Article(id=1241342460048232732, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241342451043061769, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202310309, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1697731200000, receivedDateStr=2023-10-20, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773888705503, onlineDateStr=2026-03-19, pubDate=1708790400000, pubDateStr=2024-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773888705503, onlineIssueDateStr=2026-03-19, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773888705503, creator=13701087609, updateTime=1773888705503, updator=13701087609, issue=Issue{id=1241342451043061769, tenantId=1146029695717560320, journalId=1227665162245664772, year='2024', volume='51', issue='4', pageStart='577', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773888703356, creator=13701087609, updateTime=1773893026321, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241360582939562716, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241342451043061769, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241360582939562717, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241342451043061769, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=748, endPage=751, ext={EN=ArticleExt(id=1241342461482684805, articleId=1241342460048232732, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Surveillance of adverse events following immunization with human papilloma virus vaccine in Jiangxi, 2017 -2022, columnId=1228016571713520579, journalTitle=Modern Preventive Medicine, columnName=Health Supervison, runingTitle=null, highlight=null, articleAbstract=
Objective To systematically evaluate the post-market safety of human papilloma virus vaccine in Jiangxi province．
Methods The doses number of HPV administered from 2017 to 2022 wascollected from all the vaccination institutions, and theadverse events followingimmunization（AEFI）cases were collected through the AEFI Surveillance Module of Chinese Disease Control and Prevention Information System. Using descriptive statistics, the incidences and epidemiological characteristics were estimated．
Results 81 AEFI cases of HPV were reported from 2017 to 2022，and the incidence was 3.38 per 100 000 doses. Moreover, the incidence of HPV2, HPV4 and HPV9 were 3.21, 3.38 and 3.84 per 100 000 doses, respectively. A totalof 71.60% cases were 20-39 years old and 75.31%occurred in 2 days after inoculation. 59.26% were common adverse reactions. Most rare vaccine reactions were allergic rashes, and the reported incidence was 0.50 per 100 000 doses.
Conclusion The human papilloma virus vaccine has acceptable safety profile in Jiangxi. The sensitivity of monitoring system needs to be further improved.
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目的 评价江西省人乳头状瘤病毒（HPV）疫苗接种后的安全性。
方法 收集各接种单位2017—2022年HPV疫苗的接种剂次数，通过中国疾病预防控制信息系统疑似预防接种异常反应（AEFI）监测模块收集AEFI个案数据，采用描述性方法统计HPV疫苗AEFI的发生情况。
结果 江西省2017—2022年共接种HPV疫苗2 394 829剂次，报告81例AEFI，报告发生率为3.38/10万，其中二价（HPV2）、四价（HPV4）、九价（HPV9）分别为3.21/10万、3.38/10万和3.84/10万。AEFI报告例数以20～39岁年龄组为主，共占71.60%。75.31%AEFI发生在接种后2天内。59.26%为一般反应，异常反应主要为过敏性皮疹，报告发生率为0.50/10万。
