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Diekema.ppt [Compatibility Mode] - Institute of Medicine

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October 2011 ACIP Meeting<br />

General Recommendations Working Group<br />

Febrile Seizures Subgroup - Assessment<br />

• Unclear if risk after simultaneous administration <strong>of</strong> TIV<br />

and PCV13 is greater than with separate administration<br />

• Unclear if association between influenza vaccine and<br />

febrile seizures is unique to 2010-2011 vaccine strains<br />

• Cases with concurrent infection not excluded from<br />

analysis<br />

• Relatively small numbers <strong>of</strong> cases<br />

• Further investigation is underway to determine if other<br />

vaccines besides TIV and PCV13 may be contributing to<br />

the febrile seizures<br />

• Evaluation <strong>of</strong> confounding or effect modification by concomitant<br />

administration <strong>of</strong> DTaP with PCV13 or TIV<br />

38

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