Adverse Vaccination Reactions in Animals and Man

Main Article Content

Manisha Parihar
RS Chauhan

Abstract

It was only possible because of vaccination that we were able to create a safe environment for us and animals/ pets. If it was not for rabies vaccination, we never would have kept dogs and cats as our companion animals as we do now, and we never would have been able to protect our domestic animals from diseases that not only reduce the productivity but may even be deadly. But the vaccines comes with their own adverse effects such as hypersensitivity reactions which  occur due to some component of the infectious agent or one of its products; due to stabilizers like gelatin; due to adjuvants like aluminium hydroxide; due to preservatives like thiomersal; due to antibiotics like neomycin; and due to a biological culture medium like chicken embryo cells. Other adverse effects include autoimmune disorders like immune mediated hemolytic anemia, thrombocytopenia and neoplastic diseases like fibrosarcomas. Lack of efficacy, interference with diagnostic testing and other occasional suspected product-related issues have also been reported as adverse vaccination reactions. An absence of adverse reaction indicates that the immune system has not been stimulated but due to variability in the vaccines immune system, environmental conditions and the nature of the vaccine, sometimes there may be excessive stimulation of immune system thus causing serious reactions. The common reasons for occurrence of vaccine reactions are contamination of vaccines with extraneous chemical agents, failure to inactivate the vaccine organism in a killed vaccine, adverse vaccine reactions due to vaccine-induced immune suppression, adverse vaccine reactions due to excessive induction of cytokine release. Also other adverse reactions are due to human errors like administration at the wrong site or improper dilution of the vaccines, or improper storage or transportation of vaccines and thus can be minimized. Also some vaccine reactions occur due to simultaneous administration of different vaccines so is preventable. Due to a marked degree of underreporting and a bias toward more severe adverse reactions, proper data for the vaccine reactions is not available from field conditions, also due to limited number of animals used during vaccine trials, there is no accurate data even in controlled settings as to how much adverse reactions can be expected while administering a vaccine. To solve this problem post marketing surveillance for all the vaccines should be done which should involve four interrelated components, namely, data collection, analysis, interpretation, and timely dissemination. To tackle this problem of adverse vaccination reaction we can also go for double blind placebo trails as are done for drug testing in which comparison is done between vaccinated and unvaccinated group and not just one vaccinated group with other vaccinated group.

Article Details

How to Cite
Manisha Parihar, & RS Chauhan. (2021). Adverse Vaccination Reactions in Animals and Man. International Journal of Medical Science and Clinical Research Studies, 1(05), 97–109. https://doi.org/10.47191/ijmscrs/v1-i5-03
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References

Agrawal M, Sharma A, Rajan and Chauhan RS. 2004. Adverse vaccination reactions in animals and poultry. Livestock International, 8(8): 20-23.

Albritton, A. R. (1996). Autoimmune disease and vaccination? Journal of veterinary Allergy and Clinical Immunology, 4, 16-17.

Allison, A. C., and Eugui, E. M. (1995). Induction of cytokine formation by bacteria and

their products. In 'Virulence Mechanisms of Bacterial Pathogens," (J. A. Roth, C. A.

Bolin, K. A. Brogden, F. C. Minion, and M. J. Wannemuehler, eds.) 2nd ed., pp. 303-

American Society for Microbiology Press, Washington, D.C.

Andronikou S, Siamopoulou-Mavridou A, Pontikake M, et al. (1998). Poliovirus vaccination in an infant with hypogammaglobulinaemia. Lancet, 351(9103):674.

Beck, E., and Strohmaier, K. (1987). Subtyping of European foot-and-mouth disease virus strains by nucleotide sequence determination. J. Virol. 61, 1621-1629.

Bellinger, D. A., Chang, J., Bunn, T. 0., Pick, J. R., Murphy, M., and Rahija, R. (1983).

Rabies induced in a cat by high-egg-passage Flury strain vaccine. Journal of the American Veterinary Medical Association, 183, 997-998.

Bennett, B. W. (1982). Efficacy of Pasteurella bacterins for yearling feedlot cattle. Bovine

Pract. 3, 26-30.

Bevan R (1989) Websters Veterinary Digest 24: 1

Bolin, S. R., McClurkin, A. W., Cutlip, R. C., and Coria, M. F. (1985). Severe clinical

disease induced in cattle persistently infected with noncytopathic bovine viral diarrhea virus by superinfection with cytopathic bovine viral diarrhea virus American journal of veterinary research, 46, 573-576.

