Adverse reactions following co-administration of 13-valent pneumococcal polysaccharide conjugate vaccine and rotavirus vaccine among children under 3 years old in Hubei province,2018-2021
Objective To evaluate adverse reactions following co-administration of 13-valent pneumococcal conjugate vaccine(PCV13)and rotavirus vaccine(RV)in children under 3 years of age.Methods We obtained data on PCV13 and RV doses administered and reported adverse reactions among children under 3 years of age in Hubei province during 2018-2021 from the Hubei and China immunization information management systems.We used Poisson regression models to calculate incidence rates(95%CI)of reported adverse reactions following simultaneous and standalone vaccination with PCV13 and RV,adjusted by age,gender,and quarter of the year.Results Incidence rates(95%CI)per 100 000 doses of reported adverse reactions following simultaneous administration of PCV13 and RV,standalone PCV13,and standalone RV vaccination were 61.64(44.28-85.79),57.13(51.49-63.37),and 23.88(21.66-26.33),with 57.82(40.94-81.66),52.76(47.36-58.78),and 21.17(19.08-23.48)being common reactions and 2.69(0.66-10.97),3.65(2.42-5.49),and 1.70(1.18-2.45)being rare reactions.Conclusions The reported incidences of adverse reactions among children under 3 years old following simultaneous or standalone PCV13 and RV vaccination were within the expected range.Co-administration of the two vaccines did not increase risk of adverse reactions.