Vaccines -- Adverse Reactions; JAVMA 10/01/05

10588 Views 4 Replies 3 Participants Last post by Kris L. Christine, Jul 13, 2010

Kris L. Christine

Discussion Starter · Jul 12, 2010

The quotes in red below are from the attached scientific report covering adverse events within 3 days of vaccination in dogs over the course of 2 years. Reports of dogs having vaccinal adverse reactions within the same time frame were not included if heartworm medication had been administered along with the vaccines. This study did not include adverse reactions such as development of fibrosarcomas and/or other conditions which take longer than 3 days to develop.

Moore, George E. et als., Adverse events diagnosed within three days of Vaccine Administration in Dogs, Journal of the American Veterinary Medical Association, Vol 227, No. 7, October 1, 2005

Animals—1,226,159 dogs vaccinated at 360 veterinary hospitals.

Results—4,678 adverse events (38.2/10,000 dogs vaccinated) were associated with administration of 3,439,576 doses of vaccine to 1,226,159 dogs. The VAAE rate decreased significantly as body weight increased. Risk was 27% to 38% greater for neutered versus sexually intact dogs and 35% to 64% greater for dogs approximately 1 to 3 years old versus 2 to 9 months old. The risk of a VAAE significantly increased as the number of vaccine doses administered per office visit increased; each additional vaccine significantly increased risk of an adverse event by 27% in dogs ≤ 10 kg (22 lb) and 12% in dogs > 10 kg.

Conclusions and Clinical Relevance—Young adult small-breed neutered dogs that received multiple vaccines per office visit were at greatest risk of a VAAE within 72 hours after vaccination.

Records for dogs that received both an injectable heartworm preventive and a vaccine during the same office visit were not included in analyses.

Population—In the 2-year study period, 4,531,837 vaccine doses were administered to 1,537,534 dogs at 360 veterinary hospitals.

Among breeds with 5,000 or more dogs vaccinated, Dachshund, Pug, Boston Terrier, Miniature Pinscher, and Chihuahua breeds had the highest rates of VAAEs with 121.7, 93.0, 83.8, 76.4, and 76.1 adverse events/10,000 dogs vaccinated, respectively (Table 1). The VAAE rate for mixed-breed dogs was in the bottom quintile of all rates.

The VAAE rates decreased significantly as body weight increased (P for trend < 0.001; Figure 1). For all vaccines or for rabies vaccine alone, the VAAE rate for 10.1- to 45.0-kg (22.2- to 99.0-lb) dogs was approximately half the rate for dogs that weighed 0 to 10.0 kg (0 to 22.0 lb; P < 0.001; Figure 2). For rabies vaccine administered alone, VAAE rates/10,000 dogs that weighed 0 to 10.0 kg, 10.1 to 45.0 kg, and > 45 kg were 32.1 (222/69,178), 15.3 (69/45,088), and 0.0 (0/1,966), respectively.

The risk of a VAAE significantly increased as the number of vaccines administered per office visit increased (P for trend < 0.001).

In all dogs, each additional vaccine administered per office visit increased the rate of a VAAE by 24.2%; the rate increase was significantly (P <0.001) greater in dogs that weighed 0 to 10.0 kg, compared with dogs that weighed 0.1 to 45.0 kg (27.3% vs 11.5%, respectively; Figure 4). The 3 dogs with recorded deaths each had received ≥ 4 vaccines at their last office visit.

The lowest rate was observed with parenteral administration of Bordetella vaccine (15.4/10,000; 82 VAAEs/53,238 doses), and the highest rate was observed with Borrelia (Lyme disease) vaccine (43.7/10,000; 132 VAAEs/30,201 doses).

The risk of a VAAE in this study population was inversely related to a dog’s weight.

Factors known to cause vaccine reactions include the primary vaccine agent or antigen, adjuvants, preservatives, stabilizers, and residues from tissue cultures used in vaccine production.

The overall formulation of various vaccine components (eg, antigen, adjuvants, and diluent) is proprietary information that was unavailable for analysis in our study; thus, the variation in VAAE rates among single-antigen vaccines
may not be solely attributable to the primary vaccine antigen.

... because of genetic heterogeneity, the relatively low VAAE rate observed in mixed-breed dogs suggests that laboratory safety trials that use such dogs may underestimate the VAAE rates that would occur in purebred dogs. This is important because purebred dogs comprise at least two thirds of the US dog population.

The risk of allergic reaction has been reported to increase after the third or fourth injection of a vaccine (ie, a booster response).

Neutering appeared to increase risk of a VAAE more than sex. Females mount stronger immune responses after vaccination or infection than males because of a dimorphic enhancing effect of estrogens and a protective effect of androgens.
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Duration of Immunity to Canine Vaccines: What We Know and Don't Know, Dr. Ronald Schultz http://www.cedarbayvet.com/duration_of_immunity.htm

What Everyone Needs to Know about Canine Vaccines, Dr. Ronald Schultz http://www.puliclub.org/CHF/AKC2007Conf/What%20Everyone%20Needs%20to%20Know%20About%20Canine%20Vaccines.htm

Age and Long-term Protective Immunity in Dogs and Cats, Dr. Ronald Schultz et als., Journal of Comparative Pathology January 2010 http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WHW-4XVBB71-1&_user=10&_coverDate=01%2F31%2F2010&_rdoc=17&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236861%232010%23998579999.8998%231578454%23FLA%23display%23Volume)&_cdi=6861&_sort=d&_docanchor=&_ct=24&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=fb57fe5e84a086c6b1fa65abea55dbd8
Genetically Engineered and Modified Live Virus Vaccines;Public Health and Animal Welfare Concerns by Michael W. Fox BVetMed,PhD,DSc.MRCVS
http://www.twobitdog.com/drfox/specialreport_Article.aspx?ID=273f53f4-bcdc-474f-a189-cca1d1a81c38

Vaccination: An Overview Dr. Melissa Kennedy, DVM360 http://veterinarycalendar.dvm360.com/avhc/article/articleDetail.jsp?id=568351

World Small Animal Veterinary Association 2007 Vaccine Guidelines http://www.wsava.org/SAC.htm Scroll down to Vaccine Guidelines 2007 (PDF)

The 2003 American Animal Hospital Association's Canine Vaccine Guidelines are accessible online at http://www.leerburg.com/special_report.htm .