Bonin, O., Schmidt, I., &Ehrengut, W. (1973). Sensitization against calf serum proteins as a possible cause of allergic reactions after vaccination. Journal of Biological Standardization, 1(2), 187-193.

Brown, F. (1993). Review of accidents caused by incomplete inactivation of viruses. Developments in biological standardization, 81, 103-107.

Brownlie, J., Clarke, M. C., and Howard, C. J. (1984). Experimental production of fatal

mucosal disease in cattle. Veterinary Record114, 535-536.

Bryan, L. A., Fenton, R. A., Misra, V., & Haines, D. M. (1994). Fatal, generalized bovine herpesvirus type-1 infection associated with a modified-live infectious bovine rhinotracheitis parainfluenza-3 vaccine administered to neonatal calves. The Canadian Veterinary Journal, 35(4), 223.

Bush, M., Montali, R. J., Brownstein, D., and James, A. E. J. (1976). Vaccine-Induced canine distemper in a lesser panda. Journal of the American Veterinary Medical Association169, 959-960.

Carmichael, L. E., Joubert, J. C., & Pollock, R. V. (1983). A modified live canine parvovirus vaccine. II. Immune response. The Cornell veterinarian, 73(1), 13.

Carmichael, L. E., Medic, L. S., Bistner, S. I., and Aguirre, G. D. (1975). Viral-antibody complexes in canine adenovirus type 1 (Cav-1) ocular lesions: Leukocyte chemotaxis and enzyme release. The Cornell veterinarian, 65, 331-351.

CDC (1996) Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices (ACIP). Update: vaccine side effects, adverse reactions, contraindications and precautions. MMWR: Morbidity and Mortality Weekly Report, 45(RR 12):22–31.

CDC (2010). Use of Anthrax Vaccine in the United States. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR; 59(RR06); 1-30.

Chauhan RS and Rana JMS. 2010. Recent Advances in Immunobiotechnology. IBT, Patwadangar.

Chauhan RS and Sharma Gagan. 2010. Adverse vaccination reactions. In: Recent Advances in Immunobiotechnology. (Ed. RS Chauhan and JMS Rana). IBT, Patwadangar (UK). pp 131-135.

Chauhan RSand Tripathi BN.2002. Veterinary Immunopathology (Theory and Practice). 1stEdn. International Book Dist. Co. Lucknow. pp 221.

Chauhan RS, Singh GK and Agrawal DK. (Eds.) 2001. Advances in Immunology and Immunopathology. SIIP Pantnagar. pp 294.

Chauhan RS.1998. An Introduction to Immunopathology. G.B. Pant University of Agriculture & Technology, Pantnagar. pp 339.

Chauhan RS. 2018. Illustrated Textbook of Veterinary Pathology. Brillion Publishing, New Delhi. pp 868.

Cherin, P., & Gherardi, R. K. (1998). Emergence of a new entity, the macrophagic myofasciitis. GERMMAD Study Group of the French Association Against Myopathies. Study and research group on acquired dysimmunity-related muscle disease.

Chiang, B. C., Smith, P. C., Nusbaum, K. E., and String fellow, D. A. (1990). The effect of infectious bovine rhinotracheitis vaccine on reproductive efficiency in cattle vaccinated during estrus. Theriogenology, 33, 1113-1120.

Clark, L. K., Molitor, T. W., Gunther, R., and Joo, H. S. (1984). Pathogenicity of a modified-live pseudorabies vaccine virus in lambs. Journal of the American Veterinary Medical Association, 185, 1535- 1537.

Cody CL, Baraff LJ, Cherry JD et al. (1981). Nature and rates of adverse reactions associated with DTP and DT immunizations in infants and children. Pediatrics 68:650–60.

Cullor, J. S. (1994). Safety and efficacy of gram-negative bacterial vaccines. Proceedings of annual conference of american association of Bovine Practioners. 26, 13-26.

Davies DH and Pidford S (1991) Australian Veterinary Journal, 68:183

Debbie, J. G. (1979). Vaccine-induced rabies in a pet skunk. Journal of the American Veterinary Medical Association, 175, 376-377

Dubischar-Kastner, K., Kaltenboeck, A., Klingler, A., Jilma, B., & Schuller, E. (2010). Safety analysis of a Vero-cell culture derived Japanese encephalitis vaccine, IXIARO®(IC51), in 6 months of follow-up. Vaccine, 28(39), 6463-6469.

