Evidence map›Paper›PMID 35649591›Full record

ArticleBMJ open2022

Adverse events and overall health and well-being after COVID-19 vaccination: interim results from the VAC4COVID cohort safety study.

Amy Rogers, Evelien Rooke, Steve Morant, Greg Guthrie, Alex Doney, Andrew Duncan, Isla Mackenzie, Rebecca Barr, Filippo Pigazzani, Krists Zutis and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Menstrual Cycle Disturbances after COVID-19 Vaccination: A Cross-Sectional Study.International journal of fertility & sterility · 2024
    Article
  7. Article
  8. Observational
  9. Article
  10. Observational
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

11 authors.

Amy RogersMEMO Research, University of Dundee, Dundee, UK a.rogers@dundee.ac.uk.ORCID 0000-0001-5207-7032
Evelien RookeMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0002-9174-777X
Steve MorantMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0001-5674-3784
Greg GuthrieMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0002-9207-1118
Alex DoneyMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0002-6210-5620
Andrew DuncanClinical Infection Research Group, NHS Lothian, Edinburgh, UK.ORCID 0000-0002-7767-472X
Isla MackenzieMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0002-3680-7127
Rebecca BarrMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0003-4820-4240
Filippo PigazzaniMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0002-8726-306X
Krists ZutisMEMO Research, University of Dundee, Dundee, UK.
Thomas M MacDonaldMEMO Research, University of Dundee, Dundee, UK.ORCID 0000-0001-5189-6669

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the incidence of adverse events (AEs), reactogenicity symptoms, menstrual changes and overall self-rated improvement in health and well-being after COVID-19 vaccination.

designVAC4COVID is an ongoing prospective, active observational, post-authorisation cohort safety study (PASS) of UK-approved vaccines for COVID-19 disease.

settingThe study is conducted through a secure website (www.vac4covid.com) by MEMO Research, University of Dundee, UK.

participants16 265 adult (18 years or older) UK residents with a valid email address and internet access.

interventionsAny UK-authorised COVID-19 vaccination.

main outcome measuresThe outcomes reported in this interim analysis include AEs, reactogenicity-type AEs (headache, fatigue, muscle or joint pain, fever, nausea, dizziness or local vaccine reaction), menstrual changes and reported improvement in overall health and well-being.

results11 475 consented participants (mean age 54.8 years) provided follow-up data between 2 February and 5 October 2021 (mean follow-up duration 184 days), by which date 89.2% of participants had received two vaccine doses. 89.8% of 5222 participants who completed a follow-up questionnaire in the 7 days after any COVID-19 vaccination reported no AEs. The risk of experiencing any event (not necessarily vaccine-related) requiring hospitalisation was less than 0.2%. 43.7% of post-vaccination follow-up records reported improvement in health and well-being. Reactogenicity-type reactions were more common in the week after the first dose of ChAdOx1 than BNT162b2 (7.8% vs 1.6%), but this relationship was reversed after the second dose (1.3% vs 3.1%). 0.3% of women reported menstrual symptoms after vaccination; no differences between vaccine type or dose order were detected.

conclusionsThe study provides reassuring data on low rates of AEs after COVID-19 vaccination. Differences in reactogenicity-type AE profiles between ChAdOx1 and BNT162b2 and between first and second doses of these vaccines were observed. TRIAL REGISTRATION NUMBER: ISRCTN95881792; Pre-results.

Indexed as

COVID-19COVID-19 VaccinesAdultBNT162 VaccineFemaleHumansMiddle AgedProspective StudiesVaccinationBNT162 VaccineCOVID-19 Vaccinesadverse eventsclinical pharmacologyCOVID-19

Identifiers

PMID35649591
PMCPMC9160588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.