Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China

To analyze the coverage rate of adult herpes zoster (HZ) vaccine and the incidence of Adverse event following immunization (AEFI) in Jiangsu province, China. The vaccination information of HZ vaccine in people aged 50 years and above in Jiangsu province in 2023 and the AEFI information of HZ vaccine...

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Main Authors: Xiang Sun, Lei Zhang, Tingting Zhang, Jinning Sun, Yan Xu, Li Liu, Yuan Bao Liu, Ran Hu, YaLi Fu, Zhiguo Wang, Hui Sun
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2025.2449714
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author Xiang Sun
Lei Zhang
Tingting Zhang
Jinning Sun
Yan Xu
Li Liu
Yuan Bao Liu
Ran Hu
YaLi Fu
Zhiguo Wang
Hui Sun
author_facet Xiang Sun
Lei Zhang
Tingting Zhang
Jinning Sun
Yan Xu
Li Liu
Yuan Bao Liu
Ran Hu
YaLi Fu
Zhiguo Wang
Hui Sun
author_sort Xiang Sun
collection DOAJ
description To analyze the coverage rate of adult herpes zoster (HZ) vaccine and the incidence of Adverse event following immunization (AEFI) in Jiangsu province, China. The vaccination information of HZ vaccine in people aged 50 years and above in Jiangsu province in 2023 and the AEFI information of HZ vaccine from 2020 to 2023 were collected through the Jiangsu Province vaccination management information system and China AEFI information management system, and the vaccination rate and AEFI incidence of HZ vaccine were analyzed. The overall vaccination rate among individuals aged 50 years and above was merely 0.19%. About 20% of vaccinated individuals (12,821 people) received only the first dose, failing to complete the recommended two-dose regimen. A total of 43 and 217 cases of AEFIs following vaccination were reported after administration of the HZ vaccine during the periods of 2020–2021 and 2022–2023, respectively, resulting in reporting rates (RRs) of 240.7 and 201.2 per 100,000 doses, correspondingly. The majority of AEFIs following vaccination with HZ vaccines were common reactions, while rare reactions and coincidental events accounted for only 1.5% and 0.4% of cases, respectively. Over 55% of AEFIs occurred within 30 minutes post-vaccination , with fever, allergic eruptions, and drowsiness being the most reported systemic symptoms, and redness and induration being the main symptoms at the injection site. Despite the proven safety profile of the HZ vaccine, its coverage remains significantly low among individuals aged 50 years and above in Jiangsu Province, China as of 2023. The majority of AEFIs were mild and commonly observed. To enhance the comprehensiveness of post-marketing safety data, it is imperative to conduct further active surveillance studies.
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spelling doaj-art-803c89e6c82e4c94aaa0c55d205e7aa92025-01-19T23:57:39ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2449714Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, ChinaXiang Sun0Lei Zhang1Tingting Zhang2Jinning Sun3Yan Xu4Li Liu5Yuan Bao Liu6Ran Hu7YaLi Fu8Zhiguo Wang9Hui Sun10Department of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaMedical Record Office, Children’s Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Expanded Program on Immunization, Nanjing Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Epidemiological Research, Jiangsu Health Development Research Center, Nanjing, ChinaDepartment of Expanded Program on Immunization, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaMedical Department, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, ChinaTo analyze the coverage rate of adult herpes zoster (HZ) vaccine and the incidence of Adverse event following immunization (AEFI) in Jiangsu province, China. The vaccination information of HZ vaccine in people aged 50 years and above in Jiangsu province in 2023 and the AEFI information of HZ vaccine from 2020 to 2023 were collected through the Jiangsu Province vaccination management information system and China AEFI information management system, and the vaccination rate and AEFI incidence of HZ vaccine were analyzed. The overall vaccination rate among individuals aged 50 years and above was merely 0.19%. About 20% of vaccinated individuals (12,821 people) received only the first dose, failing to complete the recommended two-dose regimen. A total of 43 and 217 cases of AEFIs following vaccination were reported after administration of the HZ vaccine during the periods of 2020–2021 and 2022–2023, respectively, resulting in reporting rates (RRs) of 240.7 and 201.2 per 100,000 doses, correspondingly. The majority of AEFIs following vaccination with HZ vaccines were common reactions, while rare reactions and coincidental events accounted for only 1.5% and 0.4% of cases, respectively. Over 55% of AEFIs occurred within 30 minutes post-vaccination , with fever, allergic eruptions, and drowsiness being the most reported systemic symptoms, and redness and induration being the main symptoms at the injection site. Despite the proven safety profile of the HZ vaccine, its coverage remains significantly low among individuals aged 50 years and above in Jiangsu Province, China as of 2023. The majority of AEFIs were mild and commonly observed. To enhance the comprehensiveness of post-marketing safety data, it is imperative to conduct further active surveillance studies.https://www.tandfonline.com/doi/10.1080/21645515.2025.2449714Herpes zoster vaccineadverse reactionsafetypost-marketing surveillance
spellingShingle Xiang Sun
Lei Zhang
Tingting Zhang
Jinning Sun
Yan Xu
Li Liu
Yuan Bao Liu
Ran Hu
YaLi Fu
Zhiguo Wang
Hui Sun
Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
Human Vaccines & Immunotherapeutics
Herpes zoster vaccine
adverse reaction
safety
post-marketing surveillance
title Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
title_full Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
title_fullStr Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
title_full_unstemmed Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
title_short Surveillance on the coverage of herpes zoster vaccine and post-marketing adverse events in Jiangsu province, China
title_sort surveillance on the coverage of herpes zoster vaccine and post marketing adverse events in jiangsu province china
topic Herpes zoster vaccine
adverse reaction
safety
post-marketing surveillance
url https://www.tandfonline.com/doi/10.1080/21645515.2025.2449714
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