Duenwald, J. C., Holland, J. M., Gorham, J. R., and Ott, R. L. (1971). Feline panleukopenia: Experimental cerebellar hypoplasia produced in neonatal ferrets with live virus vaccine. Research in veterinary science, 12, 394-396.

Duval, D., Giger, U. (1996). Vaccine-associated immune-mediated hemolytic anemia in the dog. Journal of Veterinary Internal Medicine, 10, 290-295.

Edwards KM, Decker MD, (2008). Pertussis vaccine. In Plotkin S, Orenstein W, Offit P eds. Vaccines, 5th ed., WB Saunders Company:468-517.

Ellis, J. A., and Yong, C. (1997). Systemic adverse reactions in young Simmental calves

following administration of a combination vaccine. Canadian Veterinary Journal, 38, 45-47.

Ellis, J. A., Jackson, M. L., Bartsch, R. C., McGill, L. G., Martin, K. M., Trask, B. R., and Haines, D. M. (1996). Use of immunohistochemistry and polymerase chain reaction for detection of oncornaviruses in formalin-fixed, paraffin-embedded fibrosarcomas

from cats. Journal of the American Veterinary Medical Association, 209, 767-771.

Engels, E. A., Falagas, M. E., Lau, J., &Bennish, M. L. (1998). Typhoid fever vaccines: a meta-analysis of studies on efficacy and toxicity. British medical journal, 316(7125), 110-116.

Erdos, L., Lang, C., Jaszovsky, I., and Nyerges, G. (1975). The demonstration of the

sensitizing effect of the residual animal serum content of vaccines. Journal of Biological Standardization, 3, 77-82.

Erlewein, D. L. (1981). Post-vaccinal rabies in a cat. Feline Practice. 11, 16-21.

Esh, J. B., Cunningham, J. G., and Wiktor, T. J. (1982). Vaccine-induced rabies in four

cats. Journal of the American Veterinary Medical Association, 180, 1336-1339.

Evermann, J. F., McKeiman, A. J., Wilbur, L. A., Levings, R. L., Trueblood, E. S., Baldwin, T. J., & Hughbanks, F. G. (1994). Canine fatalities associated with the use of a modified live vaccine administered during late stages of pregnancy. Journal of Veterinary Diagnostic Investigation, 6(3), 353-357.

Farrington P, Pugh S, Colville A et al. (1995). A new method for active surveillance of adverse events from DTP and MMR vaccines. Lancet 345: 567–9.

Feexy B (1988) Immunisation in Australia, Proceedings of the First National Conference, edited by Thomson T, Public Health Association of Australia and New Zealand, Canberra.

Freestone DS (1979) Developments in biological standardization,43:439

Frick, O. L., & Brooks, D. L. (1983). Immunoglobulin E antibodies to pollens augmented in dogs by virus vaccines. American journal of veterinary research, 44(3), 440-445.

Galanos, C., and Freudenberg, M. A. (1993). Mechanisms of Endotoxin Shock and Endotoxin hypersensitivity. Immunobiology, 187, 346-356.

Gard, S., &Lycke, E. (1957). Inactivation of poliovirus by formaldehyde. Analysis of inactivation curves. Archivfür die gesamte Virusforschung, 7(5), 471-482.

George, L. W., Ardans, A., Mihalyi, J., and Guerra, M. R. (1988). Enhancement of infectious bovine keratoconjunctivitis by modified-live infectious bovine rhinotracheitis virus vaccine. American journal of veterinary research,49, 1800-1806.

Halbrooks, R. D., Swango, L. J., Schnurrenberger, P. R., Mitchell, F. E., and Hill, E. P.

(1981). Response of gray foxes to modified live-virus canine distemper vaccines. Journal of the American Veterinary Medical Association, 179, 1170-1174.

Henderson, B., and Wilson, M. (1995). Modulins: A new class of cytokine-inducing, proinflammatory bacterial virulence factor. Inflammation Research 44, 187-197.

Hendrick, M. J., Goldschmidt, M. H., Shofer, F. S., Wang, Y. Y., and Somlyo, A. P. (1992). Postvaccinal sarcomas in the cat: Epidemiology and electron probe microanalytical identification of aluminum. Cancer Research 52, 5391-5394.

