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Dengue vaccine

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the 3rd year of follow-up showed that the efficacy of the vaccine was 65.6% in preventing hospitalization in children older than nine years of age, but considerably greater (81.9%) for children who were seropositive (indicating previous dengue infection) at baseline. The vaccination series consists of three injections at 0, 6 and 12 months. The vaccine was approved in Mexico, the Philippines, and Brazil in December 2015, and in El Salvador, Costa Rica, Paraguay, Guatemala, Peru, Indonesia, Thailand, and Singapore in 2016. Under the brand name Dengvaxia, it is approved for use for those aged nine years of age and older and can prevent all four serotypes.
681:(EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Qdenga, intended for prophylaxis against dengue disease. The applicant for this medicinal product is Takeda GmbH. The active substance of Qdenga is dengue tetravalent vaccine (live, attenuated), a viral vaccine containing live attenuated dengue viruses which replicate locally and elicit humoral and cellular immune responses against the four dengue virus serotypes. Qdenga was approved for medical use in the European Union in December 2022. 754:(DOH). The DOH vaccinated schoolchildren with Sanofi Pasteur's CYD-TDV (Dengvaxia) dengue vaccine. Some of the children who received the vaccine had never been infected by the dengue virus before. The program was stopped when Sanofi Pasteur advised the government that the vaccine could put previously uninfected people at a somewhat higher risk of a severe case of dengue fever. A political controversy erupted over whether the program was run with sufficient care and who should be held responsible for the alleged harm to the vaccinated children. 517: 4110: 4098: 500:
understanding of increased risk of severe dengue in participants who had not been previously exposed. In November 2017, Sanofi acknowledged that some participants were put at risk of severe dengue if they had no prior exposure to the infection; subsequently the Philippine government suspended the mass immunization program with the backing of the WHO which began a review of the safety data.
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Qdenga received approval for use in the European Union in 2022 for people aged 4 and above, and is also approved in the United Kingdom, Brazil, Argentina, Indonesia, and Thailand. Takeda voluntarily withdrew their application for the vaccination's approval in the United States in July 2023 after
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In May 2019, Dengvaxia was approved in the United States as the first vaccine approved for the prevention of dengue disease caused by all dengue virus serotypes (1, 2, 3 and 4) in people ages nine through 16 who have laboratory-confirmed previous dengue infection and who live in endemic areas. Dengue
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was 56.5% in the Asian study and 64.7% in the Latin American study in patients who received at least one injection of the vaccine. Efficacy varied by serotype. In both trials vaccine reduced by about 80% the number of severe dengue cases. An analysis of both the Latin American and Asian studies at
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made using recombinant DNA technology by replacing the PrM (pre-membrane) and E (envelope) structural genes of the yellow fever attenuated 17D strain vaccine with those from the four dengue serotypes. Evidence indicates that CYD-TDV is partially effective in preventing infection, but may lead to a
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The safety and effectiveness of the vaccine was determined in three randomized, placebo-controlled studies involving approximately 35,000 individuals in dengue-endemic areas, including Puerto Rico, Latin America and the Asia Pacific region. The vaccine was determined to be approximately 76 percent
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In 2017, the manufacturer recommended that the vaccine only be used in people who have previously had a dengue infection as otherwise there was evidence it may worsen subsequent infections. The initial protocol did not require baseline blood samples prior to vaccination in order to establish an
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Data from the phase III trial, which began in September 2016, show that TAK-003 was efficacious against symptomatic dengue. TAK-003 appears to not lack efficacy in seronegative people or potentially cause them harm, unlike CYD-TDV. The data appear to show only moderate efficacy in other dengue
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The WHO updated its recommendations regarding the use of Dengvaxia in 2018, based on long-term safety data stratified by serostatus on 29 November 2017. Seronegative vaccine recipients have an excess risk of severe dengue compared to unvaccinated seronegative individuals. For every 13
692: 633:(WRAIR). A synergistic formulation with another live attenuated candidate vaccine (prime-boost strategy) is also being evaluated in a phase II study. In prime-boosting, one type of vaccine is followed by a boost with another type in an attempt to improve immunogenicity. 1857:
Capeding MR, Tran NH, Hadinegoro SR, Ismail HI, Chotpitayasunondh T, Chua MN, et al. (October 2014). "Clinical efficacy and safety of a novel tetravalent dengue vaccine in healthy children in Asia: a phase 3, randomised, observer-masked, placebo-controlled trial".
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was one of the first researchers to identify the ADE phenomenon. Dr. Halstead and his colleague Dr. Phillip Russell proposed that the vaccine only be used after antibody testing, to check for prior dengue exposure and avoid vaccination of sero-negative individuals.
345:. The value of Dengvaxia is limited by the fact that it may increase the risk of severe dengue in those who have not previously been infected. In 2017, more than 733,000 children and more than 50,000 adult volunteers were vaccinated with Dengvaxia regardless of 464:
Dengvaxia became commercially available in 2016 in 11 countries: Mexico, the Philippines, Indonesia, Brazil, El Salvador, Costa Rica, Paraguay, Guatemala, Peru, Thailand, and Singapore. In 2019 it was approved for medical use in the United States. It is on the
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higher risk of severe disease in those who have not been previously infected and then do go on to contract the disease. It is not clear why the vaccinated seronegative population have more serious adverse outcomes. A plausible hypothesis is the phenomenon of
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The vaccine has been approved in 19 countries and the European Union, but it is not approved in the US for use in individuals not previously infected by any dengue virus serotype or for whom this information is unknown.
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in Bangkok and now funded by Inviragen (DENVax) and (TAK-003). Phase I and II trials were conducted in the United States, Colombia, Puerto Rico, Singapore and Thailand. The 18-month data published in the journal
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In 2017, the manufacturer recommended that the vaccine only be used in people who have previously had a dengue infection, as outcomes may be worsened in those who have not been previously infected due to
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hospitalizations prevented in seropositive vaccinees, there would be 1 excess hospitalization in seronegative vaccinees per 1,000 vaccinees. WHO recommends serological testing for past dengue infection
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A company in Vietnam (Vabiotech) is conducting safety tests and developing a clinical trial plan. All four companies are involved in studies of a TetraVax-DV vaccine in conjunction with the US NIH.
