Evidence map›Paper›PMID 40624462›Full record

ArticleBMC infectious diseases2025

Safety comparison of mRNA, viral vector, and inactivated Covid-19 vaccines: incidence of adverse events following primary and booster doses among medical professionals in Malaysia.

Rekha Prabhu, Girish Prabhu, Mila Nu Nu Htay, Ashwathy Varadarajan Thundakattil, Soe Moe, Sabyasachi Das

Abstract readComparative Study
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Rekha PrabhuDepartment of Physiology, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.
Girish PrabhuDepartment of Biochemistry, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.
Mila Nu Nu HtayDepartment of Community Medicine, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.
Ashwathy Varadarajan ThundakattilDepartment of Physiology, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.
Soe MoeDepartment of Community Medicine, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia.
Sabyasachi DasDepartment of Physiology, Faculty of Medicine, Manipal University College Malaysia, Melaka, Malaysia. sabyasachi.das@um.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to examine adverse events following first, second, and booster doses of Covid-19 vaccines in Malaysia.

methodsThis was a prospective longitudinal cohort study conducted between September 2021 to September 2022. Recipients who received different Covid-19 vaccines (Comirnaty, Vaxzevria, and CoronaVac) completed a self-report questionnaire of adverse events on days 1, 2, 4, and 7 following their primary (first and second) and booster (third) vaccinations.

resultsA total of 1283 respondents had completed the questionnaire survey. The most frequent adverse events among Comirnaty recipients (n = 271) following the first dose were pain (87.4%), fatigue (56.9%), myalgia (37.2%), and fever (17.5%), which further increased to 92.1%, 72.8%, 51·2%, and 48%, respectively, following the booster. The most frequent adverse events following the first dose of Vaxzevria (n = 90) were pain (84.4%), fever (76.7%), headache (58.9%) and myalgia (53.3%). Adverse events were reduced after the second dose of Vaxzevria but sharply increased after the booster. The most common adverse events among CoronaVac recipients (1st dose) were pain at the injection site (69.1%), fatigue (49.1%) and increased hunger (34.5%). However, adverse events subsequently decreased after the second and booster doses. The average number of adverse events was highest for Vaxzevria after the first dose (n = 6) and booster dose (n = 6) and lowest for CoronaVac after the first (n = 3), second (n = 2) and booster doses (n = 2).

conclusionThe incidence of adverse events following the first dose of the Covid-19 vaccine was highest among Vaxzevria recipients. Adverse events following Comirnaty vaccine increased gradually from primary to booster dose, whereas recipients with CoronaVac showed subsequent lesser adverse events following primary and booster doses.

Indexed as

COVID-19COVID-19 VaccinesHealth PersonnelAdultDrug-Related Side Effects and Adverse ReactionsFatigueFemaleHumansImmunization, SecondaryIncidenceLongitudinal StudiesMalaysiaMaleMiddle AgedProspective StudiesSARS-CoV-2COVID-19 VaccinesVaccines, InactivatedAdverse eventsBooster doseComparative studyCovid-19 vaccinesInactivated viral vaccinemRNA vaccineVaccine safetyViral vectored vaccine

Identifiers

PMID40624462
PMCPMC12232647

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LicenceCC BY-NC-ND
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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.