Evidence map›Paper›PMID 33691913›Full record

SynthesisZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics2021

Efficacy and safety of COVID-19 vaccines: a systematic review.

Kai Xing, Xiao-Yan Tu, Miao Liu, Zhang-Wu Liang, Jiang-Nan Chen, Jiao-Jiao Li, Li-Guo Jiang, Fu-Qiang Xing, Yi Jiang

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 7 pooled it
8.8field-weighted citation impact, top 2% of its field
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

80 citing papers in PubMed, 7 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Assessing the robustness of COVID-19 vaccine efficacy trials: systematic review and meta-analysis, January 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Pooled it
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  5. COVID-19 vaccination and carditis in children and adolescents: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Pooled it
  6. Immunogenicity and Safety of the COVID-19 Vaccines Compared With Control in Healthy Adults: A Qualitative and Systematic Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022
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  17. Social Representations of Hesitant Brazilians about Vaccination against COVID-19.International journal of environmental research and public health · 2023
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20 more citing papers are in PubMed but not listed here.

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

9 authors at 2 institutions in 1 country.

Kai XingDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Xiao-Yan TuDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Miao LiuDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Zhang-Wu LiangDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jiang-Nan ChenDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Jiao-Jiao LiDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Li-Guo JiangDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Fu-Qiang XingDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Yi JiangDepartment of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Renmin Hospital of Wuhan University · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate systematically the efficacy and safety of COVID-19 vaccines.

methodsPubMed, Embase, Cochrane Library, Clinicaltrial.gov, CNKI, Wanfang Data, China Biomedical Literature Service System, and China Clinical Trial Registry were searched for randomized controlled trials of COVID-19 vaccines published up to December 31, 2020. The Cochrane bias risk assessment tool was used to assess the quality of studies. A qualitative analysis was performed on the results of clinical trials.

resultsThirteen randomized, blinded, controlled trials, which involved the safety and efficacy of 11 COVID-19 vaccines, were included. In 10 studies, the 28-day seroconversion rate of subjects exceeded 80%. In two 10 000-scale clinical trials, the vaccines were effective in 95% and 70.4% of the subjects, respectively. The seroconversion rate was lower than 60% in only one study. In six studies, the proportion of subjects who had an adverse reaction within 28 days after vaccination was lower than 30%. This proportion was 30%-50% in two studies and > 50% in the other two studies. Most of the adverse reactions were mild to moderate and resolved within 24 hours after vaccination. The most common local adverse reaction was pain or tenderness at the injection site, and the most common systemic adverse reaction was fatigue, fever, or bodily pain. The immune response and incidence of adverse reactions to the vaccines were positively correlated with the dose given to the subjects. The immune response to the vaccines was worse in the elderly than in the younger population. In 6 studies that compared single-dose and double-dose vaccination, 4 studies showed that double-dose vaccination produced a stronger immune response than single-dose vaccination.

conclusionsMost of the COVID-19 vaccines appear to be effective and safe. Double-dose vaccination is recommended. However, more research is needed to investigate the long-term efficacy and safety of the vaccines and the influence of dose, age, and production process on the protective efficacy.

Indexed as

COVID-19VaccinesAgedChinaCOVID-19 VaccinesHumansSARS-CoV-2COVID-19 VaccinesVaccines

Identifiers

PMID33691913
PMCPMC7969187
OpenAlexW3134727708

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.