“…More extensive clinical data are available for inactivated, whole-virus vaccines to prevent diseases caused by flaviviruses, which structurally resemble alphaviruses, such as tick-borne encephalitis virus (TBEV), Japanese encephalitis virus, and yellow fever virus (21)(22)(23). The most extensively studied flavivirus vaccine is an alumadjuvanted inactivated whole-virus TBEV vaccine, which has been demonstrated to be safe and immunogenic in a multitude of clinical studies (24)(25)(26)(27)(28)(29)(30) and which has been used in Europe for several decades. In field studies, it has been demonstrated that three immunizations with a 2.4-g dose of the inactivated wholevirus TBEV vaccine provide approximately 99% effectiveness in preventing tick-borne encephalitis (22).…”