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Table 3 Incident rate ratios, with 95% confidence intervals (CIs) for cardiovascular events following pandemic influenza vaccination (pandemrix) among lower risk individuals

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

 

AMI (n = 495)

Stroke (n = 308)

Pulmonary embolism (n = 136)

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

209

160,056

1.00 (ref.)

160

99,468

1.00 (ref.)

59

44,064

1.00 (ref)

Pre-vaccination interval

         

 1–14 days

2

6916

0.29 (0.07–1.19)

4

4298

0.63 (0.23–1.74)

1

1904

0.59 (0.08–4.50)

 On the day of vaccination

No estimates

No estimates

No estimates

Post-vaccination interval

         

 1–14 days

29

6916

4.19 (2.69–6.52)

11

4298

1.73 (0.90–3.31)

4

1904

2.35 (0.78–7.06)

 15–28 days

24

6916

3.17 (1.99–5.07)

10

4298

1.51 (0.77–2.97)

5

1904

2.61 (0.96–7.08)

 29–59 days

43

15,314

2.28 (1.50–3.49)

22

9517

1.40 (0.81–2.42)

7

4216

1.40 (0.56–3.52)

 60–90 days

57

15,314

2.78 (1.79–4.32)

31

9517

1.86 (1.04–3.32)

20

4216

3.43 (1.57–7.47)

 91–120 days

46

14,820

2.27 (1.50–3.44)

22

9210

1.37 (0.76–2.46)

18

4080

3.10 (1.50–6.41)

 121–180 days

85

29,640

1.99 (1.54–2.59)

48

18,420

1.54 (1.10–2.17)

22

8160

1.80 (1.08–3.00)

  1. These are results from self-controlled case series analysis using data for first-time AMI (n = 495), stroke (n = 308) and pulmonary embolism (n = 136) 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)
  2. AMI acute myocardial infarction, IRR incident rate ratio, CI confidence interva
  3. aAll remaining part of the observation period was used for baseline comparison (unexposed person-time)
  4. bAdjusted for calendar period (January-March, April-August, and September-December)