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Journal of Clinical and
            Translational Research                                              Immunogenicity and safety of flu vaccines



            Figure 2. (Continued)
                 D
























































            Figure 2. Forest plot of seroprotection rates for different influenza strains among different vaccine groups. Influenza strains: A/H1N1 strain (A); A/H3N2
            strain (B); B/Victoria strain (C); B/Yamagata strain (D).
            Abbreviations: DL: DerSimonian-Laird; IIV: Inactivated influenza vaccine; CI: Confidence interval.


              Due to limitations in the number of clinical studies   safety  outcomes,  the  most  frequent  local  side  effects
            comparing  non-adjuvanted  subunit  IV  and  split  IV,  we   were  induration/inflammation,  ache, and  redness.
            only compared the incidence of adverse events between   Systemic adverse events included chills, diarrhea, fatigue/
            individuals  vaccinated  with  adjuvanted  subunit  IV   somnolence, fever, headache, decreased appetite, and
            and split IV. Table 3 features a forest plot displaying the   vomiting. Among these events, there were no significant
            occurrence rates of various adverse events across the   differences in the incidence rates of induration/swelling,
            two vaccine groups (adjuvanted subunit vaccine and   diarrhea, headache, and decreased appetite between the
            split vaccine). Among the included studies reporting   two groups, with low heterogeneity observed. However, for


            Volume 11 Issue 3 (2025)                        23                         doi: 10.36922/JCTR025060006
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