Evidence map›Paper›PMID 33481344›Full record

ArticleInfluenza and other respiratory viruses2021

Absence of association between 2019-20 influenza vaccination and COVID-19: Results of the European I-MOVE-COVID-19 primary care project, March-August 2020.

Esther Kissling, Mariëtte Hooiveld, Mia Brytting, Ana-Maria Vilcu, Marit de Lange, Iván Martínez-Baz, Debbie Sigerson, Theresa Enkirch, Sylvie Belhillil, Adam Meijer and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Influenza and other respiratory viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Esther KisslingEpiconcept, Paris, France.ORCID 0000-0001-7188-8404
Mariëtte HooiveldNivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
Mia BryttingPublic Health Agency of Sweden, Solna, Sweden.
Ana-Maria VilcuSorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France.
Marit de LangeNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Iván Martínez-BazInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Debbie SigersonPublic Health Scotland, Glasgow, Scotland.
Theresa EnkirchPublic Health Agency of Sweden, Solna, Sweden.
Sylvie BelhillilNational Reference Center for Respiratory Viruses, Molecular Genetics of RNA Viruses, Institut Pasteur, UMR 3568 CNRS, University of Paris, Paris, France.
Adam MeijerNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Jesus CastillaInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Naoma WilliamPublic Health Scotland, Glasgow, Scotland.
AnnaSara CarnahanPublic Health Agency of Sweden, Solna, Sweden.
Alessandra FalchiLaboratoire de Virologie, Université de Corse-Inserm, Corte, France.
Janneke HendriksenNivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
Itziar CasadoInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Josie MurrayPublic Health Scotland, Glasgow, Scotland.
Vincent EnoufNational Reference Center for Respiratory Viruses, Molecular Genetics of RNA Viruses, Institut Pasteur, UMR 3568 CNRS, University of Paris, Paris, France.
Frederika DijkstraNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Diogo F P MarquesEpiconcept, Paris, France.
Marta ValencianoEpiconcept, Paris, France.ORCID 0000-0002-2056-1062

Funding

European Union 101003673
6 · The paper itself

Abstract

backgroundClaims of influenza vaccination increasing COVID-19 risk are circulating. Within the I-MOVE-COVID-19 primary care multicentre study, we measured the association between 2019-20 influenza vaccination and COVID-19.

methodsWe conducted a multicentre test-negative case-control study at primary care level, in study sites in five European countries, from March to August 2020. Patients presenting with acute respiratory infection were swabbed, with demographic, 2019-20 influenza vaccination and clinical information documented. Using logistic regression, we measured the adjusted odds ratio (aOR), adjusting for study site and age, sex, calendar time, presence of chronic conditions. The main analysis included patients swabbed ≤7 days after onset from the three countries with <15% of missing influenza vaccination. In secondary analyses, we included five countries, using multiple imputation with chained equations to account for missing data.

resultsWe included 257 COVID-19 cases and 1631 controls in the main analysis (three countries). The overall aOR between influenza vaccination and COVID-19 was 0.93 (95% CI: 0.66-1.32). The aOR was 0.92 (95% CI: 0.58-1.46) and 0.92 (95% CI: 0.51-1.67) among those aged 20-59 and ≥60 years, respectively. In secondary analyses, we included 6457 cases and 69 272 controls. The imputed aOR was 0.87 (95% CI: 0.79-0.95) among all ages and any delay between swab and symptom onset.

conclusionsThere was no evidence that COVID-19 cases were more likely to be vaccinated against influenza than controls. Influenza vaccination should be encouraged among target groups for vaccination. I-MOVE-COVID-19 will continue documenting influenza vaccination status in 2020-21, in order to learn about effects of recent influenza vaccination.

Indexed as

Case-Control StudiesCOVID-19EuropeFemaleHumansInfluenza, HumanInfluenza VaccinesLogistic ModelsMaleOdds RatioOrthomyxoviridaePrimary Health CareRespiratory Tract InfectionsSARS-CoV-2VaccinationInfluenza Vaccinescase-control studyCOVID-19influenza vaccinationmulticentre studySARS-CoV-2test-negative design

Identifiers

PMID33481344
PMCPMC8013620

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.