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Table 2 Incident rate ratiosa, with 95% confidence intervals (CIs) for cardiovascular eventsa following pandemic influenza vaccination (pandemrix) among higher risk individuals defined on the basis of medication use

From: Influenza vaccination and risk for cardiovascular events: a nationwide self-controlled case series study

 

AMI (n = 5032)

Stroke (n = 3129)

Pulmonary Embolism (n = 859)

No. of events

Person-days at risk

IRR (95% CI)b

No. of events

Person-days at risk

IRR (95% CI)b

No. of events

Person-days at risk

IRR (95% CI)b

Baseline perioda

3368

1,635,876

1.00 (ref.)

2061

1,017,036

1.00 (ref.)

564

279,612

1.00 (ref.)

Pre-vaccination interval

         

 1–14 days

124

70,686

0.85 (0.70–1.02)

55

43,946

0.66 (0.50–0.87)

30

12,082

1.23 (0.83–1.81)

 On the day of vaccination

3

5049

0.29 (0.09–0.89)

3

3139

0.50 (0.16–1.56)

0

863

No estimates

Post vaccination interval

         

 1–14 days

105

70,686

0.72 (0.59–0.88)

64

43,946

0.77 (0.59–0.99)

18

12,082

0.73 (0.45–1.19)

 15–28 days

101

70,686

0.70 (0.57–0.85)

80

43,946

0.96 (0.76–1.22)

22

12,082

0.89 (0.57–1.38)

 29–59 days

277

156,519

0.88 (0.77–1.00)

181

97,309

0.99 (0.84–1.18)

49

26,753

0.86 (0.62–1.20)

 60–90 days

261

156,519

0.87 (0.73–1.04)

171

97,309

0.96 (0.77–1.20)

39

26,753

0.65 (0.42–1.00)

 91–120 days

293

141,470

1.01 (0.85–1.20)

167

94,170

0.96 (0.78–1.19)

49

25,890

0.84 (0.56–1.26)

 121–180 days

500

302,940

0.82 (0.74–0.91)

347

188,340

0.92 (0.82–1.04)

88

51,780

0.81 (0.63–1.04)

  1. AMI acute myocardial infarction, IRR incident rate ratio, CI confidence interval
  2. aThese are results from self-controlled case series analysis using data for first-time AMI (n = 5032), stroke (n = 3129) and pulmonary embolism (n = 859) patients who were vaccinated with Pandemrix. The start of observation period was May 1, 2009 and end of observation period was September 30, 2010 or the day of emigration or death (whichever came first). Person-time of each vaccinated individual was divided into following risk-periods: pre-vaccination interval (1–14 days prior to vaccination) and postvaccination intervals (1–14 days, 15–28 days, 29–59 days, 60–90 days, 91–120 days, 121–180 days following vaccination)
  3. bAll remaining part of the observation period was used for baseline comparison (unexposed person-time)
  4. cAdjusted for calendar period (January–March, April–August, and September–December)