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approved Qdenga for use in individuals six years to 45 years of age and become the first authority in the world to approve Qdenga. Qdenga was approved in the European Union in December 2022.
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has conducted phase I and phase II studies in over 1,000 participants in the US. It has also conducted human challenge studies while having conducted NHP model studies successfully.
199: 4140: 2554: 2769: 2693:"Immunogenicity and safety of an investigational tetravalent recombinant subunit vaccine for dengue: results of a Phase I randomized clinical trial in flavivirus-naĂŻve adults" 2659: 388:
effective in preventing symptomatic, laboratory-confirmed dengue disease in individuals 9 through 16 years of age who previously had laboratory-confirmed dengue disease.
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Dengvaxia is only recommended in those who have previously had dengue fever or populations in which most people have been previously infected due to phenomenon known as
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tetravalent vaccine that is administered as three separate injections, with the initial dose followed by two additional shots given six and twelve months later. The US
2449:"Development of TV003/TV005, a single dose, highly immunogenic live attenuated dengue vaccine; what makes this vaccine different from the Sanofi-Pasteur CYD™ vaccine?" 2820: 797: 461:. Safety of use during pregnancy is unclear. Dengvaxia is a weakened but live vaccine and works by triggering an immune response against four types of dengue virus. 2321: 2152: 721:
In July 2023, Takeda withdrew its application for Qdenga before the FDA, citing the FDA's requirement for additional data not captured in the phase III studies.
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Phase III trials in Latin America and Asia involved over 31,000 children between the ages of two and 14 years. In the first reports from the trials, vaccine
154: 1325: 823: 548:, indicate that TAK-003 produced sustained antibody responses against all four virus strains, regardless of previous dengue exposure and dosing schedule. 685: 2026: 2951: 2376: 1254: 747: 2351: 4001: 1569: 1774: 849: 2282: 3149: 674: 2306:
Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
2224: 1950: 3038: 2580: 92: 2897: 3189: 3184: 1373:"Takeda's Qdenga (Dengue Tetravalent Vaccine [Live, Attenuated]) Approved in Indonesia for Use Regardless of Prior Dengue Exposure" 1096:(24 November 2023). "Meeting of the Strategic Advisory Group of Experts on Immunization, September 2023: conclusions and recommendations". 1197:
Redoni M, Yacoub S, Rivino L, Giacobbe DR, Luzzati R, Di Bella S (July 2020). "Dengue: Status of current and under-development vaccines".
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in humans. Development of dengue vaccines began in the 1920s, but was hindered by the need to create immunity against all four dengue
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TDENV PIV (tetravalent dengue virus purified inactivated vaccine) is undergoing phase I trials as part of a collaboration between
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Common side effects include headache, pain at the site of injection, and general muscle pains. Severe side effects may include
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Freedman DO (November 2023). "A new dengue vaccine (TAK-003) now WHO recommended in endemic areas; what about travellers?".
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the FDA sought further data from the firm, which the company stated could not be provided during the current review cycle.
17: 3618: 3375: 3301: 3154: 2981: 2555:"Merck and Instituto Butantan Announce Collaboration Agreement to Develop Vaccines to Protect Against Dengue Infections" 1980:
Hadinegoro SR, Arredondo-GarcĂ­a JL, Capeding MR, Deseda C, Chotpitayasunondh T, Dietze R, et al. (September 2015).
876:"Qdenga powder and solvent for solution for injection in pre-filled syringe - Summary of Product Characteristics (SmPC)" 4028: 3340: 2973: 751: 660:
attempted to develop a monovalent DNA plasmid vaccine, but early results showed it to be only moderately immunogenic.
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designation and a tropical disease priority review voucher. The approval of Dengvaxia was granted to Sanofi Pasteur.
129: 4069: 4007: 2982: 772:"Dengvaxia dengue tetravalent vaccine (live, attenuated), powder and diluent for suspension for injection (275964)" 3628: 3596: 3591: 3425: 2050:"Development of DENVax: a chimeric dengue-2 PDK-53-based tetravalent vaccine for protection against dengue fever" 184: 110: 2400:"The live attenuated dengue vaccine TV003 elicits complete protection against dengue in a human challenge model" 3686: 3296: 474: 439: 342: 648:
cells. As of 2019, it had completed phase I stage and found V180 formulations to be generally well tolerated.
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for the recommended three doses as of 2016. Indonesia was the first country to approve Qdenga, in late 2022.
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Biswal S, Reynales H, Saez-Llorens X, Lopez P, Borja-Tabora C, Kosalaraksa P, et al. (November 2019).
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where more than 733,000 children and more than 50,000 adult volunteers were vaccinated regardless of
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Villar L, Dayan GH, Arredondo-GarcĂ­a JL, Rivera DM, Cunha R, Deseda C, et al. (January 2015).
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Kirkpatrick BD, Whitehead SS, Pierce KK, Tibery CM, Grier PL, Hynes NA, et al. (March 2016).
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is endemic in the US territories of American Samoa, Guam, Puerto Rico, and the US Virgin Islands.
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NIH has licensed their technology for further development and commercial scale manufacturing to
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Manoff SB, Sausser M, Falk Russell A, Martin J, Radley D, Hyatt D, et al. (3 June 2019).
2352:"UPDATED: Takeda yanks FDA filing for dengue vaccine, citing data disagreement with regulator" 1248: 1246: 935: 4130: 4033: 3867: 3862: 3318: 3264: 3174: 478: 350: 267: 1544:"Dengue Vaccine Maker Struggles to Find a Diagnostic That Will Make Its Product Safe to Use" 3916: 3857: 3648: 3291: 3169: 3120: 3087: 3021: 2941: 1951:"The Lancet: World's Most Advanced Dengue Vaccine Candidate Shows Promise in Phase 3 Trial" 1800: 1243: 1013: 973: 102: 8: 3839: 3805: 3691: 3514: 3457: 3452: 3403: 3234: 3102: 3074: 3026: 1669: 395:
accepted the filing package for TAK-003 (Qdenga) intended for markets outside of the EU.
