Rau Katharina, von Heeringen Edgar, Bühler Nina, Wagenpfeil Stefan, Becker Sören L, Schneitler Sophie
Center for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, 66421 Homburg, Germany.
Landespolizeipräsidium-LPP 33, 66121 Saarbrücken, Germany.
Vaccines (Basel). 2023 Jun 25;11(7):1147. doi: 10.3390/vaccines11071147.
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.
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。
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