Local and Systemic Adverse Reactions to mRNA COVID‐19 Vaccines Comparing Two Vaccine Types and Occurrence of Previous COVID‐19 Infection.

Oleguer Pares Badell, Javier Martinez Gomez*, Laia Pinós Tella, Blanca Borras Bermejo, Sonia Maria Uriona Tuma, Susana Isabel Otero Romero, Jose Angel Rodrigo Pendas, Y Cosio-Gil, M. Antonieta Agusti Escasany, C Aguilera Martin, , M Campins

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)

Abstract

The aim of this study was to assess adverse reactions to COVID-19 vaccines, comparing the BNT162b2 or the mRNA-1273 COVID-19 vaccines and the presence and seriousness of a previous COVID-19 infection. We conducted a cross-sectional online survey of vaccinated healthcare workers at a tertiary hospital in Barcelona (Spain). Thirty-eight percent of vaccine recipients responded to the questionnaire. We compared the prevalence of adverse reactions by vaccine type and history of COVID-19 infections. A total of 2373 respondents had received the BNT162b2 vaccine, and 506 the mRNA-1273 vaccine. The prevalence of at least one adverse reaction with doses 1 and 2 was 41% and 70%, respectively, in the BNT162b2 group, and 60% and 92% in the mRNA-1273 group (p < 0.001). The BNT162b2 group reported less prevalence of all adverse reactions. Need for medical leave was significantly more frequent among the mRNA-1273 group (12% versus 4.6% p < 0.001). Interestingly, respondents with a history of allergies or chronic illnesses did not report more adverse reactions. The frequency of adverse reactions with dose 2 was 96% (95% CI 88-100%) for those with a history of COVID-19 related hospitalization, and 86% (95% CI 83-89%) for those with mild or moderate symptomatic COVID-19, significantly higher than for participants with no history of COVID-19 infections (67%, 95% CI 65-69%). Our results could help inform vaccine recipients of the probability of their having adverse reactions to COVID-19 vaccines.
Original languageEnglish
Article number1463
Number of pages9
JournalVaccines
Volume9
Issue number12
DOIs
Publication statusPublished - 10 Dec 2021

Keywords

  • SARS-CoV-2
  • COVID-19-vaccination
  • mRNA vaccines
  • Adverse reactions
  • Healthcare workers

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