“…Vaccine‐related side effects have been described as peritonitis (Koppang et al, 2005; Mutoloki et al, 2004, 2006), auto‐immunity (Koppang et al, 2008), reduced growth (Aunsmo, Larssen, et al, 2008; Mutoloki et al, 2004), spine deformities (Aunsmo, Guttvik, et al, 2008; Holm et al, 2020; Trangerud et al, 2020), downgrading and macroscopic visible changes in fish abdomen (Aunsmo, Guttvik, et al, 2008). Melanization of muscle tissue and granulomatous changes that may pose a risk for reduced fillet quality are not mentioned in the Summary of Product Characteristics (SPC) for Clynav® (EMA, 2017).…”