结论 江西省HPV疫苗接种安全性较好，需进一步提高监测敏感性。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=q0RAv2HKE9gScha3CGPiQw==, magXml=C6CGrSVK7scERurxH0+uxA==, pdfUrl=null, pdf=IjvK6glZQCFXrqDiGGaZUw==, pdfFileSize=914812, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=QVOGc+E3OVhFMBclY9jPgg==, mapNumber=null, authorCompany=null, fund=null, authors=
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Reported AEFI incidence of HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份（年） | 二价 | 四价 | 九价 | 合计 |
|---|
| 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) |
|---|
| 2017 | 9 365 | 1 | 10.68 | 2 292 | 0 | 0.00 | 0 | 0 | 0.00 | 11 657 | 1 | 8.58 |
| 2018 | 29 121 | 3 | 10.30 | 56 725 | 4 | 7.05 | 0 | 0 | 0.00 | 85 846 | 7 | 8.15 |
| 2019 | 58 501 | 4 | 6.84 | 64 192 | 3 | 4.67 | 22 734 | 1 | 4.40 | 145 427 | 8 | 5.50 |
| 2020 | 177 808 | 12 | 6.75 | 120 747 | 5 | 4.14 | 89 060 | 7 | 7.86 | 387 615 | 24 | 6.19 |
| 2021 | 382 762 | 7 | 1.83 | 150 245 | 1 | 0.67 | 134 490 | 5 | 3.72 | 667 497 | 13 | 1.95 |
| 2022 | 651 397 | 15 | 2.30 | 196 882 | 7 | 3.56 | 248 508 | 6 | 2.41 | 1 096 787 | 28 | 2.55 |
| 合计 | 1 308 954 | 42 | 3.21 | 591 083 | 20 | 3.38 | 494 792 | 19 | 3.84 | 2 394 829 | 81 | 3.38 |
), ArticleFig(id=1241342468390703830, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表1, caption=
江西省2017—2022年HPV疫苗的AEFI报告情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份（年） | 二价 | 四价 | 九价 | 合计 |
|---|
| 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) | 接种剂次数 | AEFI例数 | 发生率(/10万) |
|---|
| 2017 | 9 365 | 1 | 10.68 | 2 292 | 0 | 0.00 | 0 | 0 | 0.00 | 11 657 | 1 | 8.58 |
| 2018 | 29 121 | 3 | 10.30 | 56 725 | 4 | 7.05 | 0 | 0 | 0.00 | 85 846 | 7 | 8.15 |
| 2019 | 58 501 | 4 | 6.84 | 64 192 | 3 | 4.67 | 22 734 | 1 | 4.40 | 145 427 | 8 | 5.50 |
| 2020 | 177 808 | 12 | 6.75 | 120 747 | 5 | 4.14 | 89 060 | 7 | 7.86 | 387 615 | 24 | 6.19 |
| 2021 | 382 762 | 7 | 1.83 | 150 245 | 1 | 0.67 | 134 490 | 5 | 3.72 | 667 497 | 13 | 1.95 |
| 2022 | 651 397 | 15 | 2.30 | 196 882 | 7 | 3.56 | 248 508 | 6 | 2.41 | 1 096 787 | 28 | 2.55 |
| 合计 | 1 308 954 | 42 | 3.21 | 591 083 | 20 | 3.38 | 494 792 | 19 | 3.84 | 2 394 829 | 81 | 3.38 |
), ArticleFig(id=1241342468537504481, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=EN, label=Table 2, caption=
Age distribution of AEFI cases of HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 疫苗种类 | 5～9岁 | 10～19岁 | 20～29岁 | 30～39岁 | 40～49岁 | 合计 |
|---|
| 二价 | 1 | 8 | 7 | 18 | 8 | 42 |
| 四价 | 0 | 0 | 8 | 10 | 2 | 20 |
| 九价 | 0 | 4 | 15 | 0 | 0 | 19 |
| 合计 | 1 | 12 | 30 | 28 | 10 | 81 |
), ArticleFig(id=1241342468692693740, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表2, caption=
江西省2017—2022年HPV疫苗的AEFI年龄分布
, figureFileSmall=null, figureFileBig=null, tableContent=
| 疫苗种类 | 5～9岁 | 10～19岁 | 20～29岁 | 30～39岁 | 40～49岁 | 合计 |
|---|
| 二价 | 1 | 8 | 7 | 18 | 8 | 42 |
| 四价 | 0 | 0 | 8 | 10 | 2 | 20 |
| 九价 | 0 | 4 | 15 | 0 | 0 | 19 |
| 合计 | 1 | 12 | 30 | 28 | 10 | 81 |
), ArticleFig(id=1241342468780774130, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=EN, label=Table 3, caption=
Proportion and incidence of AEFI classification of HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| AEFI分类 | 二价 | 四价 | 九价 | 合计 | 构成比 | 报告发生率 |
|---|
| 一般反应 | 27 | 10 | 11 | 48 | 59.26 | 2.00 |
| 异常反应 | 9 | 5 | 4 | 18 | 22.22 | 0.75 |
| 偶合症 | 6 | 4 | 1 | 11 | 13.58 | 0.46 |
| 心因性反应 | 0 | 1 | 3 | 4 | 4.94 | 0.17 |
| 合 计 | 42 | 20 | 19 | 81 | 100.00 | 3.38 |
