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Advanced Neurology





                                        ORIGINAL RESEARCH ARTICLE
                                        Signatures of neurological adverse events after

                                        vaccination



                                                     1
                                        Darrell O. Ricke * and Jessica Rose 2
                                        1 Department of Research, Molecular BioInsights,  Winchester, Massachusetts, United States of
                                        America
                                        2 Independent Researcher, Ontario, Canada



                                        Abstract

                                        There have been reports associated with the development of neurological adverse
                                        events (AEs) post-vaccination. Here, we retrospectively examine the Vaccine Adverse
                                        Events Reporting System (VAERS) database for neurological AEs reported following
                                        vaccination. Since VAERS is a passive reporting system, to minimize reporting bias
                                        and  to  reduce  background  events,  this  retrospective  study  examines  both  age-
                                        stratified AE reports made with onset within 24 h of immunization, and age-stratified
                                        AE reports regardless of timeframe from immunization. Immediate temporal onset
                                        data patterns for febrile convulsion, seizure, and syncope AEs were observed for
                                        multiple vaccines. For age-stratified AEs in infants up to 3 years of age, the following
                                        patterns of high association were observed: (i) Aphasia, autism spectrum disorder,
                                        and speech disorder were found to be highly associated with the measles, mumps,
                                        and rubella and hepatitis B (HepB) vaccines; (ii) febrile convulsion and syncope were
                                        found to be highly associated with the meningococcal group  B vaccine; and (iii)
                                        seizures were found to be highly associated with diphtheria and tetanus toxoids and
                                        whole-cell pertussis (DTP) vaccines.
            *Corresponding author:
            Darrell O. Ricke
            (doricke@molecularbioinsights.com)  Keywords: Neurological diseases; Vaccines; COVID-19 vaccines; Febrile convulsion;
            Citation: Ricke DO, Rose J.   Seizure; Syncope; Autism spectrum disorder
            Signatures of neurological adverse
            events after vaccination. Adv Neuro.
            2024;3(1):2258.
            https://doi.org/10.36922/an.2258
            Received: November 16, 2023  1. Introduction
            Accepted: February 15, 2024  Serious adverse events (SAEs), including neurological AEs, occur in some individuals
                                        following vaccination.  In any given population, a background rate of neurological
                                                          1
            Published Online: March 12, 2024  AE reporting can therefore be established based on an expected calculated number of
            Copyright: © 2024 Author(s).   people that develop these AEs. Thus, observed neurological AEs post-vaccination will be
            This is an Open-Access article   a combination of background AEs and vaccine-induced AEs.
            distributed under the terms of the
            Creative Commons Attribution   Vaccines provide protection against multiple infectious organisms but risks of AEs
            License, permitting distribution,
            and reproduction in any medium,   need to be considered in the context of benefits for each vaccine. Neurological AEs
                                                                                           2,3
            provided the original work is   following vaccinations previously reported  include  syncope,  seizures (including
            properly cited.             Dravet syndrome ) and febrile seizures,  aphasia,  and more. Genetic studies have
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                                                                         5
                                                                                 6
            Publisher’s Note: AccScience   identified genetic variants associated with subsets of these AEs. Neurological AEs
            Publishing remains neutral with   such as febrile convulsions, encephalitis/encephalopathy, and infantile spasms
            regard to jurisdictional claims in   are known to be associated with the measles, and pertussis  vaccines. Seizures
                                                                                             7
            published maps and institutional
            affiliations.               are known to be associated with diphtheria and tetanus toxoids and whole-cell
            Volume 3 Issue 1 (2024)                         1                         https://doi.org/10.36922/an.2258
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