Doroftei Bogdan, Ciobica Alin, Ilie Ovidiu-Dumitru, Maftei Radu, Ilea Ciprian
Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", University Street, no 16, 700115 Iasi, Romania.
Clinical Hospital of Obstetrics and Gynecology "Cuza Voda", Cuza Voda Street, no 34, 700038 Iasi, Romania.
Diagnostics (Basel). 2021 Mar 24;11(4):579. doi: 10.3390/diagnostics11040579.
Severe Acute Respiratory Syndrome Coronavirus 2 is a novel strain of human beta-coronavirus that has produced over two million deaths and affected one hundred million individuals worldwide. As all the proposed drugs proved to be unstable, inducing side effects, the need to develop a vaccine crystallized in a short time. As a result, we searched the databases for articles in which the authors reported the efficacy and safety of the use of several vaccines vaccines by sex, age group, and frequency of adverse reactions. We identified a total of 19 relevant articles that were discussed throughout this manuscript. We concluded that from all eleven vaccines, three had an efficacy >90% (Pfizer-BioNTech (95%), Moderna (94%), and Sputnik V (92%)) except for Oxford-AstraZeneca (81%). However, Moderna, Sputnik V, and Oxford-AstraZeneca also alleviate severe adverse reactions, whereas in Pfizer-BioNTech this was not revealed. The remaining five (Convidicea (AD5-nCOV); Johnson & Johnson (Ad26.COV2.S); Sinopharm (BBIBP-CorV); Covaxin (BBV152), and Sinovac (CoronaVac)) were discussed based on their immunogenicity, and safety reported by the recipients since only phases 1 and 2 were conducted without clear evidence published regarding their efficacy. CoviVac and EpiVacCorona have just been approved, which is why no published article could be found. All adverse events reported following the administration of one of the four vaccines ranged from mild to moderate; limited exceptions in which the patients either developed severe forms or died, because most effects were dose-dependent. It can be concluded that aforementioned vaccines are efficient and safe, regardless of age and sex, being well-tolerated by the recipients.
严重急性呼吸综合征冠状病毒2是一种新型人类β冠状病毒毒株,已在全球导致超过200万人死亡,影响了1亿人。由于所有提议的药物都被证明不稳定且会引发副作用,因此在短时间内开发疫苗的需求变得迫切。因此,我们在数据库中搜索了相关文章,其中作者按性别、年龄组和不良反应发生率报告了几种疫苗使用的有效性和安全性。我们总共确定了19篇相关文章,并在本手稿中进行了讨论。我们得出结论,在所有11种疫苗中,除牛津-阿斯利康(约81%)外,有三种疫苗的有效性>90%(辉瑞-生物科技(约95%)、莫德纳(约94%)和卫星V(约92%))。然而,莫德纳、卫星V和牛津-阿斯利康也能减轻严重不良反应,而辉瑞-生物科技则未显示出这一点。其余五种疫苗(康希诺(AD5-nCOV);强生(Ad26.COV2.S);国药集团(BBIBP-CorV);科维福(BBV152)和科兴(克尔来福))是根据其免疫原性以及接受者报告的安全性进行讨论的,因为仅进行了1期和2期试验,没有关于其有效性的明确证据发表。科维瓦克和埃皮瓦克冠状病毒刚刚获得批准,这就是为什么找不到已发表文章的原因。接种这四种疫苗之一后报告的所有不良事件从轻度到中度不等;只有有限的例外情况,即患者出现严重症状或死亡,因为大多数影响是剂量依赖性的。可以得出结论,上述疫苗无论年龄和性别如何,都是有效且安全的,接受者耐受性良好。