Evidence map›Paper›PMID 38778026›Full record

ArticleNature communications2024

Post-COVID conditions following COVID-19 vaccination: a retrospective matched cohort study of patients with SARS-CoV-2 infection.

Debbie E Malden, In-Lu Amy Liu, Lei Qian, Lina S Sy, Bruno J Lewin, Dawn T Asamura, Denison S Ryan, Cassandra Bezi, Joshua T B Williams, Robyn Kaiser and 9 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

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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

19 authors.

Debbie E Malden *Kaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA. Debbie.E.Malden@kp.org.ORCID http://orcid.org/0000-0003-0567-8294
In-Lu Amy LiuKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.
Lei QianKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.
Lina S SyKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.ORCID http://orcid.org/0000-0003-2762-9266
Bruno J LewinKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.ORCID http://orcid.org/0000-0003-1483-2791
Dawn T AsamuraKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.
Denison S RyanKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.ORCID http://orcid.org/0000-0001-8440-3859
Cassandra BeziKaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.
Joshua T B WilliamsDenver Health, Ambulatory Care Services & Center for Health Systems Research, Denver, USA.
Robyn KaiserHealthPartners Institute, Bloomington, USA.
Matthew F DaleyKaiser Permanente Colorado, Institute for Health Research, Aurora, USA.ORCID http://orcid.org/0000-0003-1309-4096
Jennifer C NelsonKaiser Permanente Washington Health Research Institute (KPWHRI), Seattle, USA.
David L McClureMarshfield Clinic Research Institute, Marshfield, USA.
Ousseny ZerboKaiser Permanente Northern California, Division of Research, Vaccine Study Center, Oakland, USA.ORCID http://orcid.org/0000-0002-8380-6215
Michelle L HenningerKaiser Permanente Northwest, Center for Health Research, Portland, USA.
Candace C FullerHarvard Pilgrim Health Care Institute, Boston, USA.ORCID http://orcid.org/0000-0002-8902-1435
Eric S WeintraubCenters for Disease Control and Prevention, Immunization Safety Office, Atlanta, GA, USA.
Sharon SaydahCenters for Disease Control and Prevention, Immunization Safety Office, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-6350-5300
Sara Y Tartof *Kaiser Permanente Southern California, Department of Research & Evaluation, Pasadena, USA.ORCID http://orcid.org/0000-0003-2336-8476

Funding

U.S. Department of Health & Human Services | Centers for Disease Control and Prevention (CDC) 75D30122D15429
6 · The paper itself

Abstract

COVID-19 vaccinations protect against severe illness and death, but associations with post-COVID conditions (PCC) are less clear. We aimed to evaluate the association between prior COVID-19 vaccination and new-onset PCC among individuals with SARS-CoV-2 infection across eight large healthcare systems in the United States. This retrospective matched cohort study used electronic health records (EHR) from patients with SARS-CoV-2 positive tests during March 2021-February 2022. Vaccinated and unvaccinated COVID-19 cases were matched on location, test date, severity of acute infection, age, and sex. Vaccination status was ascertained using EHR and integrated data on externally administered vaccines. Adjusted relative risks (RRs) were obtained from Poisson regression. PCC was defined as a new diagnosis in one of 13 PCC categories 30 days to 6 months following a positive SARS-CoV-2 test. The study included 161,531 vaccinated COVID-19 cases and 161,531 matched unvaccinated cases. Compared to unvaccinated cases, vaccinated cases had a similar or lower risk of all PCC categories except mental health disorders (RR: 1.06, 95% CI: 1.02-1.10). Vaccination was associated with ≥10% lower risk of sensory (RR: 0.90, 0.86-0.95), circulatory (RR: 0.88, 0.83-0.94), blood and hematologic (RR: 0.79, 0.71-0.89), skin and subcutaneous (RR: 0.69, 0.66-0.72), and non-specific COVID-19 related disorders (RR: 0.53, 0.51-0.56). In general, associations were stronger at younger ages but mostly persisted regardless of SARS-CoV-2 variant period, receipt of ≥3 vs. 1-2 vaccine doses, or time since vaccination. Pre-infection vaccination was associated with reduced risk of several PCC outcomes and hence may decrease the long-term consequences of COVID-19.

Indexed as

COVID-19COVID-19 VaccinesSARS-CoV-2VaccinationAdolescentAdultAgedFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeRetrospective StudiesUnited StatesYoung AdultCOVID-19 Vaccines

Identifiers

PMID38778026
PMCPMC11111703

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.