Evidence map›Paper›PMID 38802362›Full record

ArticleNature communications2024

Safety outcomes following COVID-19 vaccination and infection in 5.1 million children in England.

Emma Copland, Martina Patone, Defne Saatci, Lahiru Handunnetthi, Jennifer Hirst, David P J Hunt, Nicholas L Mills, Paul Moss, Aziz Sheikh, Carol A C Coupland and 3 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Emma CoplandNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-9280-5241
Martina PatoneNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Defne SaatciNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-2414-2906
Lahiru HandunnetthiCentre for Human Genetics, University of Oxford, Oxford, UK.
Jennifer HirstNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
David P J HuntUK Dementia Research Institute, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0003-4230-0207
Nicholas L MillsBHF/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0003-0533-7991
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-6895-1967
Aziz SheikhNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7022-3056
Carol A C CouplandNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Anthony HarndenNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Chris RobertsonDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow, UK.ORCID http://orcid.org/0000-0001-6848-5241
Julia Hippisley-CoxNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK. julia.hippisley-cox@phc.ox.ac.uk.ORCID http://orcid.org/0000-0002-2479-7283

Funding

Wellcome Trust
6 · The paper itself

Abstract

The risk-benefit profile of COVID-19 vaccination in children remains uncertain. A self-controlled case-series study was conducted using linked data of 5.1 million children in England to compare risks of hospitalisation from vaccine safety outcomes after COVID-19 vaccination and infection. In 5-11-year-olds, we found no increased risks of adverse events 1-42 days following vaccination with BNT162b2, mRNA-1273 or ChAdOX1. In 12-17-year-olds, we estimated 3 (95%CI 0-5) and 5 (95%CI 3-6) additional cases of myocarditis per million following a first and second dose with BNT162b2, respectively. An additional 12 (95%CI 0-23) hospitalisations with epilepsy and 4 (95%CI 0-6) with demyelinating disease (in females only, mainly optic neuritis) were estimated per million following a second dose with BNT162b2. SARS-CoV-2 infection was associated with increased risks of hospitalisation from seven outcomes including multisystem inflammatory syndrome and myocarditis, but these risks were largely absent in those vaccinated prior to infection. We report a favourable safety profile of COVID-19 vaccination in under-18s.

Indexed as

BNT162 VaccineChAdOx1 nCoV-19COVID-19COVID-19 VaccinesHospitalizationSARS-CoV-2Vaccination2019-nCoV Vaccine mRNA-1273AdolescentChildChild, PreschoolEnglandEpilepsyFemaleHumansMale2019-nCoV Vaccine mRNA-1273BNT162 VaccineChAdOx1 nCoV-19COVID-19 Vaccines

Identifiers

PMID38802362
PMCPMC11130197

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.