361: 258: 3509: 3254: 330:. As of 2023, there are two commercially available vaccines, sold under the brand names 3872: 3706: 3447: 3413: 3398: 3274: 3259: 3244: 3164: 3082: 2717: 2692: 2531: 2504: 2473: 2448: 2429: 2205: 2128: 2103: 2074: 2049: 1932: 1883: 1485: 1446: 1421: 1232: 1070: 1045: 603: 592: 540: 415: 357: 62: 1871: 4135: 3995: 3962: 3795: 3636: 3526: 3420: 3281: 3106: 3069: 2959: 2722: 2536: 2478: 2433: 2421: 2209: 2197: 2133: 2079: 2003: 1924: 1875: 1499: 1489: 1451: 1236: 1224: 1142: 1075: 458: 221: 3941: 2636: 1887: 1326:"First FDA-approved vaccine for the prevention of dengue disease in endemic regions" 702:(ANMAT) gave the green light to the use of the tetravalent vaccine TAK-003 known as 569:
TV-003/005 is a tetravalent admixture of monovalent vaccines, that was developed by
3921: 3906: 3762: 3623: 3536: 2712: 2704: 2526: 2516: 2468: 2460: 2411: 2187: 2123: 2115: 2069: 2061: 1993: 1936: 1914: 1867: 1749: 1721: 1481: 1441: 1433: 1214: 1206: 1177: 1134: 1105: 1065: 1057: 504: 167: 3462: 2821:"Takeda UK Ltd. announces MHRA approval for dengue virus vaccine candidate Qdenga" 2708: 2464: 2119: 2065: 798:"Prescription medicines: registration of new chemical entities in Australia, 2017" 4102: 3926: 3724: 3531: 3489: 3380: 3360: 3330: 3313: 3239: 3229: 3159: 3098: 3094: 3043: 2898:"As approvals roll in, Takeda details pricing strategy for dengue vaccine launch" 2416: 2399: 1982:"Efficacy and Long-Term Safety of a Dengue Vaccine in Regions of Endemic Disease" 1061: 1046:"Dengue vaccines: recent developments, ongoing challenges and current candidates" 875: 626: 529: 434: 423: 850:"Vacina contra a dengue: aplicação começa nesta semana em clínicas particulares" 4114: 4063: 3790: 3641: 3521: 3347: 3286: 771: 641: 611: 584: 446: 411: 33: 2581:"MVC Obtains US NIH's Authorization to Develop Dengue Vaccine in 17 Countries" 2176:"Efficacy of a Tetravalent Dengue Vaccine in Healthy Children and Adolescents" 2023:"Sanofi gets first approval for long-anticipated vaccine against dengue fever" 852:[Dengue vaccine: administration starts this week in private clinics]. 4124: 3946: 3931: 3901: 3896: 3751: 3504: 3499: 3408: 3053: 1746:
World Health Organization model list of essential medicines: 22nd list (2021)
1700: 1437: 1356: 3308: 2104:"The dengue vaccine pipeline: Implications for the future of dengue control" 4023: 3666: 3561: 3494: 3435: 3115: 3006: 2986: 2726: 2540: 2521: 2482: 2425: 2377:"NIH-Developed Candidate Dengue Vaccine Shows Promise in Early-Stage Trial" 2201: 2153:"With interim phase 2 data, Takeda's dengue vaccine casts shadow on Sanofi" 2137: 2083: 2007: 1928: 1879: 1718:
World Health Organization model list of essential medicines: 21st list 2019
1503: 1455: 1228: 1146: 1079: 536: 532: 323: 162: 50: 2192: 2175: 1998: 1981: 1919: 1902: 1518:"Caution on new dengue vaccine: In some countries, harm outweighs benefit" 1138: 3810: 3800: 3661: 3467: 3355: 3323: 3249: 3111: 3002: 2994: 1168:(September 2018). "Dengue vaccine: WHO position paper – September 2018". 596: 454: 365: 2379:. National Institute of Allergy and Infectious Diseases. 23 January 2013 1979: 1754: 1726: 1182: 1110: 516: 287: 3936: 3911: 3601: 3551: 1903:"Efficacy of a tetravalent dengue vaccine in children in Latin America" 645: 545: 482: 443: 346: 298: 57: 2741:"New vaccine to protect people in the EU and worldwide against dengue" 2247:"New vaccine to protect people in the EU and worldwide against dengue" 1396:"Takeda's dengue fever vaccine picks up first global nod in Indonesia" 3985: 3556: 3429: 2998: 1285:(Press release). Takeda Pharmaceutical Company Limited. 25 March 2021 1210: 711: 96: 1775:"Sanofi restricts dengue vaccine but downplays antibody enhancement" 1570:"Sanofi restricts dengue vaccine but downplays antibody enhancement" 520:
A carton of Qdenga vials awaiting administration in BrasĂ­lia, Brazil
3827: 3820: 3815: 3785: 3541: 3477: 3472: 710:, making it the only vaccine approved to date. to combat dengue in 327: 278: 124: 3546: 2990: 1900: 1699:
This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
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Osorio JE, Huang CY, Kinney RM, Stinchcomb DT (September 2011).
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attenuated vaccine with DENV1, DENV3, and DENV4 components on a
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TAK-003 or DENVax, sold under the brand name Qdenga and made by
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In December 2018, Dengvaxia was approved in the European Union.
3849: 3834: 3125: 2690: 2607:"Panacea Biotec completes Phase I/II study of DengiAlI vaccine" 2173: 703: 2322:"Takeda withdraws US application for dengue vaccine candidate" 2277: 2275: 2273: 2271: 1422:"Latest developments and future directions in dengue vaccines" 3844: 3729: 3335: 3269: 2505:"Dengue Fever: Causes, Complications, and Vaccine Strategies" 2102:
Schwartz LM, Halloran ME, Durbin AP, Longini IM (June 2015).
