Hospital Pharmacy Service, Hospital Infanta Elena, Huelva. Spain..
Fundación Andaluza Beturia para la Investigación en Salud, Huelva. Spain Department of Social, Developmental and Educational Psychology, Facultad de Educación, Psicología y Ciencias del Deporte, Universidad de Huelva, Huelva. Spain..
Farm Hosp. 2022 Sep 3;46(5):301-307.
Continuous monitoring of COVID-19 vaccines safety may provide additional information to health care professionals and the general population. The aim of the present study was to analyze the local and systemic adverse events following the administration of the Spikevax® (Moderna) vaccine, and to identify the factors related to greater reactogenicity.
Using a telephone survey, we interviewed 331 recipient of the Spikevax® vaccine (50.2% men; Meanage = 46.4). Participants haracteristics, prior COVID-19 infection and local and systemic adverse events within seven days following the first and second vaccine doses were asked. Results: Injection site pain, fatigue and headache were the most common adverse events. The prevalence and intensity of local events was higher after the first dose, while systemic events were higher in the second one. Most adverse events were mild/moderate; 1.2% of participants needed hospitalization or emergency room visit. Women and participants aged 18-55 years were more likely to experience greater reactogenicity, participants with prior COVID-19 infection had more systemic events after the first dose, and participants with chronic diseases other than hypertension reported fewer systemic adverse events following the second dose.
Our results are consistent with previous studies, identifying women, people aged 18-55 years and those with previous COVID- 19 infection as those who experienced the greatest reactogenicity to the vaccine. A relationship was also found between reactogenicity and suffering from a chronic disease other than hypertension.
对 COVID-19 疫苗安全性进行持续监测,可为医疗保健专业人员和公众提供更多信息。本研究旨在分析 Spikevax®(Moderna)疫苗接种后的局部和全身不良反应,并确定与更高反应原性相关的因素。
我们通过电话调查采访了 331 名接受 Spikevax®疫苗接种的人群(50.2%为男性;平均年龄=46.4 岁)。询问了参与者的特征、既往 COVID-19 感染情况以及在第一和第二剂疫苗接种后 7 天内的局部和全身不良反应。
接种部位疼痛、疲劳和头痛是最常见的不良反应。第一剂后局部事件的发生率和强度较高,而第二剂后全身事件较高。大多数不良反应为轻度/中度;1.2%的参与者需要住院或急诊就诊。女性和 18-55 岁的参与者更有可能出现更高的反应原性,既往 COVID-19 感染的参与者在第一剂后有更多的全身事件,除高血压外患有其他慢性疾病的参与者在接种第二剂后报告的全身不良反应较少。
我们的结果与先前的研究一致,确定了女性、18-55 岁的人群以及既往 COVID-19 感染的人群为对疫苗反应性最强的人群。还发现反应原性与除高血压以外的慢性疾病之间存在关系。