Evidence map›Paper›PMID 39659558›Full record

ArticleLancet regional health. Americas2024

mRNA COVID-19 vaccine safety among children and adolescents: a Canadian National Vaccine Safety Network cohort study.

Phyumar Soe, Otto G Vanderkooi, Manish Sadarangani, Monika Naus, Matthew P Muller, James D Kellner, Karina A Top, Hubert Wong, Jennifer E Isenor, Kimberly Marty and 5 more

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

15 authors.

Phyumar SoeVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Otto G VanderkooiDepartment of Pediatrics and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Manish SadaranganiVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Monika NausSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Matthew P MullerDepartment of Medicine, Unity Health Toronto, Toronto, Ontario, Canada.
James D KellnerDepartment of Pediatrics and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Karina A TopCanadian Center for Vaccinology, IWK Health and Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Hubert WongSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Jennifer E IsenorCanadian Center for Vaccinology, IWK Health and Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Kimberly MartyVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Hennady P ShulhaVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Gaston De SerresCHU de Québec-Université Laval, Québec City, Québec, Canada.
Louis ValiquetteDepartment of Microbiology and Infectious Diseases, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Allison McGeerDepartment of Microbiology, Sinai Health System, Toronto, Canada.
Julie A BettingerVaccine Evaluation Center, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Canadian National Vaccine Safety Network conducted active safety surveillance for COVID-19 vaccines. This study aimed to characterize the short-to-medium term safety of mRNA COVID-19 vaccines across the pediatric age spectrum. Methods: In this cohort study, vaccinated and unvaccinated children and adolescents aged 6 months to 19 years from eight Canadian provinces and territories were invited to participate. The outcome was a health event preventing daily activities, resulting in school absenteeism, or requiring medical consultation. Age-stratified multivariable regression models were used to examine health events associated with first and second doses of mRNA COVID-19 vaccines across different age groups: children under 5, children aged 5-11 years and adolescents aged 12-19 years. Findings: From January 2021 through February 2023, a total of 259,361 individuals from the dose one survey, 131,032 from the dose 2 survey, and 1179 from the control survey were included. In the week following dose two, vaccinated adolescents showed a higher proportion of health events [794 (4.6%) of 17,218 BNT162b2 recipients, 98 (8.5%) of 1153 mRNA-1273 recipients, 49 of (10.6%) of 464 heterologous schedule recipients] than unvaccinated adolescents [9 (3.7%) of 242 controls], but most events were self-limited and resolved within 7 days. No significant differences in proportion of health events following mRNA COVID-19 vaccines were observed between vaccinated and unvaccinated groups among adolescents after dose 1, or among children under 5 or those aged 5-11 years after any dose. Reported myocarditis/pericarditis cases within 0-28 days peaked among male adolescents following dose 2, in three of (0.037%) 8088 homologous BNT162b2 recipients, and two of (0.529%) 378 homologous mRNA-1273 recipients. Interpretation: Our findings suggest that reported health events, including myocarditis/pericarditis, vary by pediatric age group. Vaccinated adolescents reported health events more frequently following the second mRNA COVID-19 vaccine dose, while younger age groups did not report events more frequently than their unvaccinated counterparts. Funding: Canadian Immunization Research Network, Canadian Institutes of Health Research; Public Health Agency of Canada; COVID-19 Immunity Task Force.

Indexed as

Adverse events following immunizationMyocarditis/pericarditisVaccine safety monitoring

Identifiers

PMID39659558
PMCPMC11629564

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.