Adverse events following immunisation with a meningococcal serogroup B vaccine: report from post-marketing surveillance, Germany, 2013 to 2016

Euro Surveill. 2018 Apr;23(17):17-00468. doi: 10.2807/1560-7917.ES.2018.23.17.17-00468.

Abstract

Background and aimIn January 2013, a novel vaccine against Neisseria meningitidis serogroup B, the multicomponent meningococcal serogroup B vaccine (4CMenB), was approved by the European Medicines Agency. We aimed to evaluate the safety profile of this vaccine. Methods: All adverse events following immunisation (AEFI) reported from Germany since the vaccine's launch in Germany in November 2013 through December 2016 were reviewed and analysed. Results: Through December 2016, a total of 664 individual case safety reports (ICSR) notifying 1,960 AEFI were received. A majority of vaccinees for whom AEFI were reported were children 2 to 11 years of age (n = 280; 42.2%) followed by infants and toddlers aged 28 days to 23 months (n = 170; 25.6%). General disorders and administration site conditions was the System Organ Class (SOC) with the majority of AEFI (n = 977; 49.8%), followed by nervous system disorders (n = 249; 12.7%), and skin and subcutaneous tissue disorders (n = 191; 9.7%). Screening of patient records for immune-mediated and neurological diseases did not raise any safety signal in terms of an increased proportional reporting ratio (PRR). Conclusions: The safety profile described in the Summary of Product Characteristics, in general, is confirmed by data from spontaneous reporting. No safety concerns were identified.

Keywords: 4CMenB; Bexsero; Neisseria meningitidis serogroup B; adverse events following immunisation; invasive meningococcal disease; safety profile; spontaneous reporting; vaccine safety.

MeSH terms

  • Adolescent
  • Adult
  • Adverse Drug Reaction Reporting Systems / statistics & numerical data*
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • Germany
  • Humans
  • Immunization / adverse effects*
  • Immunization Programs
  • Infant
  • Infant, Newborn
  • Male
  • Meningococcal Infections / prevention & control*
  • Meningococcal Vaccines / administration & dosage*
  • Meningococcal Vaccines / adverse effects*
  • Meningococcal Vaccines / immunology
  • Middle Aged
  • Neisseria meningitidis, Serogroup B / immunology*
  • Product Surveillance, Postmarketing*
  • Vaccination

Substances

  • 4CMenB vaccine
  • Meningococcal Vaccines