Brazil temporarily suspends use of the world’s first single-dose dengue vaccine after two reported deaths that health officials describe as suspicious. The suspension is announced by the health ministry and follows an adverse-reaction review involving people vaccinated between January and May. Authorities report that 501,044 people receive doses during that period, with 3,703 recipients (about 0.7%) developing symptoms similar to dengue and 42 people experiencing “more severe reactions.” Health officials say three severe cases are recorded, including the deaths of a 58-year-old man and a 48-year-old woman, while a 38-year-old woman is later discharged from intensive care. Health Minister Alexandre Padilha says there is not enough data to establish a cause-and-effect link between the vaccine and the serious outcomes, but he characterizes the pattern as a warning signal. The suspension is precautionary, with no immediate details on conditions for restarting vaccination. The vaccine was approved by Brazil’s health authorities in November and was developed in Brazil. Brazil says effects seen are not observed during earlier tests of more than 16,000 volunteers, and it notes the vaccine’s efficacy against severe dengue in trials. Brazil’s decision contrasts with the other dengue vaccine option, TAK-003, which requires two doses.