The 2006 American Animal Hospital Association's Canine Vaccine Guidelines are downloadable in PDF format at http://www.aahanet.org/PublicDocuments/VaccineGuidelines06Revised.pdf

Veterinarian, Dr. Robert Rogers,has an excellent presentation on veterinary vaccines at http://www.newvaccinationprotocols.com/

October 1, 2002 DVM Newsletter article entitled, AVMA, AAHA to Release Vaccine Positions, http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=35171

July 1, 2003 DVM Newsletter article entitled, What Do We Tell Our Clients?, Developing thorough plan to educate staff on changing vaccine protocols essential for maintaining solid relationships with clients and ensuring quality care http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=61696

July 1, 2003, DVM Newsletter article, Developing Common Sense Strategies for Fiscal Responsibility: Using an interactive template to plan service protocol changes http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=61694

Animal Wellness Magazine Article Vol. 8 Issue 6, How Often Does he REALLY Need A Rabies Shot Animal Wellness Magazine - devoted to natural health in animals

The Rabies Challenge Animal Wise Radio Interview
Listen to Animal Wise (scroll down to The Rabies Challenge 12/9/07)

The Vaccine Challenge Animal Talk Naturally Online Radio Show » The Vaccine Challenge - Show #91

Rabies Prevention -- United States, 1991 Recommendations of the Immunization Practices Advisory Committee (ACIP), Center for Disease Control's Morbidity and Mortality Weekly March 22, 1991 / 40(RR03);1-19

http://www.cdc.gov/mmwr/preview/mmwrhtml/00041987.htm "A fully vaccinated dog or cat is unlikely to become infected with rabies, although rare cases have been reported (48). In a nationwide study of rabies among dogs and cats in 1988, only one dog and two cats that were vaccinated contracted rabies (49). All three of these animals had received only single doses of vaccine; no documented vaccine failures occurred among dogs or cats that had received two vaccinations. "

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Elvismom

· #2 · Jul 12, 2010

Scary, but interesting. We rotate vaccines each year so the dog only gets one, rather than all of them. I have read this cuts down on reactions, but this articel doesn't seem to clarify that.

I am astounded that 2/3rds or more of the dog population are purebreds. That number seems high.

Thanks for sharing

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Kris L. Christine

Discussion Starter · #3 · Jul 12, 2010

Elvismom said:
We rotate vaccines each year so the dog only gets one, rather than all of them.

Elvismom said:
Thanks for sharing

You're welcome.

Were you aware that the minimum duration of immunity for the distemper, hepatitis, and parvo vaccines is 7 years by challenge and up to 15 years serologically for distemper? Your dogs shouldn't need to be vaccinated against those diseases every other year.

The 2003 American Animal Hospital Association Canine Vaccine Guidelines http://www.leerburg.com/special_report.htm state on Page 18 that: “We now know that booster injections are of no value in dogs already immune, and immunity from distemper infection and vaccination lasts for a minimum of 7 years based on challenge studies and up to 15 years (a lifetime) based on antibody titer.” They further state that hepatitis and parvovirus vaccines have been proven to protect for a minimum of 7 years by challenge and up to 9 and 10 years based on antibody count.

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SophieB

· #4 · Jul 12, 2010 (Edited)

Surely dogs don't need to have all these boosters year after year, just as children only get them once and they provide lifelong immunity! I know a lot of people who used to have their dogs done annually, us included, and with being able to read up stuff on the internet, now believe they do more harm than good, so no longer have their dogs injected year after year, because like children, the immunity from the first booster given as a pup is enough chemicals going into their system!

I questioned my vet about it after she looked on her computer and said the twins' booster is due so I said I'd read that they are not necessary after puppy jabs and she admitted that most last seven years or longer but one of them (forget which) depending on the area, needs doing every three years! I expect the elderly near me, who all seem to have dogs, can easily get scaremongered into having theirs done every year!

Edit: They are making a small fortune from something that costs them not much to buy. My vets charge £56 but my brother's vet charges £16 (and reckons that anything over £3 is profit) but he lives about 300 miles away!!! A licence to print money!

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Kris L. Christine

Discussion Starter · #5 · Jul 13, 2010

SophieB said:
Surely dogs don't need to have all these boosters year after year, just as children only get them once and they provide lifelong immunity! I know a lot of people who used to have their dogs done annually, us included, and with being able to read up stuff on the internet, now believe they do more harm than good, so no longer have their dogs injected year after year, because like children, the immunity from the first booster given as a pup is enough chemicals going into their system!

SophieB, When it comes to the modified live virus vaccines (MLV's) distemper, hepatitis, and parvo -- dogs do not need to have annual boosters. A human equivalent would be the MLV polio vaccine (who gets annual or triennial boosters for polio?).

The killed vaccines are different, however, they do not provide as long a duration of immunity and must be boostered more often. A human equivalent would be the tetanus vaccine, which is also a killed, adjuvanted vaccine, and must be boostered more often than the MLV polio.

Few people connect the dots with human vaccines, Sophie, good job!

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