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Dengvaxia (CYD-TDV) is a live, attenuated tetravalent vaccine developed by Sanofi Pasteur for the prevention of dengue disease caused by all four dengue virus serotypes (1, 2, 3, and 4). It is a chimeric vaccine engineered using recombinant DNA technology, where the PrM (pre-membrane) and E (envelope) structural genes of the yellow fever attenuated 17D strain vaccine are replaced with those from the four dengue serotypes. The vaccine is administered subcutaneously. While approved in several regions, its use is generally restricted to individuals with a confirmed prior dengue infection due to an increased risk of severe dengue in those who have not been previously infected, a phenomenon known as antibody-dependent enhancement (ADE).
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