Evidence map›Paper›PMID 35781813›Full record

Observational studyThe Medical journal of Australia2022

The short term safety of COVID-19 vaccines in Australia: AusVaxSafety active surveillance, February - August 2021.

Lucy Deng, Catherine Glover, Michael Dymock, Alexis Pillsbury, Julie A Marsh, Helen E Quinn, Alan Leeb, Patrick Cashman, Thomas L Snelling, Nicholas Wood and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The Medical journal of Australia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.8field-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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Lucy DengNational Centre for Immunisation Research and Surveillance, Sydney, NSW.ORCID 0000-0003-0066-2218
Catherine GloverNational Centre for Immunisation Research and Surveillance, Sydney, NSW.
Michael DymockPerth Children's Hospital, Perth, WA.
Alexis PillsburyNational Centre for Immunisation Research and Surveillance, Sydney, NSW.
Julie A MarshPerth Children's Hospital, Perth, WA.
Helen E QuinnNational Centre for Immunisation Research and Surveillance, Sydney, NSW.
Alan LeebSmartVax, Perth, WA.
Patrick CashmanHunter New, England, Health, Newcastle, NSW.
Thomas L SnellingThe Children's Hospital at Westmead, Sydney, NSW.
Nicholas WoodNational Centre for Immunisation Research and Surveillance, Sydney, NSW.
Kristine MacartneyNational Centre for Immunisation Research and Surveillance, Sydney, NSW.ORCID 0000-0002-4675-0232
The University of Sydney · AUPrincess Margaret Hospital for Children · AUHunter New England Local Health District · AUIllawarra Health and Medical Research Institute · AUNational Centre for Immunisation Research & Surveillance · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the short term safety of the COVID-19 vaccines Comirnaty (Pfizer-BioNTech BNT162b2) and Vaxzevria (AstraZeneca ChAdOx1) in Australia.

designProspective observational cohort study; online surveys by AusVaxSafety, a national active vaccine safety surveillance system, three and eight days after vaccination. SETTING,

participantsPeople aged 16 years or more who received COVID-19 vaccines at sentinel vaccination hubs, general practices, or Aboriginal Community Controlled Health Organisation clinics, 22 February - 30 August 2021.

main outcome measuresPrimary outcome: proportion of respondents who reported any adverse event following immunisation (AEFI) 0-3 days after vaccination. SECONDARY OUTCOMES: proportions of respondents who reported specific adverse events or medical review for AEFI within seven days of vaccination; impact on usual daily activities; recovery.

results4 851 480 people received COVID-19 vaccines at participating sentinel sites during the study period (25% of all COVID-19 vaccine doses administered in Australia to 30 August 2021). 3 035 983 people responded to both surveys (response rate, 62.6%); 35.9% of respondents reported one or more AEFI 0-3 days after Comirnaty dose 1, 54.7% after Comirnaty dose 2, 52.8% after Vaxzevria dose 1, and 22.0% after Vaxzevria dose 2. Local pain, fatigue, headache, and myalgia were the most frequently reported symptoms. After adjusting for demographic characteristics, vaccination site type, jurisdiction, and self-reported medical conditions, the odds of reporting any AEFI were higher for women than men (range of adjusted odd ratios [aORs], by vaccine and dose, 1.53-1.84), for people with a history of anaphylaxis (aOR range, 1.28-1.45), and for people reporting certain underlying conditions, including obesity (aOR range, 1.15-1.75), immunodeficiency (aOR range, 1.04-2.24), or chronic inflammatory disease (aOR range, 1.05-1.75). 0.9% of respondents sought medical advice in the three days following vaccination, most frequently after Comirnaty dose 2 (1.4%) and Vaxzevria dose 1 (1.2%).

conclusionAusVaxSafety active surveillance affirms the short term safety profile of Comirnaty and Vaxzevria vaccines in a large population sample during the first six months of the Australian COVID-19 vaccination program.

Indexed as

COVID-19COVID-19 VaccinesAdverse Drug Reaction Reporting SystemsAustraliaBNT162 VaccineFemaleHumansMaleProspective StudiesVaccinationVaccinesWatchful WaitingBNT162 VaccineCOVID-19 VaccinesVaccinesCOVID-19Drug-related side effects and adverse reactionsVaccination

Identifiers

PMID35781813
PMCPMC9350119
OpenAlexW4283792884

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.