Evidence map›Paper›PMID 35168837›Full record

ArticleVaccine2022

Impact of prior vaccination with Covishield

Kundavaram Paul Prabhakar Abhilash, Ponnivalavan Mathiyalagan, Vivek Raja K Krishnaraj, Saravanan Selvan, Rohini Kanagarajan, Narmadha P Reddy, Natarajan Rajendiran, Darpanarayan Hazra, Karthik Gunasekaran, Mahesh Moorthy and 13 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  8. Mortality and potential years of life lost due to COVID-19 among healthcare workers in Bahia, 2020-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
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  12. A survey on Malaysian's acceptance and perceptions towards COVID-19 booster dose.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
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  19. Demographics and Clinical Characteristics of COVID-19-vaccinated Patients Admitted to ICU: A Multicenter Cohort Study from India (PostCoVac Study-COVID Group).Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  20. Article
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

23 authors at 1 institution in 1 country.

Kundavaram Paul Prabhakar AbhilashDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India. Electronic address: kpp.abhilash@cmcvellore.ac.in.
Ponnivalavan MathiyalaganDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Vivek Raja K KrishnarajDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Saravanan SelvanDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Rohini KanagarajanDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Narmadha P ReddyDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Natarajan RajendiranDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Darpanarayan HazraDepartment of Emergency Medicine, Christian Medical College, Vellore 632 004, India.
Karthik GunasekaranDepartment of General Medicine, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Mahesh MoorthyDepartment of Clinical Virology, Christian Medical College, Vellore, Tamil Nadu, India. Electronic address: maheshmoorthy@cmcvellore.ac.in.
Sudha JasmineDepartment of General Medicine, Christian Medical College, Vellore 632004, Tamil Nadu, India. Electronic address: sudhajasmine@cmcvellore.ac.in.
John Prasad DavisDepartment of General Medicine, Christian Medical College, Vellore 632004, Tamil Nadu, India. Electronic address: joshnprasad@cmcvellore.ac.in.
Tina GeorgeDepartment of General Medicine, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Krupa GeorgeDepartment of General Medicine, Christian Medical College, Vellore 632004, Tamil Nadu, India. Electronic address: krupageorge@cmcvellore.ac.in.
George M VargheseDepartment of Infectious Disease, Christian Medical College, Vellore 632004, Tamil Nadu, India. Electronic address: georgevargese@cmcvellore.ac.in.
Priscilla RupaliDepartment of Infectious Disease, Christian Medical College, Vellore 632004, Tamil Nadu, India.
T J Barney IsaacDepartment of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India. Electronic address: barneyisaac98@cmcvellore.ac.in.
Richa GuptaDepartment of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India. Electronic address: drricha21@cmcvellore.ac.in.
Kishore PichamuthuDivision of Critical Care, Medical Intensive Care Unit, Christian medical College, Vellore 632004, India.
Melvin JoyDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.
Lakshmanan JayaseelanDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.
Prasad MathewsDepartment of Geriatric Medicine, Medical Superintendent, Christian Medical College, Vellore, India.
John Victor PeterDepartment of Critical Care, Christian Medical College, Vellore, India.
Christian Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 vaccines were authorised for emergency use to mitigate the impact of the pandemic. This study evaluated the effect of prior vaccination with either Oxford Astra Zeneca's Covishield™ or Bharath Biotech's Covaxin® on mortality among symptomatic COVID-19 patients during the second wave of the pandemic in India. METHODOLOGY: In this cohort study comprising of RT-PCR confirmed symptomatic COVID-19 patients presenting during April and May 2021, the effect of prior vaccination on mortality (primary outcome), need for hospitalization, oxygen therapy, non-invasive ventilation (NIV) and intensive care unit (ICU) admission were assessed and expressed as risk ratio (RR) with 95% confidence intervals (CI).

resultsThe mean (SD) age of the cohort (n = 4183) was 46.3 (15.5) years; 17.9% (748/4183) had received at least one dose of Covishield™ and 4.8% (201/4183) had received Covaxin®. Mortality was 0.2% (95% CI: 0.2% - 0.7%), 3.5% (1.9-5.2%), 6.2% (0.3-12%) and 12.9% (11.8-14.1%) among fully vaccinated (>2 weeks after two doses), partially vaccinated (>2 weeks after one dose or <2 weeks after two doses), indeterminate (<2 weeks after one dose) and unvaccinated patients respectively. The difference in mortality among unvaccinated vs. fully vaccinated was 12.7% (95% CI: 11.4-13.9%), unvaccinated vs. partially vaccinated was 9.4% (7.4-11.4%) and unvaccinated vs. indeterminate vaccinated was 6.8% (0.8-12.7%). On adjusted analysis, as compared to unvaccinated patients, at least one dose of vaccine reduced the need for hospitalization (RR: 0.40; 95% CI: 0.35-0.47), oxygen (0.33; 0.27-0.40), NIV (0.23; 0.17-0.32), ICU admission (0.18; 0.12-0.27) and mortality (0.18; 0.11-0.29).

conclusionAmong symptomatic COVID-19 patients, prior vaccination with Covishield ™ or Covaxin® impacted the severity of illness and reduced mortality during a period of widespread delta variant circulation. Full vaccination conferred greater protection than partial vaccination.

Indexed as

ChAdOx1 nCoV-19COVID-19Cohort StudiesCOVID-19 VaccinesHumansMiddle AgedPandemicsSARS-CoV-2VaccinationChAdOx1 nCoV-19COVID-19 VaccinesCorona virusCovaxin®COVID-19Covishield™MortalityVaccination

Identifiers

PMID35168837
PMCPMC8828422
OpenAlexW4213244792

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.