Hendrick, M. J., Shofer, F. S., Goldschmidt, M. H., Haviland, J. C., Schelling, S. H.,

Engler, S. J., and Glaitto, J. M. (1994). Comparison of fibrosarcomas that developed at

vaccination sites and at nonvaccination sites in cats: 239 cases (1991-1992). Journal of the American Veterinary Medical Association, 205, 1425-1429.

Jensen, M. H. (1981). Hog cholera antibodies in pigs vaccinated with an Aujeszky-vaccine based on antigen produced in IB-RS-2 cells. Acta veterinariascandinavica.

Kaltenböck, A., Dubischar-Kastner, K., Schuller, E., Datla, M., Klade, C. S., & Kishore, T. S. A. (2010). Immunogenicity and safety of IXIARO®(IC51) in a Phase II study in healthy Indian children between 1 and 3 years of age. Vaccine, 28(3), 834-839.

Kass, P. H., Barnes, W. G., Spangler, W. L., Chomel, B. B., and Culbertson, M. R. (1993). Epidemiologic evidence for a causal relation between vaccination and fibrosarcoma tumorigenesis in cats. Journal of the American Veterinary Medical Association, 203, 396-405.

Kazacos, K. R., Thacker, H. L., Shivaprasad, H. L., and Burger, P. P. (1981). Vaccination induced distemper in kinkajous. Journal of the American Veterinary Medical Association, 179, 1166-1169.

Kesel, M. L., and Neil, D. H. (1983). Combined MLV canine parvovirus vaccine: Immunosuppression with infective shedding. VM / SAC, Veterinary Medical Small Animal Clinics 78,687-691.

King, A. M. Q., Underwood, B. O., McCahon, D., Newman, J. W. I., and Brown, F. (1981). Biochemical identification of viruses causing the 1981 outbreaks of foot-and-mouth disease virus in the U.K. Nature, 293, 479-480.

Kinney, R. M., Tsuchiya, K. R., Sneider, J. M., & Trent, D. W. (1992). Molecular evidence for the origin of the widespread Venezuelan equine encephalitis epizootic of 1969 to 1972. Journal of general virology, 73(12), 3301-3305.

Krakowka, S., Olsen, R. G., Axthelm, M., Rice, J., and Winters, K. (1982). Canine parvovirus infection potentiates canine distemper encephalitis attributable to modified live-virus vaccine. Journal of the American Veterinary Medical Association, 180, 137-139.

Lambert, G. (1973). Bovine viral diarrhea: Prophylaxis and postvaccinal reactions. Journal of the American Veterinary Medical Association, 163, 874-876.

Lohr, C. H., Evermann, J. F., and Ward, A. C. (1983). Investigation of dams and their

offspring inoculated with a vaccine contaminated by bovine viral diarrhea virus. VM/ SAC, Veterinary Med. Small Anim Clinic. 78, 1263-1266.

Løken, T., Krogsrud, J., & Bjerkås, I. (1991). Outbreaks of border disease in goats induced by a pestivirus-contaminated orf vaccine, with virus transmission to sheep and cattle. Journal of comparative pathology, 104(2), 195-209.

Macartney L, Thompson H, McCandlish IAP and Cornell fIJC(1988) Veterinary Record, 122 ; 513

Mastro, J. M., Axthelm, M., Mathes, L. E., Krakowka, S., Ladiges, W., and Olsen, R. G.

(1986). Repeated suppression of lymphocyte blastogenesis following vaccination of

CPV-immune dogs with modified-live CPV vaccines. Veterinary Microbiology. 12, 201-211.

McGavin D (1989) Websters Veterinary Digest, 24: 3

Miller, J. M., Van der Maaten, M., and Whetstone, C. A. (1989). Infertility in heifers inoculated with modified-live bovine herpesvirus-1 vaccinal strains against infectious bovine rhinotracheitis on postbreeding day 14. American Journal of Veterinary Research, 50, 551-554.

Myers MG, Beckman CW, Vosdingh RA et al. (1982). Primary immunization with tetanus and diphtheria toxoids. Reactions rate and immunogenicity in older children and adults. Journal of the American Medical Association 248:2478–80.

