Summary of adverse experience reports made to the APVMA about Hendra virus vaccine

The information presented below is collected by the Adverse Experience Program (AERP) of the APVMA as part of its ongoing surveillance of the registered product. This information also includes the adverse experience reports that were received under a mandatory reporting regime required as a condition of the permit authorising the supply and use before the registration of the product. Please note that a mandatory reporting regime may yield a higher reporting incidence than would be the case under a voluntary reporting arrangement.

How the APVMA classifies an adverse experience

The APVMA makes an independent assessment about the causal relationship between exposure to or use of a product and a reported adverse experience—the likelihood that the product was involved in causing the adverse experience. The outcome of the assessment is a four-tiered classification of probable, possible, unlikely or unknown.

Read further information about the classification process.

The following table presents the number of APVMA classified reports grouped in time periods in which the adverse events occurred. 

Number of equine reports classified by the APVMA to 30 September 2016 (grouped by the year of reaction)*

Reaction year Possible Possible / off-label Probable Probable / off-label Unlikely Unknown Total
2012 26   4   8 4 42
2013 263 1 53 3 33 31 384
2014 376 1 76 1 33 42 529
2015 199 1 47   33 41 321
1 January–30 September 2016 98   21 2 20 22 165
Total 962 3 201 6 127 142 1441

* Please note that as the APVMA continues to classify adverse reports received, the individual figures in the above table may also continue to rise, depending on the date of the adverse event and the date of its classification.

What do the classifications mean?

Probable

A probable classification is given when there is a reasonable association between exposure to a product and the onset of the reported adverse experience, and the description of the presenting signs is consistent (or plausible) with the known pharmacology and toxicology of the product and there are no other alternative explanations.

Possible

A possible classification is given when there is a reasonable association between the exposure to the product and the onset of the reported adverse experience. Therefore, it is reasonable to include the adverse reaction as a differential diagnosis, and it is one of the possible explanations for the adverse experience (for example, the use of concurrent medication), or the association is reasonable but does not meet the criteria for a probable classification.

Probable or possible off-label

This classification is given as per the classifications of probable or possible, but where there is evidence of off-label use. That is, use that is not in accordance with the label instructions approved by the APVMA.

Unlikely

An unlikely classification is given when sufficient information exists to establish that the adverse experience was not likely to have been associated with a product.

Count of presenting signs: equine reports classified by the APVMA as probable and possible to 30 September 2016

The data in the table below relates to the number of reports in which a presenting sign was identified. A single report may describe a presenting sign in multiple horses. Reports reflect the count rather than the severity of presenting signs.

Presenting signs

Probable

Possible

Injection site reaction

641

28

Oedema

285

27

Lethargy

283

62

Pain

282

27

Anorexia

160

32

Pyrexia

152

36

Swelling (local)

150

15

Stiffness

141

17

Lump (local)

77

6

Muscle stiffness

53

3

Urticaria

42

13

Ataxia

35

12

Sweating

31

11

Listless

26

1

Colic

22

22

Lame

17

4

Depression

16

4

Malaise

14

12

Behavioural change

10

7

Abdominal pain

9

6

Coat colour change

9

2

Recumbency

8

8

Nasal discharge

7

13

Site reaction

7

0

Disorientation

6

1

Walking (difficult)

6

1

Adipsia

5

6

Panting

5

0

Alopecia (localised)

4

7

Laminitis

4

4

Tachypnoea

4

3

Distress

4

1

Pruritis

4

1

Shaking

4

1

Restless

4

0

Hives

3

2

Lymphadenopathy

3

2

Tachycardia

3

2

Aggression

3

1

Site reaction (swelling)

3

0

Welts

3

0

Coughing

2

6

Alopecia

2

3

Dermatitis

2

2

Tremor

2

2

Hypersalivation

2

0

Hypersensitivity reaction

2

0

Lesions

2

0

Rash

2

0

Weight loss

1

5

Dyspnoea

1

3

abnormal breathing

1

2

Polydipsia

1

2

Agitation

1

1

Allergy

1

1

Anaphylaxis

1

1

Epistaxis

1

1

Facial oedema

1

1

Pale mucous membranes

1

1

Paresis

1

1

Stranguria

1

1

Bradycardia

1

0

Conjunctivitis

1

0

Constipation

1

0

Haematoma

1

0

Hyperaesthesia

1

0

Incoordination

1

0

Inflammation

1

0

Laryngitis

1

0

Polymyositis

1

0

Weakness

1

0

Death

0

7

Diarrhoea

0

5

Respiratory problems

0

3

Coat discoloration

0

2

Lymphadenitis

0

2

Preputial swelling

0

2

Abortion

0

1

Anuria

0

1

Atrophy

0

1

Azoturia

0

1

Colitis

0

1

Confusion

0

1

Eczema

0

1

Fasciculation

0

1

Hepatopathy

0

1

Hyperactivity

0

1

Hypersensitive to stimuli

0

1

Periorbital swelling

0

1

Scrotitis

0

1

Urine (abnormal)

0

1

Reaction incidence %: equine reports classified by the APVMA as probable and possible to 30 September 2016

Reaction Incidence calculated on the understanding that 477,017 doses of vaccine have been administered from launch to 30 September 2016.

Reaction Incidence % = Total number of animals where a presenting sign has been classified as probably or possibly linked to the administration of the Hendra vaccine/number of doses sold*100

The data in the table below relates to the number of horses for which a reaction has been reported that has been assigned a classification of possible or probable.

Presenting signs

Reaction %

Injection site reaction

0.2

Lethargy

0.1

Oedema

0.09

Pain

0.09

Pyrexia

0.06

Anorexia

0.05

Swelling (local)

0.05

Stiffness

0.04

Lump (local)

0.02

Urticaria

0.01

Muscle stiffness

0.01

Ataxia

0.01

Sweating

0.01

Colic

0.009

Behavioural change

0.009

Listless

0.008

Malaise

0.007

Lame

0.005

Depression

0.004

Nasal discharge

0.004

Abdominal pain

0.004

Alopecia (localised)

0.004

Recumbency

0.004

Coat colour change

0.003

Coughing

0.002

Disorientation

0.002

Laminitis

0.002

Alopecia

0.002

Tachypnoea

0.002

Pruritis

0.002

Death

0.001

Lymphadenopathy

0.001

Walking (difficult)

0.001

Weight loss

0.001

Agitation

0.001

Restless

0.001

Site reaction

0.001

Tachycardia

0.001

Adipsia

0.001

Diarrhoea

0.001

Distress

0.001

Hives

0.001

Panting

0.001

Polydipsia

0.001

Shaking

0.001

Stranguria

0.001

Tremor

0.001

The following presenting signs each had a reaction incidence of <0.001%:

Aggression, Dermatitis, Dyspnoea, Lymphadenitis, Paresis, abnormal breathing, Respiratory problems, Site reaction (swelling), Welts, Allergy, Anaphylaxis, Coat discoloration, Confusion, Epistaxis, Facial oedema, Hypersalivation, Hypersensitivity reaction, Lesions, Pale mucous membranes, Preputial swelling, Rash, Abortion, Anuria, Atrophy, Azoturia, Bradycardia, Colitis, Conjunctivitis, Constipation, Eczema, Fasciculation, Haematoma, Hepatopathy, Hyperactivity, Hyperaesthesia, Hypersensitive to stimuli, Incoordination, Inflammation, Laryngitis, Periorbital swelling, Polymyositis, Scrotitis, Urine (abnormal), Weakness.

To protect your privacy, please do not include contact information in your feedback. If you would like a response, please contact us.