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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7286 p174
14 February 2004

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Lancet Infectious Diseases (infection.thelancet.com)


Aluminium in vaccine cleared as ADR cause

Researchers have found no evidence that aluminium salts in vaccines cause any serious or long-lasting adverse events.

Tom Jefferson, of the Cochrane Vaccines Field, Rome, and colleagues reviewed eight studies for evidence of adverse events in children after exposure to aluminium-containing diphtheria, tetanus and pertussis vaccines. The studies reviewed included three randomised controlled trials, four controlled clinical trials and one cohort study. The researchers found that, compared with vaccines containing no aluminium, those with aluminium adjuvants caused more local reactions (odds ratio 1.12, 95 per cent confidence interval 0.85–1.48). However, overall, these vaccines resulted in fewer adverse reactions up to 24 hours after vaccination (0.21, 0.15–0.28).

The researchers say that aluminium has been blamed for causing a number of adverse reactions but they “doubt whether there is sufficient evidence to support further research on the topic” (Lancet Infectious Diseases 2004;4:84).

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