Nathanson, N., and Langmuir, A. D. (1963). The Cutter incident. Poliomyelitis following

formaldehyde-inactivated poliovirus vaccination in the United States during the spring of 1955. American Journal of Hygiene, 78, 16-28.

Neaton, H. J. (1986). Which BVD vaccine should I use? Veterinary Medicine, 81, 876-881.

Nohynek, H., Jokinen, J., Partinen, M., Vaarala, O., Kirjavainen, T., Sundman, J., Himanen, S.L., Hublin, C., Julkunen, I., Olsén, P. and Saarenpää-Heikkilä, O., 2012. AS03 adjuvanted AH1N1 vaccine associated with an abrupt increase in the incidence of childhood narcolepsy in Finland. PloS one, 7(3), 33536.

Partinen, M., Saarenpää-Heikkilä, O., Ilveskoski, I., Hublin, C., Linna, M., Olsén, P., Nokelainen, P., Alén, R., Wallden, T., Espo, M. and Rusanen, H., 2012. Increased incidence and clinical picture of childhood narcolepsy following the 2009 H1N1 pandemic vaccination campaign in Finland. PloS one, 7(3), 33723.

Pedersen, N. C., and Black, J. W. (1983). Attempted immunization of cats against feline infectious peritonitis, using avirulent live virus or sublethal amounts of virulent virus. American Journal of Veterinary Research, 44, 229-234.

Pedersen, N. C., Emmons, R. W., Selcer, R., Woodie, J. D., Holliday, T. A., and Weiss, M. (1978). Rabies vaccine virus infection in three dogs. Journal of the American Veterinary Medical Association, 172,1092-1096.

Pennisi, E. (1997). Monkey virus DNA found in rare human cancers. Science 275, 748-749.

Perryman LE (1989) Clinical Immunology, University of Sydney, Post-graduate Committee in Veterinary Science. Proceedings No 118. P 131

Peter, C. P., Tyler, D. E., and Ramsey, F. K. (1967). Characteristics of a condition following vaccination with bovine virus diarrhea vaccine. Journal of the American Veterinary Medical Association, 150, 46-52.

Phillips, T. R., Jensen, J. L., Rubino, M. J., Yang, W. C., and Schultz, R. D. (1989). Effects of vaccines on the canine immune system. Canadian Journal of Veterinary Research, 53, 154-160.

Povey C (1980) Refresher Course on Cats, Post-graduate Committee in Veterinary Science, University of Sydney, Proceedings No 53, p 665

Povey, R. C., and Wilson, M. R. (1978). A comparison of inactivated feline viral rhinotracheitis and feline caliciviral disease vaccines with live-modified viral vaccines. Feline Practice 8, 35-42.

Punch IP (1990) Post-graduate Committee in Veterinary Science, University of Sydney, Control and Therapy, Article No 3002

Rantala H, Cherry JD, Shields WD, et al. (1994). Epidemiology of Guillain–Barré syndrome in children: relationship of oral polio vaccine administration to occurrence. Journal of Pediatrics, 124:220–3.

Rishniw M (1990) Post-graduate Committee in Veterinary Science, University of Sydney, Control and Therapy, Article No 2921

Rogers, R. J., Dimmock, C. K., de Vost, A. J., and Rodwell, B. J. (1988). Bovine leucosis

virus contamination of a vaccine produced in vivo against bovine babesiosis and anaplasmosis. Australian Veterinary Journal,65, 285-287.

Roitt IM (1984) Essentials of Immunology, Blackwell, Oxford

Roth, J. A., and Kaeberle, M. L. (1983). Suppression of neutrophil and lymphocyte function induced by a vaccinal strain of bovine viral diarrhea virus with and without the concurrent administration of ACTH. American Journal of Veterinary Research, 44, 2366-2372.

Schuh, J., and Walker, S. (1990). Outbreaks of neonatal infectious bovine rhinotracheitis. Canadian Veterinary Journal, 31, 592.

Schulze RD (1982) Journal of the American Veterinary Medical Association, 181: 1142

Shah, K., and Nathanson, N. (1976). Human exposure to SV40: Review and comment.

American Journal of Epidemiology, 103, 1-12.

Sheffy BE (1966) Journal of the American Veterinary Medical Association 149 : 109

Singh BP and Chauhan RS. 1999. Vaccinal failures. Poultry International. 38: 84-88.

