Evidence map›Paper›PMID 38225804›Full record

ArticlePediatrics2024

Vaccine Effectiveness Against Long COVID in Children.

Hanieh Razzaghi, Christopher B Forrest, Kathryn Hirabayashi, Qiong Wu, Andrea J Allen, Suchitra Rao, Yong Chen, H Timothy Bunnell, Elizabeth A Chrischilles, Lindsay G Cowell and 18 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
23.3field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. A Predictive Model for the Development of Long COVID in Children.International journal of environmental research and public health · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Post-Covid-19 Symptoms in Children: A Cross-Sectional Survey.Journal of paediatrics and child health · 2025
    Article
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 18 institutions in 1 country.

Hanieh RazzaghiApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Christopher B ForrestApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kathryn HirabayashiApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Qiong WuBiostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Andrea J AllenApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Suchitra RaoDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
Yong ChenBiostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
H Timothy BunnellBiomedical Research Informatics Center, Nemours Children's Health, Wilmington, Delaware.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Lindsay G CowellPeter O'Donnell Jr School of Public Health; Department of Immunology, School of Biomedical Sciences, University of Texas Southwestern Medical Center, Dallas, Texas.
Mollie R CumminsCollege of Nursing, University of Utah, Salt Lake City, Utah.
David A HanauerDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan.
Miranda HigginbothamApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Benjamin D HorneIntermountain Heart Institute, Intermountain Health, Salt Lake City, Utah.
Carol R HorowitzInstitute for Health Equity Research, Icahn School of Medicine at Mount Sinai, New York City, New York.
Ravi JhaveriDivision of Infectious Diseases, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Susan KimDivision of Rheumatology, Benioff Children's Hospital, University of California, San Francisco, San Francisco, California.
Aaron MishkinSection of Infectious Diseases, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania.
Jennifer A MuszynskiDivision of Critical Care Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
Susanna NaggieDivision of Infectious Diseases, Duke University School of Medicine, Duke Clinical Research Institute, Durham, North Carolina.
Nathan M PajorDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.
Anuradha ParanjapeSection of Infectious Diseases, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania.
Hayden T SchwenkDivision of Pediatric Infectious Diseases, Stanford School of Medicine, Palo Alto, California.
Marion R SillsOCHIN, Inc, Portland, Oregon.
Yacob G TedlaDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
David A WilliamsDepartment of Anesthesiology, University of Michigan, Ann Arbor, Michigan.
L Charles BaileyApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
RECOVER CONSORTIUM
Children's Hospital of Philadelphia · USTemple University · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USCincinnati Children's Hospital Medical Center · USDuke University · USIcahn School of Medicine at Mount Sinai · USIntermountain Medical Center · USLurie Children's Hospital · USNationwide Children's Hospital · USNemours Children's Health System · USStanford Medicine · USThe University of Texas Southwestern Medical Center · USUCSF Benioff Children's Hospital · USUniversity of Colorado Denver · USUniversity of Iowa · USUniversity of Utah · USVanderbilt University Medical Center · US

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
NHLBI NIH HHS OT2 HL161847
6 · The paper itself

Abstract

objectivesVaccination reduces the risk of acute coronavirus disease 2019 (COVID-19) in children, but it is less clear whether it protects against long COVID. We estimated vaccine effectiveness (VE) against long COVID in children aged 5 to 17 years.

methodsThis retrospective cohort study used data from 17 health systems in the RECOVER PCORnet electronic health record program for visits after vaccine availability. We examined both probable (symptom-based) and diagnosed long COVID after vaccination.

resultsThe vaccination rate was 67% in the cohort of 1 037 936 children. The incidence of probable long COVID was 4.5% among patients with COVID-19, whereas diagnosed long COVID was 0.8%. Adjusted vaccine effectiveness within 12 months was 35.4% (95 CI 24.5-44.7) against probable long COVID and 41.7% (15.0-60.0) against diagnosed long COVID. VE was higher for adolescents (50.3% [36.6-61.0]) than children aged 5 to 11 (23.8% [4.9-39.0]). VE was higher at 6 months (61.4% [51.0-69.6]) but decreased to 10.6% (-26.8% to 37.0%) at 18-months.

conclusionsThis large retrospective study shows moderate protective effect of severe acute respiratory coronavirus 2 vaccination against long COVID. The effect is stronger in adolescents, who have higher risk of long COVID, and wanes over time. Understanding VE mechanism against long COVID requires more study, including electronic health record sources and prospective data.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeAdolescentChildHumansProspective StudiesRetrospective StudiesVaccine Efficacy

Identifiers

PMID38225804
PMCPMC10979300
OpenAlexW4390916010

What OpenQuestion holds

Textmetadata
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.