Evidence map›Paper›PMID 36695484›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2023

Adverse events following first and second dose COVID-19 vaccination in England, October 2020 to September 2021: a national vaccine surveillance platform self-controlled case series study.

Ruby Sm Tsang, Mark Joy, Rachel Byford, Chris Robertson, Sneha N Anand, William Hinton, Nikhil Mayor, Debasish Kar, John Williams, William Victor and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-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

11 citing papers in PubMed, 16 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

21 authors at 6 institutions in 1 country.

Ruby Sm TsangNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Mark JoyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Rachel ByfordNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Chris RobertsonPublic Health Scotland, Glasgow, United Kingdom.
Sneha N AnandNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
William HintonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Nikhil MayorChelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Debasish KarNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
John WilliamsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
William VictorRoyal College of General Practitioners, London, United Kingdom.
Ashley AkbariPopulation Data Science, Swansea University Medical School, Swansea University, United Kingdom.
Declan T BradleyPublic Health Agency, Belfast, United Kingdom.
Siobhan MurphyCentre for Public Health, Queen's University Belfast, Belfast, United Kingdom.
Dermot O'ReillyCentre for Public Health, Queen's University Belfast, Belfast, United Kingdom.
Rhiannon K OwenPopulation Data Science, Swansea University Medical School, Swansea University, United Kingdom.
Antony ChuterBREATHE - The Health Data Research Hub for Respiratory Health, Edinburgh, United Kingdom.
Jillian BeggsBREATHE - The Health Data Research Hub for Respiratory Health, Edinburgh, United Kingdom.
Gary HowsamRoyal College of General Practitioners, London, United Kingdom.
Aziz SheikhNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Fd Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Simon de LusignanRoyal College of General Practitioners, London, United Kingdom.
University of Oxford · GBQueen's University Belfast · GBRoyal College of General Practitioners · GBSwansea University · GBChelsea and Westminster Hospital NHS Foundation Trust · GBUniversity of Strathclyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundPost-authorisation vaccine safety surveillance is well established for reporting common adverse events of interest (AEIs) following influenza vaccines, but not for COVID-19 vaccines.AimTo estimate the incidence of AEIs presenting to primary care following COVID-19 vaccination in England, and report safety profile differences between vaccine brands.MethodsWe used a self-controlled case series design to estimate relative incidence (RI) of AEIs reported to the national sentinel network, the Oxford-Royal College of General Practitioners Clinical Informatics Digital Hub. We compared AEIs (overall and by clinical category) 7 days pre- and post-vaccination to background levels between 1 October 2020 and 12 September 2021.ResultsWithin 7,952,861 records, 781,200 individuals (9.82%) presented to general practice with 1,482,273 AEIs, 4.85% within 7 days post-vaccination. Overall, medically attended AEIs decreased post-vaccination against background levels. There was a 3-7% decrease in incidence within 7 days after both doses of Comirnaty (RI: 0.93; 95% CI: 0.91-0.94 and RI: 0.96; 95% CI: 0.94-0.98, respectively) and Vaxzevria (RI: 0.97; 95% CI: 0.95-0.98). A 20% increase was observed after one dose of Spikevax (RI: 1.20; 95% CI: 1.00-1.44). Fewer AEIs were reported as age increased. Types of AEIs, e.g. increased neurological and psychiatric conditions, varied between brands following two doses of Comirnaty (RI: 1.41; 95% CI: 1.28-1.56) and Vaxzevria (RI: 1.07; 95% CI: 0.97-1.78).ConclusionCOVID-19 vaccines are associated with a small decrease in medically attended AEI incidence. Sentinel networks could routinely report common AEI rates, contributing to reporting vaccine safety.

Indexed as

COVID-19COVID-19 VaccinesInfluenza VaccinesBNT162 VaccineChAdOx1 nCoV-19EnglandHumansVaccinationBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesInfluenza VaccinesCOVID-19COVID-19 VaccinesDrug-Related Side Effects and Adverse ReactionsMedical record systems, computerisedPrimary careSentinel surveillanceSNOMED CTVaccination

Identifiers

PMID36695484
PMCPMC9853944
OpenAlexW4317532644

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.