Smith JR, Coleman GD, Kirkman DB and Johnson RH (1985) Websters Veterinary Digest (Suppl), August 1985

Smith, P. C., Nusbaum, K. E., Kwapien, R. P., Stringfellow, D. A., & Driggers, K. (1990). Necrotic oophoritis in heifers vaccinated intravenously with infectious bovine rhinotracheitis virus vaccine during estrus. American journal of veterinary research, 51(7), 969-972.

Stewart, R. S., & Gershwin, L. J. (1989a). Role of IgE in the pathogenesis of bovine respiratory syncytial virus in sequential infections in vaccinated and nonvaccinated calves. American journal of veterinary research, 50(3), 349-355.

Stewart, R. S., & Gershwin, L. J. (1989b). Detection of IgE antibodies to bovine respiratory syncytial virus. Veterinary immunology and immunopathology, 20(4), 313-323.

Strom, B. L., Durch, J. S., Zwanziger, L. L., & Joellenbeck, L. M. (Eds.). (2002). The anthrax vaccine: is it safe? Does it work?

Sur D, Ochiai RL, Bhattacharya SK, Ganguly NK, Ali M, Manna B, Ph.D., Dutta S, Donner A, Kanungo S, Park JK, Puri MK, Kim DR, Dutta D, Bhaduri B, Acosta CJ, Clemens JD. (2009) A cluster-randomized effectiveness trial of Vi typhoid vaccine in India. New England Journal of Medicine, 361:335-344.

Thornton, D. H. (1986). A survey of mycoplasma detection in veterinary vaccines. Vaccine 4, 237-240.

Timmer, L. S. J., Amundson, C. D. E., & Malone, C. J. D. (2002). Hypersensitivity pneumonitis following anthrax vaccination. Chest, 122(2), 741-745.

Tizard I (1982) An Introduction to veterinary Immunology, Saunders,

Trinca JC (1979) CSL veterinary Handbook. Commonwealth Serum Laboratories, Parkville

Van Alstine, W. G., Anderson, T. D., Reed, D. E., and Wheeler, J. G. (1984). Vaccine induced pseudorabies in lambs. Journal of the American Veterinary Medical Association, 185, 409-410.

Van der Maaten, M. J., Miller, J. M., and Whetstone, C. A. (1985). Ovarian lesions induced in heifers by intravenous inoculation with modified-live infectious bovine rhinotracheitis virus on the day after breeding. American journal of veterinary research, 46.

Vannier, P., Leforban, Y., Carnero, R., and Cariolet, R. (1988). Contamination of a live virus vaccine against pseudorabies (Aujeszky's disease) by an ovine pestivirus pathogen for the pig. . In Annales de Recherches Veterinaires, 19, 283-290.

Vitale, C.B., Gross, T.L., Magro, C.M., 1999. Vaccine-induced ischemic dermatopathy in the dog. Veterinary Dermatology. 10, 131–142.

Webster AC (1975), Australian Veterinary Journal, 51 :488

Wensvoort, G., & Terpstra, C. (1988). Bovine viral diarrhoea virus infections in piglets born to sows vaccinated against swine fever with contaminated vaccine. Research in Veterinary Science, 45(2), 143-148.

Whetstone, C. A., Bunn, T. O., Emmons, R. W., and Wiktor, T. J. (1984). Use of monoclonal antibodies to confirm vaccine-induced rabies in ten dogs, two cats, and one fox. Journal of the American Veterinary Medical Association, 185, 285-288.

WHO polio vaccine information sheets, 2014.

Wilcock, B.P., Yager, J.A., 1986. Focal cutaneous vasculitis and alopecia at sites of rabies vaccination in dogs. Journal of American Veterinary Medical Association, 188, 1174–1177.

Wilkie, B. N., Markham, R. J. F., and Shewen, P. E. (1980). Response of calves to lung challenge exposure with Pasteurella hemolytica after parenteral or pulmonary immunization. American journal of veterinary research, 41, 1773-1778.

Wright, N. G. (1976). Canine adenovirus: its role in renal and ocular disease: a review. Journal of Small Animal Practice, 17(1), 25-33.

Yeruham, I., Yadin, H., Haymovich, M., & Perl, S. (2001). Adverse reactions to FMD. vaccine Veterinary dermatology, 12(4), 197-201.

Yeung WL et al. (1997). An infant with encephalitis. Lancet, 350:1594.