西班牙加强针接种后新冠疫苗不良反应分析
Analysis of Adverse Effects of COVID-19 Vaccines in Spain following Booster Dose.
作者信息
Ríos Esther, Medrano Sara, Martínez Mercedes, Novella Consuelo, Marcos Esther, Fernández Jose J, Delgado-Iribarren Alberto, Culebras Esther
机构信息
Department of Medicine, Facultad de Medicina, Universidad Complutense Madrid, 28040 Madrid, Spain.
Department of Clinical Microbiology, IdISSC, Hospital Clínico San Carlos, 28040 Madrid, Spain.
出版信息
Vaccines (Basel). 2022 Aug 25;10(9):1397. doi: 10.3390/vaccines10091397.
The present study evaluates the adverse effects of three vaccines: AstraZeneca (Vaxzevria), Pfizer/BioNTech (Comirnaty) and Moderna (Spikevax) according to the dose. From 733 participants collected, the vaccine schedule was as follows: 330 (45%) received a double dose of the AstraZeneca vaccine, 382 (52.1%) received a double dose of Pfizer, 18 (2.5%) received a heterologous prime boost and 3 (0.4%) received a single dose. Pfizer and Moderna vaccines were administered as a third dose in 70 and 121 individuals, respectively. Local and systemic reactions observed in the three vaccines were mild to moderate in severity. Only one AstraZeneca recipient (0.3%) presented a serious adverse effect: blurred vision. Adverse events were more frequent after the first dose of AstraZeneca and after the second dose of Pfizer. As the third dose, Moderna causes more adverse effects than Pfizer regardless of the type of vaccine previously administered, whereas the reactogenicity of a third dose of Pfizer is slightly higher in the group previously vaccinated with Pfizer than in that group with AstraZeneca. In short, secondary effects of the third dose of COVID-19 vaccines were similar to those after dose 2, but their frequency depends on the type of vaccine and the combinations of vaccines.
本研究根据剂量评估了三种疫苗的不良反应
阿斯利康(Vaxzevria)、辉瑞/生物科技(Comirnaty)和莫德纳(Spikevax)。在收集的733名参与者中,疫苗接种方案如下:330人(45%)接种了两剂阿斯利康疫苗,382人(52.1%)接种了两剂辉瑞疫苗,18人(2.5%)接受了异源初免-加强接种,3人(0.4%)接种了单剂。分别有70人和121人将辉瑞和莫德纳疫苗作为第三剂接种。三种疫苗中观察到的局部和全身反应严重程度为轻度至中度。只有一名阿斯利康疫苗接种者(0.3%)出现了严重不良反应:视力模糊。不良反应在阿斯利康疫苗第一剂后和辉瑞疫苗第二剂后更为频繁。作为第三剂,无论之前接种的疫苗类型如何,莫德纳引起的不良反应都比辉瑞更多,而辉瑞第三剂的反应原性在先前接种辉瑞疫苗的组中略高于接种阿斯利康疫苗的组。简而言之,新冠疫苗第三剂的副作用与第二剂后的副作用相似,但其频率取决于疫苗类型和疫苗组合。