Evidence map›Paper›PMID 37873626›Full record

ArticleJournal of Korean medical science2023

Effectiveness and Safety of COVID-19 Vaccination During Preconceptional and Preclinical Pregnancy Period: A National Population Study.

Eunseon Gwak, Taemi Kim, Ju-Young Shin, Nam-Kyong Choi, Seungbong Han, Ji Yeon Lee, Young June Choe, Seung-Ah Choe

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. The Effectiveness and Influence of COVID-19 Vaccination on Perinatal Individuals and Their Newborns: An Updated Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  6. 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

8 authors at 5 institutions in 1 country.

Eunseon GwakDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0009-0003-8289-8773
Taemi KimDepartment of Public Health, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0001-9555-3609
Ju-Young ShinDepartment of Biohealth Regulatory Science, School of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0003-1010-7525
Nam-Kyong ChoiDepartment of Health Convergence, College of Science and Industry Convergence, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0003-1153-9928
Seungbong HanDepartment of Biostatistics, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2938-8072
Ji Yeon LeeDepartment of Obstetrics & Gynecology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0002-6610-0245
Young June ChoeDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2733-0715
Seung-Ah ChoeDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea. seungah@korea.ac.kr.ORCID https://orcid.org/0000-0001-6270-5020
Korea University · KRCHA University Bundang Medical Center · KREwha Womans University · KRKorea University Medical Center · KRSungkyunkwan University · KR

Funding

Ministry of Food and Drug Safety 22183MFDS433SK Bioscience Co., Ltd Q2208741
6 · The paper itself

Abstract

backgroundWe aimed to assess the risk of maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and early abortive outcomes after the association between coronavirus disease 2019 (COVID-19) vaccination during the preconceptional period and preclinical pregnancy, which are likely to be inadvertent vaccination.

methodsWe used data from the Korea Disease Control and Prevention Agency-COVID19-National Health Insurance Service cohort from December 2020 to December 2021. The vaccinated pregnant women were matched to unvaccinated pregnant controls at a 1:4 ratio. The risks of SARS-CoV-2 infection and intensive care unit (ICU) admission within 14 days of infection were analyzed to assess its effectiveness. For safety measures, the adjusted relative risks (aRRs) of early abortive outcomes for the first COVID-19 vaccination during the preconceptional and preclinical periods were calculated considering covariates. We compared the risk of early abortion between mRNA and viral vector vaccines.

resultsThe overall COVID-19 vaccination rates during the preconceptional period and preclinical pregnancy were 3.1% (6,662/215,211) and 2.6% (5,702/215,211), respectively. The cumulative incidence of ICU admission within 14 days of SARS-CoV-2 infection was 6/100,000 in the unvaccinated group, whereas there were no ICU admissions in the vaccinated groups. The risks of early abortive outcomes were not significantly different between the preconceptional vaccination group and the unvaccinated group (aRR, 1.04; 95% confidence interval [CI],0.99-1.10) or between preclinical pregnancy vaccination and their matched controls (1.02; 95% CI, 0.96-1.08). mRNA and viral vector vaccines have shown similar risks for early abortive outcomes and miscarriages.

conclusionOur findings have provided compelling evidence regarding the effectiveness and safety of COVID-19 vaccination prior to and during early pregnancy. Further research is required to extend the safety and efficacy profiles of COVID-19 vaccines to pregnant women and their babies.

Indexed as

COVID-19COVID-19 VaccinesFemaleHumansInfantPregnancyRNA, MessengerSARS-CoV-2VaccinationCOVID-19 VaccinesRNA, MessengerCOVID-19PregnancySafetySARS-CoV-2Vaccination

Identifiers

PMID37873626
PMCPMC10593595
OpenAlexW4386913730

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.