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National Administration of Drugs, Food and Medical Technology
570: 4109: 2770:"Takeda's Dengue Vaccine Approved for Use in European Union" 1856: 356:
There are other vaccine candidates in development including
3144: 2268: 2047: 1833:"Did Sanofi, WHO ignore warning signals on dengue vaccine?" 353:. Qdenga is designated for people not previously infected. 1196: 1740: 1712: 1164: 1092: 607: 410:
CYD-TDV, sold under the brand name Dengvaxia and made by
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World Health Organization essential medicines (vaccines)
1730:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 467:
World Health Organization's List of Essential Medicines
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is studying recombinant subunit vaccines expressed in
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In Brazil, phase III studies are being conducted by
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Medicines and Healthcare products Regulatory Agency
1600:"Sanofi's dengue vaccine approved in 11 countries" 894: 748:2017 dengue vaccine controversy in the Philippines 614:has conducted phase II clinical studies in India. 4002:Cedillo v. Secretary of Health and Human Services 1044:McArthur MA, Sztein MB, Edelman R (August 2013). 1014:"Dengue Vaccine Live Monograph for Professionals" 907:"Dengvaxia- dengue tetravalent vaccine, live kit" 4122: 2889: 2633:"Vaccine Development. Dengue Vaccine Initiative" 2340: 2097: 2095: 2093: 1821: 930: 928: 684:In February 2023, Qdenga was approved by the UK 539:type 2 (DENV2) backbone originally developed at 2502: 2316: 2314: 2312: 1943: 1831:Steenhuysen J, Hirschler B (12 December 2017). 266: 2927:"Dengue Vaccine Vaccine Information Statement" 2660:"Current Status of Dengue Vaccine Development" 1593: 1591: 1413: 675:Committee for Medicinal Products for Human Use 2967: 2090: 1656:"Dengue Fever Vaccine Available in Indonesia" 1039: 1037: 1035: 968: 966: 964: 925: 688:(MHRA) for people aged four years and older. 2309: 2020: 1624: 1622: 1510: 1471: 1467: 1465: 422:(FDA) granted the application for Dengvaxia 128: 1650: 1648: 1588: 1420:Thisyakorn U, Thisyakorn C (January 2014). 1320: 245:In general: â„ž (Prescription only) 2974: 2960: 2933:Centers for Disease Control and Prevention 1769: 1767: 1765: 1318: 1316: 1314: 1312: 1310: 1308: 1306: 1304: 1302: 1300: 1160: 1158: 1156: 1032: 1008: 1006: 1004: 1002: 1000: 998: 961: 750:involved a vaccination program run by the 2944:at the U.S. National Library of Medicine 2716: 2530: 2520: 2472: 2446: 2415: 2222: 2191: 2127: 2073: 1997: 1918: 1753: 1725: 1619: 1462: 1445: 1367: 1365: 1277: 1275: 1220:1983/6d38d9b6-8e1b-4a84-85e3-edab4fc41957 1218: 1181: 1109: 1069: 1645: 1124: 515: 457:. 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Archived from 868: 842: 816: 790: 764: 741: 479:controversy in the Philippines 475:antibody-dependent enhancement 440:antibody-dependent enhancement 343:antibody-dependent enhancement 206: 13: 1: 3376:Group B streptococcal disease 3195:Vaccines for Children Program 2709:10.1080/21645515.2018.1546523 2465:10.1586/14760584.2016.1115727 2283:"Qdenga: Pending EC decision" 2120:10.1016/j.vaccine.2015.05.010 2066:10.1016/j.vaccine.2011.07.020 1872:10.1016/s0140-6736(14)61060-6 1336:(Press release). 1 May 2019. 1170:Weekly Epidemiological Record 1098:Weekly Epidemiological Record 856:(in Portuguese). 26 June 2023 757: 708:Takeda Pharmaceutical Company 658:Naval Medical Research Center 578:National Institutes of Health 564: 2796:"Qdenga Product information" 2417:10.1126/scitranslmed.aaf1517 1676:Food and Drug Administration 1598:Vidalon D (4 October 2016). 1332:Food and Drug Administration 1062:10.1586/14760584.2013.815412 724: 620: 420:Food and Drug Administration 27:Vaccine against dengue fever 7: 1680:. 21 May 2019. STN 125682. 1394:Becker Z (22 August 2022). 1253:Lopez V (4 December 2017). 1199:Reviews in Medical Virology 10: 4157: 2896:Becker Z (21 March 2023). 1758:. WHO/MHP/HPS/EML/2021.02. 1474:Advances in Virus Research 714:. It has been used in the 546:Lancet Infectious Diseases 375: 4047: 4016: 3955: 3887: 3778: 3750: 3717: 3391: 3222: 3215: 3134: 3062: 3014: 2746:European Medicines Agency 2658:Roehrig JT (April 2013). 