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Self-Reported Real-World Safety and Reactogenicity of COVID-19 Vaccines: A Vaccine Recipient Survey.

作者信息

Mathioudakis Alexander G, Ghrew Murad, Ustianowski Andrew, Ahmad Shazaad, Borrow Ray, Papavasileiou Lida Pieretta, Petrakis Dimitrios, Bakerly Nawar Diar

机构信息

Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester, Manchester M23 9LT, UK.

North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M23 9LT, UK.

出版信息

Life (Basel). 2021 Mar 17;11(3):249. doi: 10.3390/life11030249.


DOI:10.3390/life11030249
PMID:33803014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8002738/
Abstract

An online survey was conducted to compare the safety, tolerability and reactogenicity of available COVID-19 vaccines in different recipient groups. This survey was launched in February 2021 and ran for 11 days. Recipients of a first COVID-19 vaccine dose ≥7 days prior to survey completion were eligible. The incidence and severity of vaccination side effects were assessed. The survey was completed by 2002 respondents of whom 26.6% had a prior COVID-19 infection. A prior COVID-19 infection was associated with an increased risk of any side effect (risk ratio 1.08, 95% confidence intervals (1.05-1.11)), fever (2.24 (1.86-2.70)), breathlessness (2.05 (1.28-3.29)), flu-like illness (1.78 (1.51-2.10)), fatigue (1.34 (1.20-1.49)) and local reactions (1.10 (1.06-1.15)). It was also associated with an increased risk of severe side effects leading to hospital care (1.56 (1.14-2.12)). While mRNA vaccines were associated with a higher incidence of any side effect (1.06 (1.01-1.11)) compared with viral vector-based vaccines, these were generally milder ( < 0.001), mostly local reactions. Importantly, mRNA vaccine recipients reported a considerably lower incidence of systemic reactions (RR < 0.6) including anaphylaxis, swelling, flu-like illness, breathlessness and fatigue and of side effects requiring hospital care (0.42 (0.31-0.58)). Our study confirms the findings of recent randomised controlled trials (RCTs) demonstrating that COVID-19 vaccines are generally safe with limited severe side effects. For the first time, our study links prior COVID-19 illness with an increased incidence of vaccination side effects and demonstrates that mRNA vaccines cause milder, less frequent systemic side effects but more local reactions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/bd75827a13e1/life-11-00249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/5ae3e409416a/life-11-00249-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/4bdf3a9880b8/life-11-00249-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/2e6117c3a654/life-11-00249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/bd75827a13e1/life-11-00249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/5ae3e409416a/life-11-00249-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/4bdf3a9880b8/life-11-00249-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/2e6117c3a654/life-11-00249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/8002738/bd75827a13e1/life-11-00249-g002.jpg

相似文献

[1]
Self-Reported Real-World Safety and Reactogenicity of COVID-19 Vaccines: A Vaccine Recipient Survey.

Life (Basel). 2021-3-17

[2]
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[3]
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[4]
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[5]
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BMC Med. 2023-9-19

[6]
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BMC Infect Dis. 2023-3-10

[7]
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Lancet Infect Dis. 2022-6

[8]
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Neurol Neuroimmunol Neuroinflamm. 2022-1

[9]
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Trials. 2021-4-13

[10]
Reactogenicity and safety of COVID-19 primary immunisation and booster vaccination regimens: a comparative observational cohort study.

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引用本文的文献

[1]
Network analysis of adverse event patterns following immunization with mRNA COVID-19 vaccines: real-world data from the European pharmacovigilance database EudraVigilance.

Front Med (Lausanne). 2025-2-19

[2]
Coronavirus disease 2019 vaccination and menstrual cycle changes: A cross-sectional study on females of reproductive age in Saudi Arabia.

Medicine (Baltimore). 2025-2-21

[3]
Side Effects of COVID-19 Vaccines in Iraqi Kurdistan: A Population-Based Study.

Cureus. 2024-10-9

[4]
Assessment of COVID-19 Vaccine Impact on Women's Menstrual Health within an 18-Month Follow-Up.

Obstet Gynecol Int. 2024-9-26

[5]
Adverse events following COVID-19 vaccination: A comprehensive analysis of spontaneous reporting data in Ghana.

PLOS Glob Public Health. 2024-9-27

[6]
Comparison of physiological and clinical reactions to COVID-19 and influenza vaccination.

Commun Med (Lond). 2024-8-24

[7]
Assessment of safety and adverse events following COVID-19 vaccination and their predictors in first 30 days among healthcare workers of a tertiary care teaching hospital in North India.

Vaccine X. 2024-7-5

[8]
Medical occurrence and safety of SARS-CoV-2 vaccination outside of the hospital setting.

Intern Emerg Med. 2024-9

[9]
The impact of previous SARS-CoV-2 infection on post-vaccine adverse events in individuals vaccinated with TURKOVAC or CoronaVac -inactivated COVID-19 vaccines.

Hum Vaccin Immunother. 2024-12-31

[10]
Factors influencing adverse events following COVID-19 vaccination.

Hum Vaccin Immunother. 2024-12-31

本文引用的文献

[1]
Antibody Responses in Seropositive Persons after a Single Dose of SARS-CoV-2 mRNA Vaccine.

N Engl J Med. 2021-4-8

[2]
Binding and Neutralization Antibody Titers After a Single Vaccine Dose in Health Care Workers Previously Infected With SARS-CoV-2.

JAMA. 2021-4-13

[3]
Stable neutralizing antibody levels 6 months after mild and severe COVID-19 episodes.

Med. 2021-3-12

[4]
Are overwhelmed health systems an inevitable consequence of covid-19? Experiences from China, Thailand, and New York State.

BMJ. 2021-1-22

[5]
Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine.

N Engl J Med. 2021-2-4

[6]
COVID-19 as the Leading Cause of Death in the United States.

JAMA. 2021-1-12

[7]
Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine.

N Engl J Med. 2020-12-31

[8]
Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort.

Thorax. 2021-4

[9]
Safety and immunogenicity of ChAdOx1 nCoV-19 vaccine administered in a prime-boost regimen in young and old adults (COV002): a single-blind, randomised, controlled, phase 2/3 trial.

Lancet. 2020-11-19

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