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The rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has elicited an equally rapid response aiming to develop a COVID-19 vaccine. These efforts are encouraging; however, comprehensive efficacy and safety evaluations are essential in the development of a vaccine, and we can learn from previous vaccine development campaigns. In this Perspective, we summarize examples of vaccine-associated disease enhancement in the history of developing vaccines against respiratory syncytial virus, dengue virus, SARS-CoV and Middle East respiratory syndrome coronavirus, which highlight the importance of a robust safety and efficacy profile, and present recommendations for preclinical and clinical evaluation of COVID-19 vaccine candidates as well as for vaccine design and optimization.
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?:doi
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?:doi
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10.1038/s41579-020-00462-y
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document_parses/pdf_json/77b857067dafa3d813170004d2be714bdc8ef438.json
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document_parses/pmc_json/PMC7566580.xml.json
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?:title
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Learning from the past: development of safe and effective COVID-19 vaccines
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