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. 2018 May 15;218(1):95–108. doi: 10.1093/infdis/jiy133

Table 7.

AEs in Asian Girls and Boys (Aged 9–15 Years) in Study 002 by Country

Event 9vHPV Vaccine
India (N = 194) South Korea (N = 129) Taiwan (N = 139) Thailand (N = 140) Total (N = 602)
n (%) n (%) n (%) n (%) n (%)
Participants with 1 or more AEa 127 (65.5) 99 (76.7) 104 (74.8) 126 (90.0) 456 (75.7)
Injection-site eventb 121 (62.4) 96 (74.4) 99 (71.2) 120 (85.7) 436 (72.4)
 Painc 117 (60.3) 91 (70.5) 96 (69.1) 118 (84.3) 422 (70.1)
  Mild 62 (32.0) 72 (55.8) 77 (55.4) 74 (52.9) 285 (47.3)
  Moderate 46 (23.7) 17 (13.2) 17 (12.2) 39 (27.9) 119 (19.8)
  Severe 9 (4.6) 2 (1.6) 2 (1.4) 5 (3.6) 18 (3.0)
 Swelling 46 (23.7) 26 (20.2) 40 (28.8) 35 (25.0) 147 (24.4)
  Mild: 0 to ≤2.5 cm 35 (18.0) 12 (9.3) 29 (20.9) 23 (16.4) 99 (16.4)
  Moderate: >2.5 cm to ≤5.0 cm 8 (4.1) 8 (6.2) 8 (5.8) 8 (5.7) 32 (5.3)
  Severe: >5.0 cm 3 (1.5) 6 (4.7) 3 (2.2) 4 (2.9) 16 (2.7)
 Erythema 36 (18.6) 34 (26.4) 39 (28.1) 13 (9.3) 122 (20.3)
  Mild: 0 to ≤2.5 cm 31 (16.0) 27 (20.9) 33 (23.7) 9 (6.4) 100 (16.6)
  Moderate: >2.5 cm to ≤5.0 cm 4 (2.1) 3 (2.3) 4 (2.9) 3 (2.1) 14 (2.3)
  Severe: >5.0 cm 1 (0.5) 4 (3.1) 2 (1.4) 1 (0.7) 8 (1.3)
 Pruritusc 1 (0.5) 11 (8.5) 6 (4.3) 1 (0.7) 19 (3.2)
  Mild 1 (0.5) 11 (8.5) 3 (2.2) 1 (0.7) 16 (2.7)
  Moderate 0 0 3 (2.2) 0 3 (0.5)
  Severe 0 0 0 0 0
 Edemad 0 19 (14.7) 0 0 19 (3.2)
  Mild 0 12 (9.3) 0 0 12 (2.0)
  Moderate 0 4 (3.1) 0 0 4 (0.7)
  Severe 0 3 (2.3) 0 0 3 (0.5)
Systemic evente 34 (17.5) 35 (27.1) 25 (18.0) 69 (49.3) 163 (27.1)
 Any vaccine-related systemic event 21 (10.8) 6 (4.7) 6 (4.3) 37 (26.4) 70 (11.6)
  Headache 1 (0.5) 2 (1.6) 2 (1.4) 15 (10.7) 20 (3.3)
  Pyrexia 19 (9.8) 0 3 (2.2) 19 (13.6) 41 (6.8)
Serious event 0 2 (1.6) 0 0 2 (0.3)
 Vaccine-related event 0 0 0 0 0
 Death 0 0 0 0 0
Discontinuation due to AEf 0 0 0 0 0
Participants with temperature data (N) 194 129 139 140 602
Maximum temperatures (oral)g
 ≥37.8°C 20 (10.3) 2 (1.6) 4 (2.9) 24 (17.1) 50 (8.3)
 ≥38.9°C 0 0 1 (0.7) 5 (3.6) 6 (1.0)

Every participant is counted a single time for each applicable specific AE.

Abbreviations: 9vHPV, 9-valent human papillomavirus; AE, adverse event.

N = number of participants who underwent randomization, received at least 1 dose of vaccine, and had at least 1 follow-up visit related to the AE. n = number of participants contributing to the analysis.

aAEs that were reported within 1 to 15 days after any vaccination.

bInjection-site events were AEs that were reported within 1 to 5 days after any vaccination. A specific AE appears on this table only if its incidence in 1 or more of the columns is ≥5% incidence after rounding.

cIntensities of pain and itching were defined as: mild if there was an awareness of the sign or symptom but it did not interfere with usual activities; as moderate if there was enough discomfort to cause interference with usual activity; and as severe if the pain or discomfort was incapacitating, rendering the participant unable to work or carry out usual activities.

dInjection-site edema was reported in 19 girls and boys from a single study site in South Korea in Study 002. Edema was not reported as an AE at other study sites in South Korea or other countries; moreover, this particular study site did not report any event of injection-site swelling, even though this would have been anticipated because injection-site swelling is one of the most common AEs following vaccination. Reports of injection-site AE of edema at this study site may be due to language-related misinterpretation (ie, even though there are 2 distinct Korean words for swelling and edema, respectively, there is also another word for both swelling and edema).

eSystemic events were AEs that were reported within 1 to 15 days after any vaccination. A specific AE appears on this table only if its incidence in 1 or more of the columns is ≥5% incidence after rounding.

fDiscontinuation due to AE was reported within 1 to 15 days after any vaccination.

gTemperatures were recorded within 1 to 5 days after any vaccination.