Evidence map›Paper›PMID 39085208›Full record

ArticleNature communications2024

Cohort study of cardiovascular safety of different COVID-19 vaccination doses among 46 million adults in England.

Samantha Ip, Teri-Louise North, Fatemeh Torabi, Yangfan Li, Hoda Abbasizanjani, Ashley Akbari, Elsie Horne, Rachel Denholm, Spencer Keene, Spiros Denaxas 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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.

Samantha Ip *British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK. hyi20@cam.ac.uk.ORCID http://orcid.org/0000-0001-9162-6727
Teri-Louise North *Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Fatemeh TorabiPopulation Data Science, Swansea University Medical School, Faculty of Medicine, Health, and Life Science, Swansea University, Swansea, Wales, UK.ORCID http://orcid.org/0000-0002-5853-4625
Yangfan LiBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Hoda AbbasizanjaniPopulation Data Science, Swansea University Medical School, Faculty of Medicine, Health, and Life Science, Swansea University, Swansea, Wales, UK.ORCID http://orcid.org/0000-0002-9575-4758
Ashley AkbariPopulation Data Science, Swansea University Medical School, Faculty of Medicine, Health, and Life Science, Swansea University, Swansea, Wales, UK.ORCID http://orcid.org/0000-0003-0814-0801
Elsie HorneDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Rachel DenholmDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-8067-5440
Spencer KeeneBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Spiros DenaxasHealth Data Research UK, London, UK.
Amitava BanerjeeInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0001-8741-3411
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, UK.
Cathie SudlowBritish Heart Foundation Data Science Centre, Health Data Research UK, London, UK.ORCID http://orcid.org/0000-0002-7725-7520
William N WhiteleyBritish Heart Foundation Data Science Centre, Health Data Research UK, London, UK.ORCID http://orcid.org/0000-0002-4816-8991
Jonathan A C SterneDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-8496-6053
Angela M WoodBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7937-304X
Venexia WalkerDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-5064-446X
CVD-COVID-UK/COVID-IMPACT Consortium
Longitudinal Health and Wellbeing COVID-19 National Core Study

Funding

British Heart Foundation (BHF) SP/19/3/34678DH | National Institute for Health Research (NIHR) COV-LT-0009RCUK | Medical Research Council (MRC) MC_PC_20030RCUK | Medical Research Council (MRC) MC_PC_20059RCUK | Medical Research Council (MRC) MC_UU_00032/0Wellcome Trust
6 · The paper itself

Abstract

The first dose of COVID-19 vaccines led to an overall reduction in cardiovascular events, and in rare cases, cardiovascular complications. There is less information about the effect of second and booster doses on cardiovascular diseases. Using longitudinal health records from 45.7 million adults in England between December 2020 and January 2022, our study compared the incidence of thrombotic and cardiovascular complications up to 26 weeks after first, second and booster doses of brands and combinations of COVID-19 vaccines used during the UK vaccination program with the incidence before or without the corresponding vaccination. The incidence of common arterial thrombotic events (mainly acute myocardial infarction and ischaemic stroke) was generally lower after each vaccine dose, brand and combination. Similarly, the incidence of common venous thrombotic events, (mainly pulmonary embolism and lower limb deep venous thrombosis) was lower after vaccination. There was a higher incidence of previously reported rare harms after vaccination: vaccine-induced thrombotic thrombocytopenia after first ChAdOx1 vaccination, and myocarditis and pericarditis after first, second and transiently after booster mRNA vaccination (BNT-162b2 and mRNA-1273). These findings support the wide uptake of future COVID-19 vaccination programs.

Indexed as

Cardiovascular DiseasesCOVID-19COVID-19 VaccinesVaccination2019-nCoV Vaccine mRNA-1273AdolescentAdultAgedAged, 80 and overBNT162 VaccineChAdOx1 nCoV-19Cohort StudiesEnglandFemaleHumansImmunization, Secondary2019-nCoV Vaccine mRNA-1273BNT162 VaccineChAdOx1 nCoV-19COVID-19 Vaccines

Identifiers

PMID39085208
PMCPMC11291640

What OpenQuestion holds

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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.