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March 25, 2026BMJ Paediatrics OpenOpen Access

Understanding adverse events following immunisation: evidence of vaccine safety and coincidental events from 3 years of surveillance

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Authors

MMMerrin MathewSSSavitha Rajapur SanathanMRMandyam Dhati Ravi

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Overview

Cohort event monitoring evaluates vaccine safety and adverse events in children, suggesting vigilant public health responses are necessary.

Key Points

  • The research aims to assess the safety of childhood vaccines and identify factors associated with adverse events following immunisation.
  • Conducted a cohort event monitoring study targeting children receiving vaccines under the Universal Immunisation Programme.
  • Utilized active surveillance through telephone follow-ups and passive surveillance from healthcare workers.
  • Evaluated predictors of adverse events using the χ2 test and calculated relative risk.
  • Estimated an AEFI incidence rate of 10.37%, with serious reactions at 3.47%.
  • The Pentavac vaccine had the highest incidence rate at 19.21% (218 events/1000 doses).
  • The oral polio vaccine had the lowest incidence at 0.13% (1.32 events/1000 doses).
  • Fever was the most reported reaction at 23.75 events/1000 doses, followed by pain at the injection site.
  • 90.62% of reactions were vaccine-related, with few deemed coincidental.

Cite This Study

Mathew et al. (2026) studied this question.

synapsesocial.com/papers/69c37bd4b34aaaeb1a67e92dhttps://doi.org/10.1136/bmjpo-2025-003938
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