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Chapter 14: Prevention


          Table 3: Safety and Reactogenicity of FSME-IMMUN and Encepur (source: SMPCs)

           Probability  ≥1/10      ≥1/100    ≥1/1000      ≥1/10.000        Not known
                                   <1/10     <1/100       <1/1000
          FSME-Immun  Local reaction   Headache,   Lymphadeno-  Acute allergic    Herpes Zoster (in pre-
                      at injection   nausea,    pathy,    reactions,       exposed individuals),
          1st
          vaccination:   site: e.g.,   myalgia    vomiting, fever  somnolence,    aggravation of
          n=3512      Injection- site   arthralgia,   (only   diarrhea,    autoimmune disease,
                      pain        malaise,   exceptionally   abdominal pain,    anaphylactic reaction,
          2nd                     fatigue.   >39°C),      vertigo,         visual impairment,
          vaccination:                       injection-site    local reaction at    photophobia, eye pain,
          n=3477
                                             hemorrhage.   injection site:    demyelinating
          3rd                                             redness, swelling,    disorders,
          vaccination:                                    induration, pruritus,  meningismus,
          n=3277                                          paraesthesia,    encephalitis, neuritis,
                                                          inflammation     neuralgia, tachycardia,
                                                                           tinnitus, dyspnea,
                                                                           urticaria, rash,
                                                                           pruritus, dermatitis,
                                                                           erythema,
                                                                           hyperhidrosis, back
                                                                           pain, joint swelling,
                                                                           neck pain,
                                                                           musculoskeletal
                                                                           stiffness, pain in
                                                                           extremity, gait
                                                                           disturbance, chills, flu-
                                                                           like symptoms,
                                                                           weakness, edema

          Encepur    Transient pain   Redness,   Arthralgia and   Granuloma at   Extremely rare:
                      at injection   swelling at   myalgia (neck),   injection site,
          (Pooled data                                                    Guillain-Barre
          from clinical   site, general   injection   vomiting   diarrhea, arthralgia   Syndrome
                      malaise,    site, flu-like          and myalgia in the
          studies and
          post-       myalgia,    symptoms,               neck region,
                      headache    fever ≥38°,             lymphadenopathy,
          marketing
                                  nausea,                 neuritis-like
          surveillance)
                                  arthralgia              symptoms, systemic
                                                          allergic reactions -
                                                          like urticaria,
                                                          dyspnea,
                                                          bronchospasm,
                                                          hypotension,
                                                          transient
                                                          thrombocytopenia











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