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. Author manuscript; available in PMC: 2021 Aug 16.
Published in final edited form as: N Engl J Med. 2021 Feb 11;384(6):541–549. doi: 10.1056/NEJMoa2023345

Table 3.

Safety End Points.*

Event Participants with an Event after Dose 1 Participants with an Event after Dose 2 Participants with an Eventafter Either Dose
no./total no. % (95% CI) no./total no. % (95% CI) no./total no. % (95% CI)
Vaccine- or placebo-related serious adverse event
 Vaccine 0/274 0 (0–1) 0/228 0 (0–2) 0/274 0 (0–1)
 Placebo 0/272 0 (0–1) 0/227 0 (0–2) 0/272 0 (0–1)
Severe solicited local adverse event
 Vaccine 0/274 0 (0–1) 1/228 <1 (0–2) 1/274 <1 (0–2)
 Placebo 0/272 0 (0–1) 0/227 0 (0–2) 0/272 0 (0–1)
Severe solicited systemic adverse event§
 Vaccine 0/274 0 (0–1) 1/228 <1 (0–2) 1/274 <1 (0–2)
 Placebo 0/272 0 (0–1) 0/227 0 (0–2) 0/272 0 (0–1)
Any laboratory adverse event
 Vaccine 70/258 27 (22–33) 73/220 33 (27–40) 102/262 39 (33–45)
 Placebo 48/259 19 (14–24) 49/224 22 (17–28) 76/261 29 (24–35)
Grade 3 or 4 laboratory adverse events
 Increase in ALT level
  HCV infected
   Vaccine 1/4 25 (1–75) 4/8 50 (19–81) 4/8 50 (19–81)
   Placebo 0/5 0 (50–100) 3/9 33 (10–68) 3/10 30 (9–62)
  HCV uninfected
   Vaccine 1/258 <1 (0–2) 0/213 0 (0–2) 1/262 <1 (0–2)
   Placebo 0/258 0 (0–1) 0/217 <1 (0–2) 1/260 <1 (0–2)
 Increase in creatinine level
  Vaccine 0/258 0 (0–1) 0/220 0 (0–2) 0/262 0 (0–1)
  Placebo 0/259 0 (0–1) 0/224 0 (0–2) 0/261 0 (0–1)
 Decrease in hemoglobin level
  Vaccine 0/258 0 (0–1) 0/220 0 (0–2) 0/262 0 (0–1)
  Placebo 0/259 0 (0–1) 0/224 0 (0–2) 0/261 0 (0–1)
 Increase in white-cell count
  Vaccine 0/258 0 (0–1) 0/220 0 (0–2) 0/262 0 (0–1)
  Placebo 0/259 0 (0–1) 0/224 0 (0–2) 0/261 0 (0–1)
 Decrease in platelet count
  Vaccine 1/258 <1 (0–2) 0/220 0 (0–2) 1/262 <1 (0–2)
  Placebo 0/259 0 (0–1) 0/224 0 (0–2) 0/261 0 (0–1)
*

The denominator for percentages was the number of participants who received at least one dose in each group for each dose number. Confidence intervals are 95% Blaker confidence intervals.

Severe adverse events are classified as grade 3 or higher.

Severe induration was reported in one participant, on day 2 after MVA-NSmut injection; the severity was reported as mild on days 3 and 4, and the induration resolved on day 5.

§

Severe headache was reported in one participant, on day 0 after MVA-NSmut injection; the severity was reported as severe on day 1, and the headache resolved on day 2.

Adverse events related to alanine aminotransferase (ALT) levels were analyzed separately among HCV-infected participants and HCV-uninfected participants because increases in ALT levels are characteristic of HCV infection. An increase in ALT level within 30 to 37 days after receipt of vaccine or placebo in the HCV-infected group was attributed to HCV infection. Data in the rows for infected participants correspond to samples collected after a confirmed HCV infection. Data in the rows for uninfected participants correspond to samples collected before any confirmed HCV infection. Participants may be included in both infected and uninfected rows.