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. 2021 Nov 22;2021(11):CD004407. doi: 10.1002/14651858.CD004407.pub5

db‐Makela 2002.

Study characteristics
Methods Self‐controlled case series study
Participants 561,089 children aged between 1 and 7 years at the time of vaccination
Interventions Immunisation with MMR 2 vaccine (Merck, containing measles strain Enders Edmonston, mumps Jeryl Lynn, and rubella Wistar RA 27) during a national immunisation campaign
Outcomes ‐ Encephalitis
‐ Aseptic meningitis
‐ Autism
Funding Source Mixed (government and pharmaceutical industry)
Notes Incidence of outcomes during the first 3 months after immunisation was compared with that in the following period (from 3 to 24 months after immunisation).
Risk of bias
Bias Authors' judgement Support for judgement
SCCS/PTC ‐ case selection Unclear risk There was insufficient information.
SCCS/PTC ‐ exposure Unclear risk There was insufficient information.
SCCS/PTC ‐ observation and exposure risk period Unclear risk There was insufficient information.
SCCS/PTC ‐ comparability Unclear risk There was insufficient information.
Summary Risk of Bias assessment Unclear risk We had concerns regarding at least 1 domain such that some doubt is raised about the results.