Evidence map›Paper›PMID 36851125›Full record

ArticleVaccines2023

Risk of Repeated Adverse Effects following Booster Dose of mRNA COVID-19 Vaccine: Results from the MOSAICO Study.

Pietro Ferrara, Domenico Ponticelli, Lorenzo Losa, Claudia Romeo, Roberto Magliuolo, Andrea Vitale, Anna Zampella, Lucia Alleanza, Mario Borrelli, Beniamino Schiavone and 1 more

Abstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
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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

11 authors.

Pietro FerraraCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-0349-3221
Domenico PonticelliPineta Grande Hospital, 81030 Castel Volturno, Italy.
Lorenzo LosaCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.
Claudia RomeoCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.
Roberto MagliuoloPineta Grande Hospital, 81030 Castel Volturno, Italy.
Andrea VitalePineta Grande Hospital, 81030 Castel Volturno, Italy.ORCID 0000-0001-9759-5378
Anna ZampellaPineta Grande Hospital, 81030 Castel Volturno, Italy.
Lucia AlleanzaPineta Grande Hospital, 81030 Castel Volturno, Italy.
Mario BorrelliPineta Grande Hospital, 81030 Castel Volturno, Italy.
Beniamino SchiavonePineta Grande Hospital, 81030 Castel Volturno, Italy.ORCID 0000-0003-4695-1496
Lorenzo Giovanni MantovaniCenter for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The successful deployment of safe and effective vaccines against coronavirus disease 2019 (COVID-19) has been crucial in reducing the global disease burden. Owing to the need for vaccination series over time, continuous observational studies are needed to estimate the COVID-19 vaccine response in real-world conditions. In particular, the detection, assessment, and understanding of adverse effects following immunization (AEFI) with a COVID-19 vaccine are crucial to better address vaccination strategies. Therefore, this study aimed to investigate the risk of repeated AEFI post-administration of a booster dose of mRNA COVID-19 vaccine in a sample of healthcare workers (HCWs) in an Italian teaching hospital. The data on any local and systemic AEFI were studied in multivariate Poisson regression analyses to model the association between the incidence of each postvaccination symptom and its prior reporting after the administration of the previous doses. Overall, compared with the primary vaccination series, the majority of post-third dose AEFI were less reported. The results from multivariable models showed that the likelihood of reporting an AEFI after the third dose was higher in those who experienced the same postvaccination symptom after the second dose (all AEFI except for itch at injection site) and, although not significant for all AEFI, after the first dose. Any associations with age, gender, smoking habits, previous SARS-CoV-2 infection and other characteristics, as well as the health impact of AEFI were also assessed. Taken together, the results from this research support reframe AEFI symptoms as signals of a robust postvaccination reaction as well as of common vaccine response, and they add important data to inform booster vaccination strategies in HCWs and, extensively, in the adult population.

Indexed as

adverse effects following immunizationAEFIhealthcare workersmRNA COVID-19 vaccinesafetySARS-CoV-2

Identifiers

PMID36851125
PMCPMC9959434

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Registered trials

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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.