2453:Expert Review of Vaccines 2288:European Medicines Agency 2252:European Medicines Agency 2151:Liu A (7 November 2017). 1955:Science Newsline medicine 1806:World Health Organization 1742:World Health Organization 1714:World Health Organization 1166:World Health Organization 1094:World Health Organization 1050:Expert Review of Vaccines 979:European Medicines Agency 941:European Medicines Agency 679:European Medicines Agency 490:World Health Organization 393:European Medicines Agency 297: 277: 257: 252: 233: Rx-only (Dengvaxia) 183: 178: 153: 139: 109: 91: 83: 73: 68: 56: 46: 39: 3371:Clostridioides difficile 2946:Medical Subject Headings 2350:Angus L (11 July 2023). 1438:10.1177/2051013613507862 673:On 13 October 2022, the 589:Serum Institute of India 3629:Tick-borne encephalitis 1629:East S (6 April 2016). 636: 4039:List of vaccine topics 3039:Mathematical modelling 606:in-collaboration with 552:serotypes than DENV2. 521: 4034:Vaccinate Your Family 3485:Japanese encephalitis 2447:Whitehead SS (2016). 2193:10.1056/NEJMoa1903869 1999:10.1056/NEJMoa1506223 1920:10.1056/nejmoa1411037 519: 3917:John Franklin Enders 2522:10.1155/2016/6803098 716:2024 dengue epidemic 459:poor immune function 398:In August 2022, the 18:Dengue fever vaccine 3103:Virus-like particle 3027:Vaccine ingredients 2672:on 11 December 2015 2613:. 24 September 2020 1866:(9951): 1358–1365. 1548:Scientific American 1139:10.1093/jtm/taad132 945:. 23 October 2019. 691:In April 2023, the 664:Society and culture 406:CYD-TDV (Dengvaxia) 391:In March 2021, the 224:(Prescription only) 202:(Prescription only) 41:Vaccine description 36: 4074:Never to phase III 3873:Hexavalent vaccine 3687:Epstein–Barr virus 3582:Oxford–AstraZeneca 3275:NmVac4-A/C/Y/W-135 2561:. 12 December 2018 2296:on 14 October 2022 1658:. 17 October 2016. 1524:. 1 September 2016 983:. 16 December 2022 604:Instituto Butantan 593:Instituto Butantan 541:Mahidol University 522: 32: 4084: 4083: 3996:Vaccines and SIDS 3883: 3882: 3657:Hepatitis A and B 3633:Varicella zoster 3095:Subunit/component 2639:on 21 August 2019 2587:. 9 December 2016 2186:(21): 2009–2019. 2114:(29): 3293–3298. 2060:(42): 7251–7260. 1992:(13): 1195–1206. 1576:. 1 December 2017 313: 312: 241: 232: 219: 210: 197: 122: 79:Dengvaxia, Qdenga 16:(Redirected from 4148: 4113: 4112: 4101: 4100: 4099: 4092: 3975:MMR autism fraud 3922:Maurice Hilleman 3907:Hilary Koprowski 3220: 3219: 2976: 2969: 2962: 2953: 2952: 2938: 2937:. December 2021. 2913: 2912: 2910: 2908: 2893: 2887: 2886: 2884: 2882: 2868: 2862: 2861: 2859: 2857: 2843: 2837: 2836: 2834: 2832: 2817: 2811: 2810: 2808: 2806: 2792: 2786: 2785: 2783: 2781: 2766: 2760: 2759: 2757: 2755: 2737: 2731: 2730: 2720: 2703:(9): 2195–2204. 2688: 2682: 2681: 2679: 2677: 2671: 2665:. Archived from 2664: 2655: 2649: 2648: 2646: 2644: 2635:. Archived from 2629: 2623: 2622: 2620: 2618: 2603: 2597: 2596: 2594: 2592: 2577: 2571: 2570: 2568: 2566: 2551: 2545: 2544: 2534: 2524: 2500: 2487: 2486: 2476: 2444: 2438: 2437: 2419: 2410:(330): 330ra36. 2395: 2389: 2388: 2386: 2384: 2373: 2367: 2366: 2364: 2362: 2347: 2338: 2337: 2335: 2333: 2318: 2307: 2305: 2303: 2301: 2279: 2266: 2265: 2263: 2261: 2243: 2237: 2236: 2234: 2232: 2220: 2214: 2213: 2195: 2171: 2165: 2164: 2162: 2160: 2148: 2142: 2141: 2131: 2099: 2088: 2087: 2077: 2045: 2039: 2038: 2036: 2034: 2029:on 16 March 2016 2018: 2012: 2011: 2001: 1977: 1971: 1970: 1968: 1966: 1947: 1941: 1940: 1922: 1898: 1892: 1891: 1854: 1848: 1847: 1845: 1843: 1828: 1819: 1818: 1816: 1814: 1797: 1791: 1790: 1788: 1786: 1771: 1760: 1759: 1757: 1738: 1732: 1731: 1729: 1710: 1704: 1698: 1697: 1693: 1691: 1689: 1666: 1660: 1659: 1652: 1643: 1642: 1640: 1638: 1626: 1617: 1616: 1614: 1612: 1595: 1586: 1585: 1583: 1581: 1566: 1560: 1559: 1557: 1555: 1540: 1534: 1533: 1531: 1529: 1514: 1508: 1507: 1469: 1460: 1459: 1449: 1417: 1411: 1410: 1408: 1406: 1391: 1385: 1384: 1382: 1380: 1369: 1360: 1354: 1353: 1349: 1347: 1345: 1322: 1295: 1294: 1292: 1290: 1279: 1270: 1269: 1267: 1265: 1250: 1241: 1240: 1222: 1211:10.1002/rmv.2101 1194: 1188: 1187: 1185: 1162: 1151: 1150: 1122: 1116: 1115: 1113: 1090: 1084: 1083: 1073: 1041: 1030: 1029: 1027: 1025: 1020:. 