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American Journal of Public Health logoLink to American Journal of Public Health
. 1979 Dec;69(12):1247–1251. doi: 10.2105/ajph.69.12.1247

A comparison of the intradermal and subcutaneous routes of influenza vaccination with A/New Jersey/76 (swine flu) and A/Victoria/75: report of a study and review of the literature.

W Halperin, W I Weiss, R Altman, M A Diamond, K J Black, A W Iaci, H C Black, M Goldfield
PMCID: PMC1619316  PMID: 507256

Abstract

A trail of influenza vaccination, with use of bivalent split virus vaccine (A/New Jersey/76 and A/Victoria/75), was conducted to compare the immunogenicity and reactions when vaccine was given by the subcutaneous and intradermal routes. Volunteers 18 to 24 years old were randomized into equal groups, one group receiving 0.1 ml of vaccine intradermally and the other receiving 0.5 ml subcutaneously. For the A/Victoria vaccine, the immunogenicity of the intradermal route seemed superior; for A/New Jersey vaccine, the routes were equivalent. Adverse reactions were minimal and equivalent for both groups. In times of vaccine shortage, the intradermal route is considered to stretch vaccine supplies. Field trials of new influenza vaccines should include evaluation of the immunogenicity of and adverse reactions caused by the same vaccine given by different routes in varied dosages.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BOGER W. P., LIU O. C. [Subcutaneous and intradermal vaccination with Asian influenza vaccine]. J Am Med Assoc. 1957 Nov 30;165(13):1687–1689. doi: 10.1001/jama.1957.72980310001010. [DOI] [PubMed] [Google Scholar]
  2. HILLEMAN M. R., FLATLEY F. J., ANDERSON S. A., LUECKING M. L., LEVINSON D. J. Antibody response in volunteers to Asian influenza vaccine. J Am Med Assoc. 1958 Mar 8;166(10):1134–1140. doi: 10.1001/jama.1958.02990100022005. [DOI] [PubMed] [Google Scholar]
  3. KIRKHAM L. J. Asiatic influenza in a midwestern town: with a comparison of intradermal and subcutaneous vaccination. J Iowa State Med Soc. 1958 Nov;48(11):593–598. [PubMed] [Google Scholar]
  4. KLEIN M., HUANG N. The response of infants and children to Asian influenza vaccine administered by intradermal and subcutaneous routes. J Pediatr. 1961 Mar;58:312–314. doi: 10.1016/s0022-3476(61)80260-6. [DOI] [PubMed] [Google Scholar]
  5. Marks M. I., Eller J. J. Intradermal influenza immunization. Experience with Hong Kong vaccine. Am Rev Respir Dis. 1971 Apr;103(4):579–581. doi: 10.1164/arrd.1971.103.4.579. [DOI] [PubMed] [Google Scholar]
  6. McCARROLL J. R., KILBOURNE E. D. Immunization with Asian-strain influenza vaccine: equivalence of the subcutaneous and intradermal routes. N Engl J Med. 1958 Sep 25;259(13):618–621. doi: 10.1056/NEJM195809252591304. [DOI] [PubMed] [Google Scholar]
  7. Payler D. K., Skirrow M. B. Letter: Intradermal influenza vaccination. Br Med J. 1974 Jun 29;2(5921):727–727. doi: 10.1136/bmj.2.5921.727-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Phillips C. A., Forsyth B. R., Christmas W. A., Gump D. W., Whorton E. B., Rogers I., Rudin A. Purified influenza vaccine: clinical and serologic responses to varying doses and different routes of immunization. J Infect Dis. 1970 Jul-Aug;122(1):26–32. doi: 10.1093/infdis/122.1-2.26. [DOI] [PubMed] [Google Scholar]
  9. SANGER M. D. Immunization after intra dermal and subcutaneous injection of Asian influenza vaccine. Ann Allergy. 1959 Mar-Apr;17(2):173–178. [PubMed] [Google Scholar]
  10. SASLAW S., CARLISLE H. N. EFFECT OF DOSAGE ON ANTIBODY RESPONSE TO POLYVALENT INFLUENZA VIRUS VACCINE IN AN AGED POPULATION. Am J Med Sci. 1964 Sep;248:273–284. doi: 10.1097/00000441-196409000-00004. [DOI] [PubMed] [Google Scholar]
  11. SASLAW S., CARLISLE H. N., SLUTZKER B. Antibody response to polyvalent influenza virus vaccine administered intradermally or subcutaneously in an aged population. Am J Med Sci. 1963 Apr;245:387–398. doi: 10.1097/00000441-196304000-00001. [DOI] [PubMed] [Google Scholar]
  12. STILLE W. T., WOOLRIDGE R. L., GUNDELFINGER B. F. Antibody response to intracutaneous and subcutaneous influenza vaccination. J Lab Clin Med. 1959 May;53(5):751–754. [PubMed] [Google Scholar]

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