Evidence map›Paper›PMID 38857503›Full record

ArticleAnnals of internal medicine2024

COVID-19 Vaccine Side Effects and Long-Term Neutralizing Antibody Response : A Prospective Cohort Study.

Ethan G Dutcher, Elissa S Epel, Ashley E Mason, Frederick M Hecht, James E Robinson, Stacy S Drury, Aric A Prather

Abstract read
In one paragraph

Article in Annals of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ethan G DutcherDepartment of Psychiatry and Behavioral Sciences, and Center for Health and Community, University of California, San Francisco, San Francisco, California (E.G.D., E.S.E., A.A.P.).ORCID 0000-0002-3405-3309
Elissa S EpelDepartment of Psychiatry and Behavioral Sciences, and Center for Health and Community, University of California, San Francisco, San Francisco, California (E.G.D., E.S.E., A.A.P.).ORCID 0000-0002-8004-2571
Ashley E MasonDepartment of Psychiatry and Behavioral Sciences, and Osher Center for Integrative Health, University of California, San Francisco, San Francisco, California (A.E.M.).ORCID 0000-0002-8744-0185
Frederick M HechtOsher Center for Integrative Health, and Department of Medicine, University of California, San Francisco, San Francisco, California (F.M.H.).ORCID 0000-0002-5782-1171
James E RobinsonDepartment of Pediatrics, Tulane University School of Medicine, New Orleans, Louisiana (J.E.R.).ORCID 0000-0002-9215-9523
Stacy S DruryDepartment of Pediatrics, and Department of Psychiatry, Tulane University School of Medicine, New Orleans, Louisiana; and Department of Psychiatry and Behavioral Sciences, Boston Children's Hospital, Brookline, Massachusetts (S.S.D.).ORCID 0000-0001-5950-0091
Aric A PratherDepartment of Psychiatry and Behavioral Sciences, and Center for Health and Community, University of California, San Francisco, San Francisco, California (E.G.D., E.S.E., A.A.P.).ORCID 0000-0003-1302-8283

Funding

Tulane University COVID Antibody and Immunity Network (TUCAIN) SupplementU54CA260581 · NCI · TULANE UNIVERSITY OF LOUISIANA · PI ROBINSON, JAMES E · 2020 to 2024
$9.2M
Stress, diet quality, and biological aging across the lifespanR24AG048024 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EPEL, ELISSA S., MENDES, WENDY BERRY · 2014 to 2025
$6.2M
Elucidating the measurement of telomeres: Development of a transdisciplinary, high-impact Telomere Research NetworkU24AG066528 · NIA · TULANE UNIVERSITY OF LOUISIANA · PI DRURY, STACY SCHMIDT · 2019 to 2023
$3.0M
Advancing Psychosocial & Biobehavioral Approaches to Improve Emotional Well-BeingU24AG072699 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EPEL, ELISSA S., MENDES, WENDY BERRY · 2021 to 2024
$2.8M
NCI NIH HHS U54 CA260581NIA NIH HHS R24 AG048024NIA NIH HHS U24 AG066528NIA NIH HHS U24 AG072699
6 · The paper itself

Abstract

backgroundConcern about side effects is a common reason for SARS-CoV-2 vaccine hesitancy.

objectiveTo determine whether short-term side effects of SARS-CoV-2 messenger RNA (mRNA) vaccination are associated with subsequent neutralizing antibody (nAB) response.

designProspective cohort study.

settingSan Francisco Bay Area.

participantsAdults who had not been vaccinated against or exposed to SARS-CoV-2, who then received 2 doses of either BNT162b2 or mRNA-1273. MEASUREMENTS: Serum nAB titer at 1 month and 6 months after the second vaccine dose. Daily symptom surveys and objective biometric measurements at each dose.

results363 participants were included in symptom-related analyses (65.6% female; mean age, 52.4 years [SD, 11.9]), and 147 were included in biometric-related analyses (66.0% female; mean age, 58.8 years [SD, 5.3]). Chills, tiredness, feeling unwell, and headache after the second dose were each associated with 1.4 to 1.6 fold higher nAB at 1 and 6 months after vaccination. Symptom count and vaccination-induced change in skin temperature and heart rate were all positively associated with nAB across both follow-up time points. Each 1 °C increase in skin temperature after dose 2 was associated with 1.8 fold higher nAB 1 month later and 3.1 fold higher nAB 6 months later. LIMITATIONS: The study was conducted in 2021 in people receiving the primary vaccine series, making generalizability to people with prior SARS-CoV-2 vaccination or exposure unclear. Whether the observed associations would also apply for neutralizing activity against non-ancestral SARS-CoV-2 strains is also unknown.

conclusionConvergent self-report and objective biometric findings indicate that short-term systemic side effects of SARS-CoV-2 mRNA vaccination are associated with greater long-lasting nAB responses. This may be relevant in addressing negative attitudes toward vaccine side effects, which are a barrier to vaccine uptake. PRIMARY FUNDING SOURCE: National Institute on Aging.

Indexed as

2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingBNT162 VaccineCOVID-19COVID-19 VaccinesSARS-CoV-2AdultAgedAntibodies, ViralChillsFatigueFemaleHeadacheHumansMaleMiddle Aged2019-nCoV Vaccine mRNA-1273Antibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 Vaccines

Identifiers

PMID38857503
PMCPMC12072497

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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.