Post-vaccination systemic adverse effects for three COVID-19 vaccines: a cross-sectional study in Iraq
DOI:
https://doi.org/10.60988/p.v37i2S.143Keywords:
COVID-19; post-vaccination; Pfizer-BioNTech; Sinopharm; Oxford-AstraZenecaAbstract
The general population can be enlightened and encouraged to get vaccinated by understanding the adverse effects of vaccination. The study aimed at assessing the risk factors and possible systematic side effects of the immunization against coronavirus disease 2019 (COVID-19) by the most used vaccines in Iraq, being the Oxford-AstraZeneca, the Pfizer-BioNTech, and the Sinopharm vaccines. In addition, the study aimed at comparing the side effects between the different vaccine groups. To this end, this cross-sectional retrospective survey-based study was done during August 2022, through a self-administered online-based multiple choice questionnaire that was distributed among the Iraqi population. In total, 215 participants answered the questionnaire from different regions of Iraq, with a response rate of 100%. Of these participants, 13.03% were men and 86.97% were women. A total of 148 (68.8%) of the participants had obvious adverse effects after vaccination, while 67 (31.2%) were asymptomatic. There was a statistically significant correlation (p<0.05) between variables such as sex, age, vaccine dose, history of COVID-19 infection, and comorbidity with the herein recorded side effects. Localized injection pain, fever, fatigue, headache, localized swelling, and myalgia were the top side effects encountered by the present study, with a severity ranging from mild to moderate.
References
Al-Mousawi M.R.R., Musafer K.N.J., Alattabi A.S., Al-Shuhaib M.B.S. The emergence of a novel SARS-CoV-2 variant with higher efficiency of binding with the human host cell receptors in Iraqi subjects. Biologia 79, 629–641, 2024. DOI: 10.1007/s11756-023-01583-4
Clem A.S. Fundamentals of vaccine immunology. J. Glob. Infect. Dis. 3(1), 73–78, 2011. DOI: 10.4103/0974-777X.77299
Fiolet T., Kherabi Y., MacDonald C.J., Ghosn J., Peiffer-Smadja N. Comparing COVID-19 vaccines for their characteristics, efficacy and effectiveness against SARS-CoV-2 and variants of concern: a narrative review. Clin. Microbiol. Infect. 28(2), 202–221, 2022. DOI: 10.1016/j.cmi.2021.10.005
ElSawi H.A., Elborollosy A. Immune-mediated adverse events post-COVID vaccination and types of vaccines: a systematic review and meta-analysis. Egypt. J. Intern. Med. 34(1), 44, 2022. DOI: 10.1186/s43162-022-00129-5
Almufty H.B., Mohammed S.A., Abdullah A.M., Merza M.A. Potential adverse effects of COVID19 vaccines among Iraqi population; a comparison between the three available vaccines in Iraq; a retrospective cross-sectional study. Diabetes Metab. Syndr. 15(5), 102207, 2021. DOI: 10.1016/j.dsx.2021.102207
Xia S., Duan K., Zhang Y., Zhao D., Zhang H., Xie Z., et al. Effect of an inactivated vaccine against SARS-CoV-2 on safety and immunogenicity outcomes: interim analysis of 2 randomized clinical trials. JAMA 324(10), 951–960, 2020. DOI: 10.1001/jama.2020.15543
Ramos C.L., Kelso J.M. “COVID Arm”: very delayed large injection site reactions to mRNA COVID-19 vaccines. J. Allergy Clin. Immunol. Pract. 9(6), 2480–2481, 2021. DOI: 10.1016/j.jaip.2021.03.055
El Hilali S., Benmlih S., Haroun A.E., Zeghari Z., Khalis M., Frindy M., et al. Adverse effects of COVID-19 vaccines in the Moroccan adults and children during the pandemic. Clin. Epidemiol. Glob. Health 28, 101689, 2024. DOI: 10.1016/j.cegh.2024.101689
Meo A.S., Masood A., Shabbir U., Ali H., Nadeem Z., Meo S.A., et al. Adverse effects of Sinopharm COVID-19 vaccine among vaccinated medical students and health care workers. Vaccines (Basel) 11(1), 105, 2023. DOI: 10.3390/vaccines11010105
Riad A., Pokorná A., Klugarová J., Antalová N., Kantorová L., Koščík M., et al. Side effects of mRNA-based COVID-19 vaccines among young adults (18-30 years old): an independent post-marketing study. Pharmaceuticals (Basel) 14(10), 1049, 2021. DOI: 10.3390/ph14101049