2020
DOI: 10.3390/vaccines8030385
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Arthus Reaction as an Adverse Event Following Tdap Vaccination

Abstract: Repeat administration of tetanus toxoid-containing vaccines has rarely been associated with Arthus phenomenon, an immune-complex reaction. In the US, since 2013, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccines (Tdap) have been recommended for administration during each pregnancy. Separately, in 2019, one Tdap was approved for repeat administration in adults in the US. We aimed to describe trends in spontaneously reported Arthus reactions following Tdap in the US and to assess the ri… Show more

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Cited by 6 publications
(6 citation statements)
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“…57 The occurrence of large, local injection-site reactions with TdaP vaccines has been reported to be due to a local immune complex type III hypersensitivity reaction. 58 Type IV hypersensitivity reactions occur when an individual's T cells provoke an inflammatory response against allergens, leading to T-cell activation and the release of cytokines and chemokines. 59 Type IV reactions to vaccines induce local eczema, which may start between 2 hours to up to 2 days after vaccinations.…”
Section: S Ec Ti On Iv: G Ener Al Mechanis Ms In Pathways Of Immune-med Iated and Non -Immune-mediated Re Ac Tionsmentioning
confidence: 99%
See 1 more Smart Citation
“…57 The occurrence of large, local injection-site reactions with TdaP vaccines has been reported to be due to a local immune complex type III hypersensitivity reaction. 58 Type IV hypersensitivity reactions occur when an individual's T cells provoke an inflammatory response against allergens, leading to T-cell activation and the release of cytokines and chemokines. 59 Type IV reactions to vaccines induce local eczema, which may start between 2 hours to up to 2 days after vaccinations.…”
Section: S Ec Ti On Iv: G Ener Al Mechanis Ms In Pathways Of Immune-med Iated and Non -Immune-mediated Re Ac Tionsmentioning
confidence: 99%
“…Type II IgG‐mediated immune vaccine reactions are rare but have been observed with an MMR vaccine containing dextran before those preparations were taken off the market 57 . The occurrence of large, local injection‐site reactions with TdaP vaccines has been reported to be due to a local immune complex type III hypersensitivity reaction 58 . Type IV hypersensitivity reactions occur when an individual's T cells provoke an inflammatory response against allergens, leading to T‐cell activation and the release of cytokines and chemokines 59 .…”
Section: Section Iv: General Mechanisms In Pathways Of Immune‐mediated and Non‐immune‐mediated Reactionsmentioning
confidence: 99%
“…Arthus involves the in situ formation of antigenantibody complexes after the injection of an antigen with high levels of circulating antibodies. It manifests as local vasculitis due to the deposition of IgG-based immune complexes in dermal blood vessels [21] .…”
Section: Table (3): Results Of Arthus Reaction/mm In Studied Groupsmentioning
confidence: 99%
“…If a woman during the reproductive period has not had vaccinations against diphtheria, tetanus, and pertussis, then at any age they should be supplemented [ 40 , 41 ]. The vaccination schedule includes the administration of one dose of dTpa.…”
Section: Recommendations For Vaccination Of Adolescents and Adults In...mentioning
confidence: 99%