23 August 2023 1010: 993: 992: 990: 988: 970: 959: 958: 956: 954: 936:"Dengvaxia EPAR" 932: 923: 922: 920: 918: 903: 892: 891: 889: 887: 872: 866: 865: 863: 861: 846: 840: 839: 837: 835: 820: 814: 813: 811: 809: 794: 788: 787: 785: 783: 768: 732: 701: 512:TAK-003 (Qdenga) 477:. This led to a 442:(ADE). American 435:chimeric vaccine 370:subunit vaccines 322:used to prevent 290: 270: 239: 236: 230: 227: 217: 214: 208: 205: 195: 192: 170: 132: 121: 118: 105: 37: 35: 31: 21: 4156: 4155: 4151: 4150: 4149: 4147: 4146: 4145: 4121: 4120: 4119: 4107: 4097: 4095: 4087: 4085: 4080: 4079: 4064:Clinical trials 4043: 4012: 3951: 3927:Stanley Plotkin 3889: 3879: 3791:Cancer vaccines 3774: 3768:Schistosomiasis 3746: 3740:Trypanosomiasis 3713: 3677:Cytomegalovirus 3587:Pfizer–BioNTech 3387: 3211: 3160:Vaccine wastage 3130: 3058: 3010: 2980: 2942:Dengue Vaccines 2925: 2922: 2917: 2916: 2906: 2904: 2894: 2890: 2880: 2878: 2870: 2869: 2865: 2855: 2853: 2845: 2844: 2840: 2830: 2828: 2819: 2818: 2814: 2804: 2802: 2794: 2793: 2789: 2779: 2777: 2768: 2767: 2763: 2753: 2751: 2739: 2738: 2734: 2689: 2685: 2675: 2673: 2669: 2662: 2656: 2652: 2642: 2640: 2631: 2630: 2626: 2616: 2614: 2605: 2604: 2600: 2590: 2588: 2579: 2578: 2574: 2564: 2562: 2553: 2552: 2548: 2501: 2490: 2445: 2441: 2396: 2392: 2382: 2380: 2375: 2374: 2370: 2360: 2358: 2348: 2341: 2331: 2329: 2320: 2319: 2310: 2299: 2297: 2281: 2280: 2269: 2259: 2257: 2245: 2244: 2240: 2230: 2228: 2221: 2217: 2172: 2168: 2158: 2156: 2149: 2145: 2100: 2091: 2046: 2042: 2032: 2030: 2019: 2015: 1978: 1974: 1964: 1962: 1961:on 15 July 2014 1949: 1948: 1944: 1899: 1895: 1855: 1851: 1841: 1839: 1829: 1822: 1812: 1810: 1799: 1798: 1794: 1784: 1782: 1781:. December 2017 1773: 1772: 1763: 1739: 1735: 1711: 1707: 1695: 1687: 1685: 1668: 1667: 1663: 1654: 1653: 1646: 1636: 1634: 1627: 1620: 1610: 1608: 1596: 1589: 1579: 1577: 1568: 1567: 1563: 1553: 1551: 1542: 1541: 1537: 1527: 1525: 1516: 1515: 1511: 1496: 1470: 1463: 1418: 1414: 1404: 1402: 1392: 1388: 1378: 1376: 1371: 1370: 1363: 1351: 1343: 1341: 1324: 1323: 1298: 1288: 1286: 1281: 1280: 1273: 1263: 1261: 1251: 1244: 1195: 1191: 1163: 1154: 1123: 1119: 1104:(47): 599–620. 1091: 1087: 1042: 1033: 1023: 1021: 1012: 1011: 996: 986: 984: 972: 971: 962: 952: 950: 934: 933: 926: 916: 914: 913:. 9 August 2019 905: 904: 895: 885: 883: 882:. 22 March 2023 874: 873: 869: 859: 857: 848: 847: 843: 833: 831: 822: 821: 817: 807: 805: 796: 795: 791: 781: 779: 770: 769: 765: 760: 744: 739: 730: 727: 695: 671: 666: 654: 639: 627:GlaxoSmithKline 623: 599:, and Medigen. 567: 562: 514: 433:Dengvaxia is a 424:priority review 408: 378: 358:live attenuated 349:, which led to 309: 293: 273: 248: 174: 142: 135: 28: 23: 22: 15: 12: 11: 5: 4154: 4144: 4143: 4138: 4133: 4118: 4117: 4105: 4082: 4081: 4078: 4077: 4076: 4075: 4072: 4061: 4055: 4049: 4048: 4045: 4044: 4042: 4041: 4036: 4031: 4026: 4020: 4018: 4014: 4013: 4011: 4010: 4005: 3998: 3993: 3988: 3983: 3978: 3965: 3959: 3957: 3953: 3952: 3950: 3949: 3944: 3942:Katalin KarikĂł 3939: 3934: 3929: 3924: 3919: 3914: 3909: 3904: 3899: 3893: 3891: 3885: 3884: 3881: 3880: 3878: 3877: 3876: 3875: 3870: 3865: 3860: 3852: 3847: 3842: 3837: 3832: 3831: 3830: 3825: 3824: 3823: 3818: 3808: 3803: 3798: 3788: 3782: 3780: 3776: 3775: 3773: 3772: 3771: 3770: 3765: 3756: 3754: 3748: 3747: 3745: 3744: 3743: 3742: 3734: 3733: 3732: 3721: 3719: 3715: 3714: 3712: 3711: 3710: 3709: 3704: 3699: 3697:Herpes simplex 3694: 3689: 3684: 3679: 3671: 3670: 3669: 3664: 3659: 3651: 3646: 3645: 3644: 3639: 3631: 3626: 3621: 3616: 3615: 3614: 3609: 3604: 3599: 3597:Sinopharm BIBP 3594: 3589: 3584: 3579: 3574: 3569: 3564: 3559: 3554: 3549: 3547:Bharat Biotech 3544: 3534: 3529: 3524: 3519: 3518: 3517: 3512: 3502: 3497: 3492: 3487: 3482: 3481: 3480: 3475: 3465: 3460: 3455: 3450: 3445: 3444: 3443: 3438: 3433: 3418: 3417: 3416: 3406: 3401: 3395: 3393: 3389: 3388: 3386: 3385: 3384: 3383: 3378: 3373: 3365: 3364: 3363: 3358: 3350: 3345: 3344: 3343: 3338: 3328: 3327: 3326: 3316: 3311: 3306: 3305: 3304: 3299: 3289: 3284: 3279: 3278: 3277: 3272: 3262: 3257: 3252: 3247: 3242: 3237: 3232: 3226: 3224: 3217: 3213: 3212: 3210: 3209: 3208: 3207: 3202: 3197: 3192: 3187: 3179: 3178: 3177: 3175:Vaccine injury 3172: 3167: 3162: 3157: 3152: 3147: 3138: 3136: 3135:Administration 3132: 3131: 3129: 3128: 3123: 3118: 3109: 3092: 3091: 3090: 3085: 3077: 3072: 3066: 3064: 3060: 3059: 3057: 3056: 3051: 3046: 3041: 3036: 3035: 3034: 3024: 3018: 3016: 3012: 3011: 2979: 2978: 2971: 2964: 2956: 2950: 2949: 2939: 2921: 2920:External links 2918: 2915: 2914: 2888: 2863: 2838: 2812: 2787: 2761: 2732: 2683: 2650: 2624: 2598: 2572: 2546: 2488: 2459:(4): 509–517. 