthrax / Q000517:prevention & control*; D022122:Anthrax Vaccines / Q000009:adverse effects*; D015331:Cohort Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data; D014481:United States; D014611:Vaccination / Q000009:adverse effects*
chemical_list: D022122:Anthrax Vaccines