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评估并比较在德布雷塔博镇接种强生和牛津-阿斯利康疫苗的成年个体的接种后不良反应:一项在埃塞俄比亚西北部的横断面调查。

Evaluation and comparison of post-vaccination adverse effects among Janssen and Oxford-AstraZeneca vaccinated adult individuals in Debre Tabor Town: A cross- sectional survey in Northwest Ethiopia.

机构信息

Department of Biomedical Sciences, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Pharmacy, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Hum Vaccin Immunother. 2022 Nov 30;18(6):2104059. doi: 10.1080/21645515.2022.2104059. Epub 2022 Aug 12.

Abstract

COVID 19 vaccination has recently been launched globally to halt the pandemic. But COVID 19 vaccines have some adverse effects that raise concerns in the global community. This study aimed to evaluate and compare the adverse effects of Janssen and Oxford-AstraZeneca vaccinated adults. A community-based cross-sectional study was conducted from March 15 to 30, 2022 among 421 (211 Janssen and 210 Astra Zeneca vaccinated) adults recruited by a convenience sampling technique in Debre Tabor Town, Northwest Ethiopia. Data were collected via face-to-face interviews and by reviewing the immunization card. Chi-square test, independent -test, and Mann-Whitney test were used to compare the adverse symptoms and related parameters between the two vaccines. A linear regression model was also used to identify predictors of the number of post-vaccination symptoms. The majority (75.8%) of participants reported at least one side effect after vaccination. Adverse symptoms had a significantly greater occurrence ( < .05) among recipients of the AstraZeneca vaccine (84.8%) than receivers of the Janssen vaccine (66.8%). The main adverse symptoms were injection site pain, fever, fatigue, arthralgia, and myalgia in both vaccines. Significant variations ( < .05) between the receipts of the two vaccines were shown in injection site pain, fever, and arthralgia. The total number of symptoms was significantly higher ( < .05) in participants with female sex, younger age, BMI <25 kg/m2, no prior COVID 19, and those who had received AstraZeneca vaccine. Thus, the authors advise that they should receive vaccines with no hesitation, while continuous tracking of vaccine safety is kept in place.

摘要

新冠病毒 19 疫苗接种最近在全球范围内启动,以阻止大流行。但新冠病毒 19 疫苗有一些不良反应,引起了全球社会的关注。本研究旨在评估和比较 Janssen 和牛津-阿斯利康接种的成年人的不良反应。2022 年 3 月 15 日至 30 日,在埃塞俄比亚西北部德布雷塔博镇,采用便利抽样技术招募了 421 名(211 名 Janssen 疫苗接种者和 210 名牛津-阿斯利康疫苗接种者)成年人,进行了一项基于社区的横断面研究。通过面对面访谈和查阅免疫卡收集数据。采用卡方检验、独立检验和曼-惠特尼检验比较两种疫苗的不良反应症状和相关参数。还使用线性回归模型确定接种后症状数量的预测因子。大多数(75.8%)参与者在接种后报告至少有一种不良反应。接种阿斯利康疫苗的人(84.8%)比接种 Janssen 疫苗的人(66.8%)不良反应症状发生率更高,差异有统计学意义( < .05)。两种疫苗的主要不良反应症状为注射部位疼痛、发热、疲劳、关节痛和肌痛。在接种两种疫苗的人中,注射部位疼痛、发热和关节痛方面存在显著差异( < .05)。女性、年龄较小、BMI<25kg/m2、无既往新冠病毒感染和接种阿斯利康疫苗的参与者的总症状数显著更高( < .05)。因此,作者建议他们应该毫不犹豫地接种疫苗,同时继续对疫苗安全性进行跟踪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/382d/9746497/fe67d733f9ac/KHVI_A_2104059_F0001_OC.jpg

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