Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty ® ).

Autor: Serbanescu-Kele Apor de Zalán C; Department of Intensive Care, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands.; Department of Internal Medicine, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands., Bouwman M; Department of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands., van Osch F; Department of Clinical Epidemiology, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands.; Department of Epidemiology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 HX Maastricht, The Netherlands., Damoiseaux J; Department of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands.; Central Diagnostic Laboratory, Maastricht University Medical Centre, 6229 HX Maastricht, The Netherlands., Funnekotter-van der Snoek MA; Department of Clinical Pharmacy, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands., Verduyn Lunel F; Department of Medical Microbiology, Utrecht University Medical Centre, 3584 CX Utrecht, The Netherlands., Van Hunsel F; Department of Pharmacy, University of Groningen, 9713 AV Groningen, The Netherlands.; Netherlands Pharmacovigilance Centre (Lareb), 5237 MH Hertogenbosch, The Netherlands., de Vries J; Department of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The Netherlands.
Jazyk: angličtina
Zdroj: Vaccines [Vaccines (Basel)] 2023 Dec 29; Vol. 12 (1). Date of Electronic Publication: 2023 Dec 29.
DOI: 10.3390/vaccines12010039
Abstrakt: In healthcare workers (HCWs) and in the general population, fear of adverse effects is among the main reasons behind COVID-19 vaccine hesitancy. We present data on self-reported adverse effects from a large cohort of HCWs who underwent primary (N = 470) and booster (N = 990) mRNA vaccination against SARS-CoV-2. We described general patterns in, and predictors of self-reported adverse effect profiles. Adverse effects following immunisation (AEFI) were reported more often after the second dose of primary immunisation than after the first dose, but there was no further increase in adverse effects following the booster round. Self-reported severity of systemic adverse effects was less following booster immunisation. Prior infection with SARS-CoV-2 was found to be a significant predictor of AEFI following primary immunisation, but was no longer a predictor after booster vaccination. Compared to other studies reporting specifically on adverse effects of SARS-CoV-2 vaccination in healthcare workers, we have a relatively large cohort size, and are the first to compare adverse effects between different rounds of vaccination. Compared to studies in the general population, we have a considerably homogenous population. Insights in AEFI following primary and booster vaccinations may help in addressing vaccine hesitancy, both in HCWs and in the general population.
Databáze: MEDLINE