Multiple choice Vaccine-associated paralytic poliomyelitis (VAPP) is caused by type 1 mutant strain type 2 mutant strain type 3 virulent strain type 2 wild strain Reveal answer Fill a bubble to check yourself C Correct answer Explanation Vaccine-associated paralytic poliomyelitis (VAPP) is caused by type 3 virulent strain. Occasionally, the mutant strains revert to virulent strain and cause polio.