新冠病毒信使核糖核酸疫苗安全性综述:一篇综述
Review the safety of Covid-19 mRNA vaccines: a review.
作者信息
Anand Pratibha, Stahel Vincent P
机构信息
University of Colorado (CU) School of Medicine, 13001 E 17th Place, Aurora, CO, 80045, USA.
University of Colorado (CU) Boulder Undergraduate Program, Boulder, CO, 80309, USA.
出版信息
Patient Saf Surg. 2021 May 1;15(1):20. doi: 10.1186/s13037-021-00291-9.
The novel coronavirus disease 2019 (COVID-19) has infected more than 100 million people globally within the first year of the pandemic. With a death toll surpassing 500,000 in the United States alone, containing the pandemic is predicated on achieving herd immunity on a global scale. This implies that at least 70-80 % of the population must achieve active immunity against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), either as a result of a previous COVID-19 infection or by vaccination against SARS-CoV-2. In December 2020, the first two vaccines were approved by the FDA through emergency use authorization in the United States. These vaccines are based on the mRNA vaccine platform and were developed by Pfizer/BioNTech and Moderna. Published safety and efficacy trials reported high efficacy rates of 94-95 % after two interval doses, in conjunction with limited side effects and a low rate of adverse reactions. The rapid pace of vaccine development and the uncertainty of potential long-term adverse effects raised some level of hesitation against mRNA vaccines in the global community. A successful vaccination campaign is contingent on widespread access to the vaccine under appropriate storage conditions, deployment of a sufficient number of vaccinators, and the willingness of the population to be vaccinated. Thus, it is important to clarify the objective data related to vaccine safety, including known side effects and potential adverse reactions. The present review was designed to provide an update on the current state of science related to the safety and efficacy of SARS-CoV-2 mRNA vaccines.
2019年新型冠状病毒病(COVID-19)在大流行的第一年就已在全球感染了超过1亿人。仅在美国,死亡人数就超过50万,控制疫情的关键在于在全球范围内实现群体免疫。这意味着至少70%-80%的人口必须对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)产生主动免疫,这可以通过既往感染COVID-19或接种SARS-CoV-2疫苗来实现。2020年12月,美国食品药品监督管理局(FDA)通过紧急使用授权批准了首批两种疫苗。这些疫苗基于mRNA疫苗平台,由辉瑞/生物科技公司和莫德纳公司研发。已发表的安全性和有效性试验报告显示,两剂间隔接种后,疫苗的有效率高达94%-95%,同时副作用有限,不良反应发生率较低。疫苗研发的快速进展以及潜在长期不良反应的不确定性在全球范围内引发了对mRNA疫苗的一定程度的犹豫。成功的疫苗接种运动取决于在适当的储存条件下广泛获得疫苗、部署足够数量的接种人员以及民众愿意接种。因此,明确与疫苗安全性相关的客观数据非常重要,包括已知的副作用和潜在的不良反应。本综述旨在提供有关SARS-CoV-2 mRNA疫苗安全性和有效性的当前科学现状的最新信息。