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德国医护人员和警察中不同SARS-CoV-2疫苗接种方案的受种者报告的反应原性

Recipient-Reported Reactogenicity of Different SARS-CoV-2 Vaccination Regimens among Healthcare Professionals and Police Staff in Germany.

作者信息

Rau Katharina, von Heeringen Edgar, Bühler Nina, Wagenpfeil Stefan, Becker Sören L, Schneitler Sophie

机构信息

Center for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, 66421 Homburg, Germany.

Landespolizeipräsidium-LPP 33, 66121 Saarbrücken, Germany.

出版信息

Vaccines (Basel). 2023 Jun 25;11(7):1147. doi: 10.3390/vaccines11071147.


DOI:10.3390/vaccines11071147
PMID:37514963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10386135/
Abstract

The rapid availability of effective vaccines against SARS-CoV-2 was key during the COVID-19 pandemic. However, vaccine hesitancy and relatively low vaccine coverage rates among the general population and particularly vulnerable populations such as healthcare staff reduced the potential benefits of these vaccines. During the early phase of the pandemic, fear of vaccine-related adverse events was common among individuals who refused vaccination. Between March and May 2021, we comparatively assessed the self-reported reactogenicity of different SARS-CoV-2 prime-boost regimens using mRNA-based (BNT162b2 and mRNA-1273) and vector-based vaccines (ChAdOx1 nCoV-19) in (a) healthcare workers (HCW), and (b) police staff from southwest Germany. The majority of participants (71.8%; 1564/2176) received a homologous vaccination. Among HCW, 75.0% were female, whereas 70.0% of police staff were male. The most frequently reported reactions following the first vaccine administration were pain at the injection site (77.94%; 1696/2176), tiredness (51.75%; 1126/2176), and headache (40.44%; 880/2176), which were more commonly reported by HCW as compared to police staff. In homologous, mRNA-based and heterologous vaccination schedules, more reactions were reported after the second vaccine dose. We conclude that the frequency and intensity of self-perceived vaccine reactogenicity may differ between specific population groups and might be mitigated by tailored communication strategies.

摘要

在新冠疫情期间,快速获得针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的有效疫苗至关重要。然而,疫苗犹豫以及普通人群尤其是医护人员等弱势群体中相对较低的疫苗接种率降低了这些疫苗的潜在益处。在疫情早期,拒绝接种疫苗的个体普遍担心疫苗相关不良事件。2021年3月至5月期间,我们比较评估了在(a)医护人员和(b)德国西南部警察中,使用基于信使核糖核酸(mRNA)的疫苗(BNT162b2和mRNA-1273)和基于载体的疫苗(ChAdOx1 nCoV-19)的不同SARS-CoV-2初免-加强方案的自我报告的反应原性。大多数参与者(71.8%;1564/2176)接受了同源疫苗接种。在医护人员中,75.0%为女性,而警察中有70.0%为男性。首次接种疫苗后最常报告的反应是注射部位疼痛(77.94%;1696/2176)、疲劳(51.75%;1126/2176)和头痛(40.44%;880/2176),与警察相比,医护人员报告这些反应更为常见。在同源、基于mRNA的和异源疫苗接种方案中,第二次接种疫苗后报告的反应更多。我们得出结论,特定人群组之间自我感知的疫苗反应原性的频率和强度可能不同,并且可以通过量身定制的沟通策略来减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/8204705b2486/vaccines-11-01147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/8ac634ef3ac9/vaccines-11-01147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/17e7c8b97cc9/vaccines-11-01147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/982e7f2b6a83/vaccines-11-01147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/8204705b2486/vaccines-11-01147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/8ac634ef3ac9/vaccines-11-01147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/17e7c8b97cc9/vaccines-11-01147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/982e7f2b6a83/vaccines-11-01147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/10386135/8204705b2486/vaccines-11-01147-g004.jpg

相似文献

[1]
Recipient-Reported Reactogenicity of Different SARS-CoV-2 Vaccination Regimens among Healthcare Professionals and Police Staff in Germany.

