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

pbb Irving 2013.

Methods Case‐control study investigating the association between influenza immunisation during pregnancy and spontaneous abortion
Participants Cases (n = 243) were identified from among the members of 6 Vaccine Safety Datalink organisations. Diagnoses of spontaneous abortion (ICD‐9 code 634) and unspecified abortion (ICD‐9 codes 637) assigned during the 2005 to 2006 and 2006 to 2007 seasons were reviewed and different diagnoses excluded.
Controls (n = 243) were selected from among women who had confirmed intrauterine pregnancy and delivery after the 20th gestational week by frequency‐matching of last menstrual period (within 2 weeks) and healthcare organisation.
Interventions Immunisation with influenza vaccine. Participants were considered exposed if they were immunised within 28 days before index date. Analysis considering whether vaccine exposure occurred during or before pregnancy was also performed.
Outcomes Spontaneous abortion cases
Notes Government funded
Risk of bias
Bias Authors' judgement Support for judgement
CC ‐ case selection 
 All outcomes Low risk Consecutive series of cases from electronic databases
CC ‐ control selection 
 All outcomes Low risk From the same population
CC ‐ comparability 
 All outcomes Unclear risk Matched by LMP ‐ confounders
CC ‐ exposure 
 All outcomes Unclear risk Medical record
Summary assessment Unclear risk Unclear