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[社区药房中 COVID-19 疫苗的药物警戒。第二剂接种后的结果及两者比较]

[Pharmacovigilance of vaccines against COVID-19 in community pharmacies. Results after the second dose and comparison between both].

作者信息

Mera-Gallego Rocío, León-Rodríguez Laura, Barreiro Juncal Miriam, Pérez Molina Laura, Guisado Barral Bibiana, Busto Domínguez Iván, Andrés-Rodríguez N Floro, Fornos-Pérez José A

机构信息

Farmacéutica comunitaria en Vigo España.

Grupo Berbés de Investigación y Docencia Grupo Berbés de Investigación y Docencia España.

出版信息

Farm Comunitarios. 2023 Jun 1;15(3):5-16. doi: 10.33620/FC.2173-9218.(2023).21. eCollection 2023 Jul 15.

Abstract

AIM

Detection and tracing of suspicious adverse reactions (ARs) in community pharmacies after the second of COVID-19 vaccine dose. Comparison between doses.

METHODS

Design: prospective observational study.

SUBJECTS

Vaccinated against COVID-19, of legal age, who consent to participate.

VARIABLES

Number and percentage of participants with ARs. Number, type and frequency of ARs. Impact on their daily life. Relations between variables.Approved by the Galician Ethical Committee of Research with medicines.

RESULTS

693 participants with the 2nd dose, 63.6% women. Age 56.8 years. 312 (45.0%) vaccinated, 49.4% women and 37.3% men (p<0.0001), reported at least one AR: 43.9% with Comirnaty®, 37.7% with Vaxzevria®, 63.0% with Spikevax®.There were 972 ARs, 75.2% in women and 24.8% in men (p<0.0001). Mean 1.4/vaccinated (maximum 11). The most prevalent AR: pain at injection site 197 (28.4%), tiredness/fatigue 141 (20.3%), myalgia 112 (16.2%), headache 95 (13.7%), fever 84 (12.1%).51 participants with ARs needed professional help: 10 from the doctor, 6 in the emergency room, 3 in hospitals (1 referral), 33 in the pharmacy. 70 (15.1%) were prevented from their daily activity. 201 Ars from vaccinated persons were reported.Number of people vaccinated with ARs and the number of ARs were less with the 2nd dose (p<0.05).Inverse relationship (p<0.05) between "age" and "number of vaccinated with ARs", "need for professional care" and "prevented daily activity".

CONCLUSIONS

The number of vaccinated participants with ARs and their number was also high with the second dose, although lower than with the first. Women and younger people are predictive of increased risk of AR after vaccination against COVID-19.

摘要

目的

检测和追踪新冠疫苗第二剂接种后社区药房中可疑的不良反应(ARs)。比较不同剂次的情况。

方法

设计:前瞻性观察性研究。

研究对象

已接种新冠疫苗、达到法定年龄且同意参与的人群。

变量

出现ARs的参与者数量及百分比。ARs的数量、类型和发生频率。对其日常生活的影响。变量之间的关系。经加利西亚药品研究伦理委员会批准。

结果

693名接种第二剂疫苗的参与者,63.6%为女性。年龄56.8岁。312名(45.0%)接种者报告至少出现一种AR:接种辉瑞疫苗(Comirnaty®)的有43.9%,接种阿斯利康疫苗(Vaxzevria®)的有37.7%,接种莫德纳疫苗(Spikevax®)的有63.0%。共出现972次ARs,75.2%发生在女性,24.8%发生在男性(p<0.0001)。平均每名接种者出现1.4次(最多11次)。最常见的ARs:注射部位疼痛197次(28.4%)、疲倦/乏力141次(20.3%)、肌痛112次(16.2%)、头痛95次(13.7%)、发热84次(12.1%)。51名出现ARs的参与者需要专业帮助:10人求助于医生,6人前往急诊室,3人前往医院(1人转诊),33人前往药房。70人(15.1%)的日常活动受到影响。报告了201次来自接种者的ARs。接种第二剂疫苗后出现ARs的人数和ARs的数量较少(p<0.05)。“年龄”与“出现ARs的接种人数”、“需要专业护理”和“日常活动受影响”之间呈负相关(p<0.05)。

结论

接种第二剂疫苗后出现ARs的接种者数量及其ARs数量也较多,尽管低于第一剂。女性和年轻人在接种新冠疫苗后出现ARs的风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3761/11328522/3ed178f32144/FC15-03-02_gf01.jpg

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