Vaccines (Basel). 2023-6-25

[2]
Safety, reactogenicity, and immunogenicity of homologous and heterologous prime-boost immunisation with ChAdOx1 nCoV-19 and BNT162b2: a prospective cohort study.

Lancet Respir Med. 2021-11

[3]
Heterologous ChAdOx1 nCoV-19 and BNT162b2 prime-boost vaccination elicits potent neutralizing antibody responses and T cell reactivity against prevalent SARS-CoV-2 variants.

EBioMedicine. 2022-1

[4]
Comparative immunogenicity and reactogenicity of heterologous ChAdOx1-nCoV-19-priming and BNT162b2 or mRNA-1273-boosting with homologous COVID-19 vaccine regimens.

Nat Commun. 2022-8-11

[5]
Heterologous prime-boost immunization with ChAdOx1-S and BNT162b2: reactogenicity and immunogenicity in a prospective cohort study.

Int J Infect Dis. 2023-3

[6]
Effect of priming interval on reactogenicity, peak immunological response, and waning after homologous and heterologous COVID-19 vaccine schedules: exploratory analyses of Com-COV, a randomised control trial.

Lancet Respir Med. 2022-11

[7]
Reactogenicity among health care workers following a BNT162b2 or mRNA-1273 second dose after priming with a ChAdOx1 nCOV-19 vaccine.

Clin Microbiol Infect. 2022-6

[8]
COVID-19 vaccine waning and effectiveness and side-effects of boosters: a prospective community study from the ZOE COVID Study.

Lancet Infect Dis. 2022-7

[9]
Reactogenicity after heterologous and homologous COVID-19 prime-boost vaccination regimens: descriptive interim results of a comparative observational cohort study.

BMC Infect Dis. 2022-5-31

[10]
Immune response and safety of heterologous ChAdOx1-nCoV-19/mRNA-1273 vaccination compared with homologous ChAdOx1-nCoV-19 or homologous mRNA-1273 vaccination.

J Formos Med Assoc. 2022-4

引用本文的文献

[1]
Factors influencing adverse events following COVID-19 vaccination.

Hum Vaccin Immunother. 2024-12-31

本文引用的文献

[1]
COVID-19 Vaccine Acceptance and Hesitancy in Health Care Workers in Somalia: Findings from a Fragile Country with No Previous Experience of Mass Adult Immunization.

Vaccines (Basel). 2023-4-17

[2]
Acceptability of mandatory vaccination against influenza, measles, pertussis and varicella by workers in healthcare facilities: a national cross-sectional study, France, 2019.

Arch Public Health. 2023-4-5

[3]
Pharmacists' attitudes toward influenza vaccination: does the COVID-19 pandemic make a difference?

Explor Res Clin Soc Pharm. 2023-3

[4]
Side Effects Associated With Homologous and Heterologous COVID-19 Vaccines: A Cross-Sectional Study in Saudi Arabia.

Cureus. 2023-1-21

[5]
Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community.

BMC Infect Dis. 2023-1-5

[6]
COVID-19 Vaccination Perspectives and Illnesses Among Law Enforcement Officers, Firefighters, and Other First Responders in the US, January to September 2021.

JAMA Netw Open. 2022-7-1

[7]
Omicron variant infection and the associated immunological scenario.

Immunobiology. 2022-5

[8]
Clinical severity of, and effectiveness of mRNA vaccines against, covid-19 from omicron, delta, and alpha SARS-CoV-2 variants in the United States: prospective observational study.

BMJ. 2022-3-9

[9]
Current evidence on efficacy of COVID-19 booster dose vaccination against the Omicron variant: A systematic review.

J Med Virol. 2022-7

[10]
A Global Survey of COVID-19 Vaccine Acceptance Among Healthcare Workers.

Front Public Health. 2021

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