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Table 5 Risk of generalized vaccinia (G.V.) and accidental infection (A.I.) from primary smallpox vaccinations, Stratified by age and study, 1963–1968

From: Risks of serious complications and death from smallpox vaccination: A systematic review of the United States experience, 1963–1968

  

Generalized vaccinia

Accidental infection

Age group and studies

Number vaccinated

G.V. No.

Deaths No.

Risk of complication per million (95% C.I.)a

Number vaccinated

A.I. No.

Deaths No.

Risk of complication per million (95% C.I.)a

Age <1

          

   Neff 1967a

654,000

52

0

79.5

(59.4, 104)

654,000

7

0

10.7

(4.3, 22.0)

   Neff 1967b

31,000

12

0

387.1

(200, 676)

n/a

n/a

n/a

n/a

n/a

   Lane 1969

614,000

43

0

70.0

(50.7, 94.3)

614,000

7

0

11.4

(4.6, 23.5)

   Lane 1970

17,000

28

0

1647

(1095, 2380)

17,000

36

0

2117.6

(1484, 2930)

   Ratner 1970

1

1

0

n/c

n/c

1

0

0

n/c

n/c

   Neff 1972

32

0

0

n/c

n/c

32

0

0

n/c

n/c

   Summary

1,316,033

136

0

103.3

(86.7, 122.2)

1,285,033

50

0

38.9

(28.9, 51.3)

Age 1 to 4

          

   Neff 1967a

2,973,000

46

0

15.5

(11.3, 20.6)

2,973,000

40

0

13.4

(9.6, 18.3)

   Neff 1967b

142,000

24

0

169.0

(108, 251)

n/a

n/a

n/a

n/a

n/a

   Lane 1969

2,733,000

47

0

17.2

(12.6, 22.9)

2,733,000

91

0

33.3

(26.8, 40.9)

   Lane 1970

317,000

74

0

233.4

(183, 293)

317,000

183

0

577.3

(497, 667)

   Ratner 1970

68,002

6

0

88.2

(32.4, 192)

68,002

3

0

44.1

(9.1, 129)

   Neff 1972

517

0

0

0.0

(0.0, 7110)

517

3

0

5802.7

(1198, 16,864)

   Summary

6,233,519

197

0

31.6

(27.3, 36.3)

6,091,519

320

0

52.5

(46.9, 58.6)

Age 5 to 19

          

   Neff 1967a

2,295,000

24

0

10.5

(6.7, 15.6)

2,295,000

33

0

14.4

(9.9, 20.2)

   Neff 1967b

110,000

17

0

154.5

(90.0, 247)

n/a

n/a

n/a

n/a

n/a

   Lane 1969

1,959,000

25

0

12.8

(8.3, 18.8)

1,959,000

35

0

17.9

(12.4, 24.8)

   Lane 1970

229,000

32

0

139.7

(95.6, 197)

229,000

85

0

371.2

(296, 459)

   Ratner 1970b

193,721

9

0

46.5

(21.2, 88.2)

193,721

2

0

10.3

(1.2, 37.3)

   Summary

4,786,721

107

0

22.4

(18.3, 27.0)

4,676,721

155

0

33.1

(28.1, 38.8)

Age 20 +

          

   Neff 1967a

317,000

6

0

18.9

(6.9, 41.2)

317,000

4

0

12.6

(3.4, 32.3)

   Neff 1967b

15,000

2

0

133.3

(16.1, 482)

n/a

n/a

n/a

n/a

n/a

   Lane 1969

288,000

13

0

45.1

(24.0, 77.2)

288,000

4

0

13.9

(3.8, 35.6)

   Lane 1970

33,000

7

0

212.1

(85.3, 437)

33,000

20

0

606.1

(370, 936)

   Ratner 1970b

107,822

10

0

92.7

(44.5, 171)

107,822

8

0

74.2

(32.0, 146)

   Summary

760,822

38

0

49.9

(35.3, 68.6)

745,822

36

0

48.3

(33.8, 66.8)

All agesc

          

   Neff 1967a

6,239,000

130

0

20.8

(17.4, 24.7)

6,239,000

85

0

13.6

(10.9, 16.8)

   Neff 1967b

298,000

71

0

238.3

(186.1, 300)

298,000

250

0

838.9

(738, 950)

   Lane 1969

5,594,000

131

0

23.4

(19.6, 27.8)

5,594,000

142

0

25.4

(21.4, 23.0)

   Lane 1970

596,000

157

0

263.4

(224, 308)

596,000

344

0

577.2

(518, 641)

   Mellin 1970

109,000

12

0

110.1

(56.9, 192)

109,000

20

0

183.5

(112, 283)

   Ratner 1970

369,546

26

0

70.4

(46.0, 103)

369,546

13

0

35.2

(18.7, 60.1)

   Neff 1972

549

0

0

0.0

(0.0, 6697)

549

3

0

5464.5

(1128, 15,885)

   Summary

13,206,095

527

0

39.9

(36.6, 43.5)

13,206,095

857

0

64.9

(60.6, 69.4)

  1. n/c = not calculated, n/a = not available from this study aRisk and confidence intervals not calculated (n/c) for less that 100 vaccinations. Exact confidence intervals based on the binomial distribution. bThe Ratner study age groups, "Age 5 to 14" and "Age 15+", were counted in the Table age groups "Age 5 to 19" and "Age 20+", respectively. cAll ages group includes subjects whose age was unknown