Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Contrary to Dr Nass's assertion,
active surveillance was the primary source for the published military data
on smallpox vaccine safety.1 Of 18 myopericarditis
cases reported,2 only 3 were found using
the Vaccine Adverse Event Reporting System. Most were first identified among
well-observed military personnel via reports to headquarters or from the Defense
Medical Surveillance System.3
Grabenstein JD, Riddle JR, Arness MK, Winkenwerder, Jr W. Optimal Intervals and Techniques for Screening Sigmoidoscopy. JAMA. 2003;290(16):2123–2124. doi:10.1001/jama.290.16.2123-a
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