Evidence map›Paper›PMID 39905221›Full record

ArticleScientific reports2025

Multicentre case-control study on the association between COVID-19 vaccines and neurological disorders (COVIVAX).

Elisabetta Pupillo, Elisa Bianchi, Ettore Beghi, Francesco Andrea Pedrazzini, Angela Giglio, Edoardo Dalmato Schilke, Marco Percetti, Carlo Morotti Colleoni, Gabriele Mainini, Paolo Calabresi and 23 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

33 authors.

Elisabetta PupilloDipartimento di Neuroscienze, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Elisa BianchiDipartimento di Neuroscienze, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Ettore BeghiDipartimento di Neuroscienze, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Francesco Andrea PedrazziniDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Angela GiglioDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Edoardo Dalmato SchilkeDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Marco PercettiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Carlo Morotti ColleoniDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Gabriele MaininiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Paolo CalabresiDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Guido PrimianoDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Giovanni FrisulloDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Alessandro PadovaniSpedali civili di Brescia, Brescia, Italy.
Viviana CristilloSpedali civili di Brescia, Brescia, Italy.
Andrea PilottoSpedali civili di Brescia, Brescia, Italy.
Davide AriciSpedali civili di Brescia, Brescia, Italy.
Stefano GipponiSpedali civili di Brescia, Brescia, Italy.
Gioacchino TedeschiDivision of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro d'AmbrosioDivision of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Rosario Domenico MelisiDivision of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio GalloDivision of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Alvino BiseccoDivision of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Andrea SalmaggiNeurosciences Department, ASST Lecco, Lecco, Italy.
Paola BasilicoNeurosciences Department, ASST Lecco, Lecco, Italy.
Chiara ScaccabarozziNeurosciences Department, ASST Lecco, Lecco, Italy.
Lorenzo KiferleSOC Neurologia Ospedale S. Stefano Prato Azienda USL Toscana Centro, Prato, Italy.
Raffaella ValentiSOC Neurologia Ospedale S. Stefano Prato Azienda USL Toscana Centro, Prato, Italy.
Gianluca AvinoSOC Neurologia Ospedale S. Stefano Prato Azienda USL Toscana Centro, Prato, Italy.
Annamaria BorghiDepartment of Neurology and Stroke Center, IRCCS Istituto delle Scienze Neurologiche di Bologna, Maggiore Hospital, Bologna, Italy.
Sara ContardiDepartment of Neurology and Stroke Center, IRCCS Istituto delle Scienze Neurologiche di Bologna, Maggiore Hospital, Bologna, Italy.
Andrea ZiniDepartment of Neurology and Stroke Center, IRCCS Istituto delle Scienze Neurologiche di Bologna, Maggiore Hospital, Bologna, Italy.
Carlo FerrareseDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Simone BerettaDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy. simone.beretta@unimib.it.ORCID 0000-0002-9417-2748

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVIVAX study assessed the association between COVID-19 vaccination and the risk of common neurological disorders in a multicenter case-control design. Vaccination exposure was compared between individuals with a first diagnosis of a neurological disorder (cases) and age- and sex-matched controls. A total of 624 participants were enrolled, and after random 1:1 matching 265 cases and 265 matched controls (total 530 participants) were included in the analyses. The most frequent neurological diagnosis in cases were stroke (60.4%), multiple sclerosis (11.3%) and seizures (6.4%). The proportion of vaccinated participants was 72.1% among cases and 79.6% among controls. A protective role of vaccination on the risk of developing a new neurological disorder was detected in the unadjusted analysis (OR 0.50; 95% CI 0.29-0.86; p = 0.0114). After adjustment for confounders, the number of vaccination doses received was associated with a reduced risk of developing new neurological disorders for participants aged over 60 years ( p = 0.0472; OR 0.14, 95% CI 0.03-0.68), with pre-existing comorbidities (p = 0.0122; OR 0.04, 95% CI 0.01-0.99) and for stroke (p = 0.0232; OR 0.04, 95% CI 0.02-0.97). The COVIVAX study provided no warning sign regarding an increase in the risk of developing new neurological disorders following COVID-19 vaccination of any type or doses. A potentially protective effect of multiple doses of COVID-19 vaccines against the risk of stroke in people aged over 60 needs to be confirmed by further studies.

Indexed as

COVID-19COVID-19 VaccinesNervous System DiseasesAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedRisk FactorsSARS-CoV-2VaccinationCOVID-19 VaccinesAttributable riskCase-control studyCOVID-19EpidemiologyNeurological disordersVaccines

Identifiers

PMID39905221
PMCPMC11794632

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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.