), ArticleFig(id=1241342468881437436, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表3, caption=
江西省2017—2022年HPV疫苗的AEFI分类构成比（%）及报告发生率（/10万）
, figureFileSmall=null, figureFileBig=null, tableContent=
| AEFI分类 | 二价 | 四价 | 九价 | 合计 | 构成比 | 报告发生率 |
|---|
| 一般反应 | 27 | 10 | 11 | 48 | 59.26 | 2.00 |
| 异常反应 | 9 | 5 | 4 | 18 | 22.22 | 0.75 |
| 偶合症 | 6 | 4 | 1 | 11 | 13.58 | 0.46 |
| 心因性反应 | 0 | 1 | 3 | 4 | 4.94 | 0.17 |
| 合 计 | 42 | 20 | 19 | 81 | 100.00 | 3.38 |
), ArticleFig(id=1241342468982100739, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=EN, label=Table 4, caption=
Distribution and incidence of clinical symptoms of common reaction following HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 临床症状 | 例数a | 报告发生率 |
|---|
| 发热 | 25 | 1.04 |
| 接种部位红肿 | 23 | 0.96 |
| 接种部位硬结 | 16 | 0.67 |
| 乏力 | 14 | 0.58 |
| 头晕 | 13 | 0.54 |
| 肌痛 | 7 | 0.29 |
| 头痛 | 2 | 0.08 |
| 呕吐 | 3 | 0.13 |
| 腹痛 | 2 | 0.08 |
| 食欲不振 | 2 | 0.08 |
| 恶心 | 2 | 0.08 |
), ArticleFig(id=1241342469112124173, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表4, caption=
江西省2017—2022年HPV疫苗一般反应临床症状分布及发生率（/10万）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 临床症状 | 例数a | 报告发生率 |
|---|
| 发热 | 25 | 1.04 |
| 接种部位红肿 | 23 | 0.96 |
| 接种部位硬结 | 16 | 0.67 |
| 乏力 | 14 | 0.58 |
| 头晕 | 13 | 0.54 |
| 肌痛 | 7 | 0.29 |
| 头痛 | 2 | 0.08 |
| 呕吐 | 3 | 0.13 |
| 腹痛 | 2 | 0.08 |
| 食欲不振 | 2 | 0.08 |
| 恶心 | 2 | 0.08 |
), ArticleFig(id=1241342469221176085, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=EN, label=Table 5, caption=
Distribution and incidence of clinical symptoms of rare reaction following HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 临床诊断 | 例数 | 报告发生率 |
|---|
| 过敏性皮疹 | 12 | 0.50 |
| 过敏性休克 | 1 | 0.04 |
| 其他过敏性反应 | 3 | 0.13 |
| 其他，其他初步临床诊断 | 2 | 0.08 |
| 合计 | 18 | 0.75 |
), ArticleFig(id=1241342469397336866, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表5, caption=
江西省2017—2022年HPV疫苗异常反应临床诊断分布及发生率（/10万）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 临床诊断 | 例数 | 报告发生率 |
|---|
| 过敏性皮疹 | 12 | 0.50 |
| 过敏性休克 | 1 | 0.04 |
| 其他过敏性反应 | 3 | 0.13 |
| 其他，其他初步临床诊断 | 2 | 0.08 |
| 合计 | 18 | 0.75 |
), ArticleFig(id=1241342469514777384, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=EN, label=Table 6, caption=
Interval distribution of Adverse events following HPV vaccine in Jiangxi province from 2017 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 疫苗种类 | ≤1 d | 2～3 d | 4～7 d | 8～14 d | ≥15 d | 合计 |
|---|
| 二价 | 32.00 | 6.00 | 2.00 | 1.00 | 1.00 | 42.00 |
| 四价 | 13.00 | 3.00 | 2.00 | 1.00 | 1.00 | 20.00 |
| 九价 | 16.00 | 1.00 | 0.00 | 1.00 | 1.00 | 19.00 |
| 合计 | 61.00 | 10.00 | 4.00 | 3.00 | 3.00 | 81.00 |
| 构成比% | 75.31 | 12.35 | 4.94 | 3.70 | 3.70 | 100.00 |
), ArticleFig(id=1241342469644800814, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241342460048232732, language=CN, label=表6, caption=
江西省2017—2022年HPV疫苗的AEFI病例接种至反应发生时间间隔
, figureFileSmall=null, figureFileBig=null, tableContent=
| 疫苗种类 | ≤1 d | 2～3 d | 4～7 d | 8～14 d | ≥15 d | 合计 |
|---|
| 二价 | 32.00 | 6.00 | 2.00 | 1.00 | 1.00 | 42.00 |
| 四价 | 13.00 | 3.00 | 2.00 | 1.00 | 1.00 | 20.00 |
| 九价 | 16.00 | 1.00 | 0.00 | 1.00 | 1.00 | 19.00 |
| 合计 | 61.00 | 10.00 | 4.00 | 3.00 | 3.00 | 81.00 |
| 构成比% | 75.31 | 12.35 | 4.94 | 3.70 | 3.70 | 100.00 |
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