2439: 2390: 2368: 2339: 2328:. 11 July 2023 2308: 2267: 2238: 2227:. Evaluate Ltd 2215: 2166: 2143: 2089: 2040: 2013: 1972: 1942: 1913:(2): 113–123. 1893: 1849: 1820: 1792: 1761: 1733: 1705: 1661: 1644: 1618: 1587: 1561: 1550:. 17 June 2018 1535: 1509: 1494: 1461: 1412: 1386: 1361: 1296: 1271: 1242: 1189: 1176:(36): 457–76. 1152: 1117: 1085: 1056:(8): 933–953. 1031: 994: 960: 924: 893: 867: 841: 830:. 21 June 2022 815: 804:. 21 June 2022 789: 762: 761: 759: 756: 743: 740: 738: 735: 726: 723: 677:(CHMP) of the 670: 667: 665: 662: 653: 650: 638: 635: 629:(GSK) and the 622: 619: 612:Panacea Biotec 585:Panacea Biotec 566: 563: 561: 560:In development 558: 513: 510: 447:Scott Halstead 412:Sanofi Pasteur 407: 404: 400:Indonesian FDA 377: 374: 316:Dengue vaccine 311: 310: 308: 307: 303: 301: 295: 294: 292: 291: 283: 281: 275: 274: 272: 271: 263: 261: 255: 254: 250: 249: 247: 246: 243: 234: 225: 212: 211: Approved 203: 189: 187: 181: 180: 176: 175: 173: 172: 159: 157: 151: 150: 145: 143:administration 137: 136: 134: 133: 115: 113: 107: 106: 99: 89: 88: 85: 81: 80: 77: 71: 70: 66: 65: 60: 54: 53: 48: 44: 43: 34:Dengue vaccine 26: 9: 6: 4: 3: 2: 4153: 4142: 4139: 4137: 4134: 4132: 4129: 4128: 4126: 4116: 4111: 4106: 4104: 4094: 4093: 4090: 4073: 4071: 4068: 4067: 4065: 4062: 4059: 4056: 4054: 4051: 4050: 4046: 4040: 4037: 4035: 4032: 4030: 4027: 4025: 4022: 4021: 4019: 4015: 4009: 4006: 4004: 4003: 3999: 3997: 3994: 3992: 3989: 3987: 3984: 3982: 3979: 3976: 3974: 3969: 3966: 3964: 3961: 3960: 3958: 3954: 3948: 3947:Drew Weissman 3945: 3943: 3940: 3938: 3935: 3933: 3932:H. Fred Clark 3930: 3928: 3925: 3923: 3920: 3918: 3915: 3913: 3910: 3908: 3905: 3903: 3902:Louis Pasteur 3900: 3898: 3897:Edward Jenner 3895: 3894: 3892: 3886: 3874: 3871: 3869: 3868:DTwP-HepB-Hib 3866: 3864: 3863:DTaP-IPV-HepB 3861: 3859: 3856: 3855: 3854:combination: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3833: 3829: 3826: 3822: 3819: 3817: 3814: 3813: 3812: 3809: 3807: 3804: 3802: 3799: 3797: 3794: 3793: 3792: 3789: 3787: 3784: 3783: 3781: 3777: 3769: 3766: 3764: 3761: 3760: 3758: 3757: 3755: 3753: 3752:Helminthiasis 3749: 3741: 3738: 3737: 3735: 3731: 3728: 3727: 3726: 3723: 3722: 3720: 3716: 3708: 3705: 3703: 3700: 3698: 3695: 3693: 3690: 3688: 3685: 3683: 3680: 3678: 3675: 3674: 3672: 3668: 3665: 3663: 3660: 3658: 3655: 3654: 3653:combination: 3652: 3650: 3647: 3643: 3640: 3638: 3635: 3634: 3632: 3630: 3627: 3625: 3622: 3620: 3617: 3613: 3610: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3588: 3585: 3583: 3580: 3578: 3575: 3573: 3570: 3568: 3565: 3563: 3560: 3558: 3555: 3553: 3550: 3548: 3545: 3543: 3540: 3539: 3538: 3535: 3533: 3530: 3528: 3525: 3523: 3520: 3516: 3513: 3511: 3508: 3507: 3506: 3503: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3483: 3479: 3476: 3474: 3471: 3470: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3442: 3439: 3437: 3434: 3431: 3427: 3424: 3423: 3422: 3419: 3415: 3412: 3411: 3410: 3407: 3405: 3402: 3400: 3397: 3396: 3394: 3390: 3382: 3379: 3377: 3374: 3372: 3369: 3368: 3366: 3362: 3359: 3357: 3356:DPT/DTwP/DTaP 3354: 3353: 3352:combination: 3351: 3349: 3346: 3342: 3339: 3337: 3334: 3333: 3332: 3329: 3325: 3322: 3321: 3320: 3317: 3315: 3312: 3310: 3307: 3303: 3300: 3298: 3295: 3294: 3293: 3290: 3288: 3285: 3283: 3280: 3276: 3273: 3271: 3268: 3267: 3266: 3265:Meningococcus 3263: 3261: 3258: 3256: 3255:Leptospirosis 3253: 3251: 3248: 3246: 3243: 3241: 3238: 3236: 3233: 3231: 3228: 3227: 3225: 3221: 3218: 3214: 3206: 3203: 3201: 3198: 3196: 3193: 3191: 3190:Vaccine court 3188: 3186: 3183: 3182: 3180: 3176: 3173: 3171: 3168: 3166: 3163: 3161: 3158: 3156: 3153: 3151: 3148: 3146: 3145:GAVI Alliance 3143: 3142: 3140: 3139: 3137: 3133: 3127: 3124: 3122: 3119: 3117: 3113: 3110: 3108: 