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. 2018 Feb 1;2018(2):CD001269. doi: 10.1002/14651858.CD001269.pub6

cb Kaplan 1982.

Methods Surveillance population‐based study conducted in the USA during the 1979 to 1980 and 1980 to 1981 influenza seasons. The study tested the association between influenza vaccination and Guillain‐Barré syndrome. Reports from each case were obtained from neurologists. All case reports were included. The follow‐up period was 1 September 1979 to 31 March 1980 and 1 September 1980 to 31 March 1981.
Participants USA (minus Maryland), adult population, 18 years or older
Interventions Seasonal parenteral vaccine
Outcomes Cases of Guillain‐Barré syndrome. Vaccine‐associated cases were defined as those with onset within the 8‐week period after influenza vaccination.
Notes Vaccination rates in the population were obtained from a national immunisation survey.
 Rare events (safety)
Government funded
Risk of bias
Bias Authors' judgement Support for judgement
PCS/RCS ‐ selection exposed cohort 
 All outcomes High risk High risk
PCS/RCS ‐ selection non‐exposed cohort 
 All outcomes High risk High risk
PCS/RCS ‐ comparability 
 All outcomes High risk High risk
PCS/RCS ‐ assessment of outcome 
 All outcomes High risk High risk
Summary assessment High risk High risk