Urticaria, exanthems, and other benign dermatologic reactions to smallpox vaccination in adults

Richard N. Greenberg, Robert H. Schosser, Elizabeth A. Plummer, Sara E. Roberts, Malissia A. Caldwell, Dana L. Hargis, David W. Rudy, Martin E. Evans, Robert J. Hopkins

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

A phase 1 smallpox vaccine trial involving 350 adult volunteers was conducted. Of these subjects, 250 were naive to vaccinia virus vaccine (i.e., "vaccinia naive"). Volunteers received a new cell-cultured smallpox vaccine or a live vaccinia virus vaccine. Nine self-limiting rashes (3.6%) were observed in the vaccinia-naive group. None of the vaccinia-experienced patients had a rash. Rashes appeared 6-19 days after vaccination and had 5 different clinical presentations. Five volunteers had urticarial rashes that resolved within 4-15 days 1 had an exanthem that lasted 20 days and 1 each presented with folliculitis, contact dermatitis, and erythematous papules found only on the hands and fingers. Volunteers reported pruritus tingling, and occasional headaches. Relief was obtained with antihistamine and acetaminophen therapy. No volunteer experienced fever or significant discomfort.

Original languageEnglish
Pages (from-to)958-965
Number of pages8
JournalClinical Infectious Diseases
Volume38
Issue number7
DOIs
StatePublished - Apr 1 2004

Bibliographical note

Funding Information:
Financial support: DynPort Vaccine Company, which financed the vaccine trial; the US Department of Defense Joint Vaccine Acquisition Program (DAMD 17-98-C-8024); and the University of Kentucky (GCRC grant number M01-RR-02602).

Funding

Financial support: DynPort Vaccine Company, which financed the vaccine trial; the US Department of Defense Joint Vaccine Acquisition Program (DAMD 17-98-C-8024); and the University of Kentucky (GCRC grant number M01-RR-02602).

FundersFunder number
DynPort Vaccine Company
GCRCM01-RR-02602
US Department of Defense Joint Vaccine Acquisition ProgramDAMD 17-98-C-8024
National Center for Research ResourcesM01RR002602
University of Kentucky

    ASJC Scopus subject areas

    • Microbiology (medical)
    • Infectious Diseases

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