3104: 3100: 3096: 3093: 3089: 3086: 3084: 3081: 3080: 3078: 3076: 3073: 3071: 3068: 3067: 3065: 3061: 3055: 3052: 3050: 3047: 3045: 3042: 3040: 3037: 3033: 3030: 3029: 3028: 3025: 3023: 3020: 3019: 3017: 3013: 3008: 3004: 3000: 2996: 2992: 2988: 2984: 2977: 2972: 2970: 2965: 2963: 2958: 2957: 2954: 2947: 2943: 2940: 2936: 2934: 2928: 2924: 2923: 2903: 2902:Fierce Pharma 2899: 2892: 2877: 2873: 2867: 2852: 2848: 2842: 2826: 2825:Bloomberg.com 2822: 2816: 2801: 2797: 2791: 2775: 2771: 2765: 2749: 2747: 2742: 2736: 2728: 2724: 2719: 2714: 2710: 2706: 2702: 2698: 2694: 2687: 2668: 2661: 2654: 2638: 2634: 2628: 2612: 2608: 2602: 2586: 2582: 2576: 2560: 2556: 2550: 2542: 2538: 2533: 2528: 2523: 2518: 2514: 2510: 2506: 2499: 2497: 2495: 2493: 2484: 2480: 2475: 2470: 2466: 2462: 2458: 2454: 2450: 2443: 2435: 2431: 2427: 2423: 2418: 2413: 2409: 2405: 2401: 2394: 2378: 2372: 2357: 2356:Fierce Pharma 2353: 2346: 2344: 2327: 2323: 2317: 2315: 2313: 2295: 2291: 2289: 2284: 2278: 2276: 2274: 2272: 2255: 2253: 2248: 2242: 2226: 2219: 2211: 2207: 2203: 2199: 2194: 2189: 2185: 2181: 2177: 2170: 2154: 2147: 2139: 2135: 2130: 2125: 2121: 2117: 2113: 2109: 2105: 2098: 2096: 2094: 2085: 2081: 2076: 2071: 2067: 2063: 2059: 2055: 2051: 2044: 2028: 2024: 2017: 2009: 2005: 2000: 1995: 1991: 1987: 1983: 1976: 1960: 1956: 1952: 1946: 1938: 1934: 1930: 1926: 1921: 1916: 1912: 1908: 1904: 1897: 1889: 1885: 1881: 1877: 1873: 1869: 1865: 1861: 1853: 1838: 1834: 1827: 1825: 1809: 1807: 1802: 1796: 1780: 1776: 1770: 1768: 1766: 1756: 1751: 1747: 1743: 1737: 1728: 1723: 1719: 1715: 1709: 1702: 1701:public domain 1683: 1679: 1677: 1671: 1665: 1657: 1651: 1649: 1632: 1625: 1623: 1607: 1606: 1601: 1594: 1592: 1575: 1571: 1565: 1549: 1545: 1539: 1523: 1519: 1513: 1505: 1501: 1497: 1495:9780128000984 1491: 1487: 1483: 1479: 1475: 1468: 1466: 1457: 1453: 1448: 1443: 1439: 1435: 1431: 1427: 1423: 1416: 1401: 1400:Fierce Pharma 1397: 1390: 1374: 1368: 1366: 1358: 1357:public domain 1339: 1335: 1333: 1327: 1321: 1319: 1317: 1315: 1313: 1311: 1309: 1307: 1305: 1303: 1301: 1284: 1278: 1276: 1260: 1256: 1249: 1247: 1238: 1234: 1230: 1226: 1221: 1216: 1212: 1208: 1204: 1200: 1193: 1184: 1179: 1175: 1171: 1167: 1161: 1159: 1157: 1148: 1144: 1140: 1136: 1132: 1128: 1121: 1112: 1107: 1103: 1099: 1095: 1089: 1081: 1077: 1072: 1067: 1063: 1059: 1055: 1051: 1047: 1040: 1038: 1036: 1019: 1015: 1009: 1007: 1005: 1003: 1001: 999: 982: 980: 975: 974:"Qdenga EPAR" 969: 967: 965: 948: 944: 942: 937: 931: 929: 912: 908: 902: 900: 898: 881: 877: 871: 855: 851: 845: 829: 825: 819: 803: 799: 793: 778:. 26 May 2022 777: 773: 767: 763: 755: 753: 749: 737:Controversies 734: 722: 719: 717: 713: 709: 705: 699: 694: 689: 687: 682: 680: 676: 661: 659: 656:In 2011, the 649: 647: 643: 634: 632: 628: 618: 615: 613: 609: 605: 600: 598: 595:, Vabiotech, 594: 590: 586: 581: 579: 574: 572: 557: 553: 549: 547: 542: 538: 534: 531: 527: 518: 509: 506: 501: 497: 493: 491: 486: 484: 480: 476: 470: 468: 462: 460: 456: 451: 448: 445: 441: 436: 431: 427: 425: 421: 417: 413: 403: 401: 396: 394: 389: 385: 381: 373: 371: 367: 363: 359: 354: 352: 351:a controversy 348: 344: 339: 337: 333: 329: 325: 321: 317: 305: 304: 302: 300: 296: 289: 285: 284: 282: 280: 276: 269: 265: 264: 262: 260: 256: 251: 244: 242: Rx-only 235: 226: 223: 213: 204: 201: 191: 190: 188: 186: 182: 177: 169: 164: 161: 160: 158: 156: 152: 149: 146: 144: 138: 131: 126: 117: 116: 114: 112: 108: 104: 100: 98: 94: 90: 86: 82: 78: 76: 72: 69:Clinical data 67: 64: 61: 59: 55: 52: 49: 45: 42: 38: 30: 19: 4131:Dengue fever 4024:Epidemiology 4000: 3972: 3858:DTaP-IPV/Hib 3681: 3649:Yellow fever 3562:EpiVacCorona 3319:Tuberculosis 3292:Pneumococcal 3260:Lyme disease 3088:Heterologous 2987:Immunization 2930: 2905:. 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Index

Dengue fever vaccine
Vaccine description
Dengue fever
Vaccine type
Attenuated
Trade names
AHFS
Drugs.com
Monograph
License data
DailyMed
Dengvaxia
Routes of
administration

Subcutaneous
ATC code
J07BX04
WHO
Legal status
S4
POM
CAS Number
1704605-80-0
DrugBank
DB15521
ChemSpider
vaccine
dengue fever
serotypes
antibody-dependent enhancement
serostatus

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