Evidence map›Paper›PMID 34742595›Full record

ArticleVaccine2021

Transient sensory symptoms among first-dose recipients of the BNT162b2 mRNA COVID-19 vaccine: A case-control study.

Miguel García-Grimshaw, Santa Elizabeth Ceballos-Liceaga, Anaclara Michel-Chávez, Mario García-Alanis, Arturo Cadena-Fernández, Javier Andrés Galnares-Olalde, Guillermo Carbajal-Sandoval, Daniel Amado Carrillo-García, Noé Hernández-Valdivia, Laura E Hernández-Vanegas and 10 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

20 authors at 4 institutions in 2 countries.

Miguel García-GrimshawDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico. Electronic address: miguel.garciag@incmnsz.mx.
Santa Elizabeth Ceballos-LiceagaDirección General de Epidemiología, Secretaría de Salud, Gobierno de México, Mexico.
Anaclara Michel-ChávezDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Mario García-AlanisDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Arturo Cadena-FernándezDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Javier Andrés Galnares-OlaldeDepartment of Neurology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.
Guillermo Carbajal-SandovalDirección General de Epidemiología, Secretaría de Salud, Gobierno de México, Mexico.
Daniel Amado Carrillo-GarcíaDirección General de Epidemiología, Secretaría de Salud, Gobierno de México, Mexico.
Noé Hernández-ValdiviaDirección General de Epidemiología, Secretaría de Salud, Gobierno de México, Mexico.
Laura E Hernández-VanegasDepartment of Neurology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.
María Del Mar Saniger-AlbaDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Alonso Gutierrez-RomeroDepartment of Neurology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.
José Luis Díaz-OrtegaCentro Nacional para la Salud de la Infancia y la Adolescencia, Secretaría de Salud, Mexico City, Mexico.
Gustavo Reyes-TeránComisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad, Secretaría de Salud, Mexico City, Mexico.
Hugo López-GatellSecretaría de Salud, Gobierno de México, Mexico.
Fernando Daniel Flores-SilvaDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Carlos Cantú-BritoDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Erwin ChiqueteDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Antonio ArauzDepartment of Neurology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.
Sergio Iván Valdés-FerrerDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Feinstein Institutes for Medical Research, Manhasset, NY, USA. Electronic address: sergio.valdesf@incmnsz.mx.
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXSecretaria de Salud · MXInstituto Nacional de Neurología y Neurocirugía · MXFeinstein Institute for Medical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

mRNA-based COVID-19 vaccines are effective; however, persistent vaccine hesitancy is partly due to a misperception of their potential adverse events. Non-specific sensory symptoms (NSSS) following immunization are thought to be mediated by stress-related responses. In this case-control study, we evaluated NSSS from a cohort of 7,812,845 BNT162b2 first-dose recipients, of whom 10,929 reported an adverse event following immunization (AEFI). We found an overall frequency of 3.4% (377 cases) or 4.8 cases per 100,000 doses administered. Anatomically, the arms (61%) and face/neck region (36.2%) were the most commonly affected sites. The control group had significantly higher rates of reactogenicity-associated symptoms, suggesting that NSSS are reactogenicity-independent; in multivariable analysis, healthcare workers reported sensory symptoms less frequently (aOR 0.54; 95% CI 0.40-0.72;p < 0.001). This is the first study describing the topography and associated factors for developing NSSS among BNT162b2 recipients. The benign nature of these symptoms may help dissipate hesitation towards this vaccine.

Indexed as

COVID-19VaccinesBNT162 VaccineCase-Control StudiesCOVID-19 VaccinesHumansRNA, MessengerSARS-CoV-2BNT162 VaccineCOVID-19 VaccinesRNA, MessengerVaccinesAdverse eventAEFIBNT162b2COVID-19ImmunizationImmunization stress-related responseParesthesiaSARS-CoV-2

Identifiers

PMID34742595
PMCPMC8554108
OpenAlexW3210411407

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.