Evidence map›Paper›PMID 34939617›Full record

ArticleLa Medicina del lavoro2021

Side effects among healthcare workers from a large Milan university hospital after second dose of BNT162b2 mRNA COVID-19 vaccine.

Elisa Borroni, Dario Consonni, Massimo Cugno, Andrea Lombardi, Davide Mangioni, Patrizia Bono, Massimo Oggioni, Sara Uceda Renteria, Lorenzo Bordini, Carlo Domenico Nava and 11 more

Open access · diamondAbstract read
In one paragraph

Article in La Medicina del lavoro, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Vaccination Open Day: A Cross-Sectional Study on the 2023 Experience in Lombardy Region, Italy.International journal of environmental research and public health · 2024
    Article
  3. Increased Risk of Thyroid Eye Disease Following Covid-19 Vaccination.The Journal of clinical endocrinology and metabolism · 2024
    Article
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  7. Review
  8. Review
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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 at 3 institutions in 1 country.

Elisa BorroniDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy. elisa.borroni@unimi.it.
Dario ConsonniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. dario.consonni@unimi.it.
Massimo CugnoDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. massimo.cugno@unimi.it.
Andrea LombardiDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. andrea.lombardi@policlinico.mi.it.
Davide MangioniDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. davide.mangioni@unimi.it.
Patrizia BonoClinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. patrizia.bono@policlinico.mi.it.
Massimo OggioniClinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. massimo.oggioni@policlinico.mi.it.
Sara Uceda RenteriaClinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. sara.ucedarenteria@policlinico.mi.it.
Lorenzo BordiniOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. lorenzo.bordini@policlinico.mi.it.
Carlo Domenico NavaOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. carlo.nava@policlinico.mi.it.
Matteo LetzgusMedical Direction, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. matteo.letzgus@policlinico.mi.it.
Flaminia Gentiloni SilverjMedical Direction, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. flaminia.gentiloni@policlinico.mi.it.
Silvana CastaldiDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy. silvana.castaldi@policlinico.mi.it.
Magda RognoniEpidemiology Unit, ATS Brianza, Monza, Italy. magda.rognoni@ats-brianza.it.
Luca Cavallieri D'OroEpidemiology Unit, ATS Brianza, Monza, Italy. luca.cavalieridoro@ats-brianza.it.
Michele CarugnoDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy. michele.carugno@unimi.it.
Luciano RiboldiOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. luciano.riboldi@policlinico.mi.it.
Ferruccio CeriottiClinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. ferruccio.ceriotti@policlinico.mi.it.
Alessandra BanderaDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. alessandra.bandera@unimi.it.
Andrea GoriDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy. andrea.gori@unimi.it.
Angela Cecilia PesatoriDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy. angela.pesatori@unimi.it.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITFondazione Lanza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Italy, healthcare workers (HCWs) were among the first to receive COVID-19 vaccination. Aim of the present study is to evaluate frequency and severity of adverse events (AEs) following the second dose of BNT162b2 vaccine among HCWs of a large university hospital in Milan, Italy.

methodsOne month after having received the second dose of vaccine, HCWs filled-in a form about type, severity, and duration of post-vaccination local and systemic symptoms. We calculated the overall frequency of AEs and used multivariable Poisson regression models (adjusted for sex, age, BMI, smoking, allergy history, previous SARS-CoV-2 infection, anti-hypertensive therapy, and occupation) to calculate risk ratios (RR) and 95% confidence intervals (CI) of AEs according to selected variables.

resultsWe included 3659 HCWs. Overall, 2801 (76.6%) experienced at least one local event, with pain at injection site being the most frequent (2788, 76.2%). Systemic events were reported by 2080 (56.8%) HCWs, with fatigue (52.3%), muscle pain (42.2%), headache (37.7%), joint pain (31.9%), and fever (26.2%) being the most frequent. Risks of systemic events were associated with female gender (RR=1.14, CI: 1.06-1.23), age (strong decrease with increasing age, p-trend<0.001), allergy history (RR=1.13, CI: 1.05-1.20), and current smoking (RR=0.90, CI: 0.84-0.97). HCWs with previous SARS-CoV-2 infection (even if symptomatic) were not at increased risk.

conclusionsBoth local and systemic acute effects after second dose of BNT162b2 vaccine were frequently reported. However, symptoms were mostly light/mild and of short duration. Thus, our findings support the safety of COVID-19 vaccination in adults in relatively good health.

Indexed as

COVID-19COVID-19 VaccinesAdultBNT162 VaccineFemaleHealth PersonnelHospitalsHumansRNA, MessengerSARS-CoV-2BNT162 VaccineCOVID-19 VaccinesRNA, Messenger

Identifiers

PMID34939617
PMCPMC8759050
OpenAlexW4200182988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.