Evidence map›Paper›PMID 41658231›Full record

ArticleBMJ public health2026

COVID-19 mRNA vaccination and all-cause mortality in the adult population in Norway during 2021-2023: a population-based cohort study.

Jesper Dahl, German Tapia, Håkon Bøås, Inger Johanne Landsjøåsen Bakken, Hanne Løvdal Gulseth

Abstract read
In one paragraph

Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

5 authors.

Jesper DahlDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID https://orcid.org/0000-0002-0369-9393
German TapiaDepartment of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.
Håkon BøåsDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Inger Johanne Landsjøåsen BakkenDepartment of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.
Hanne Løvdal GulsethDepartment of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Most countries worldwide have experienced excess mortality that coincides temporally with the COVID-19 mass vaccination campaigns. This has led to speculation on the potential long-term effects of the vaccines on mortality risk. Methods: The study was designed as a retrospective cohort study and included all individuals aged ≥18 years living in Norway during 1 January 2021 through 31 December 2023. Individuals were categorised as either unvaccinated (received no doses), partially vaccinated (received one or two doses) or fully vaccinated (received three or more doses) from the date of vaccination and onwards. Age-stratified Poisson models were used to estimate incidence rate ratios (IRRs) of death (all causes) between vaccination groups, adjusting for sex, calendar time, county of residence and risk group status (nursing home resident or pre-existing condition with increased risk of severe COVID-19). Results: The study included 4 645 910 individuals (49.8% women) with 132 963 deaths during follow-up. There was a higher proportion of individuals that were part of a risk group among fully vaccinated individuals compared with unvaccinated individuals in all age groups and a lower unadjusted rate of death: 51.5 versus 73.6 per 100 000 person years (py) among individuals aged 18-44 years, 295.1 versus 405.3 per 100 000 py among 45-64 years and 3620.2 versus 4783.8 per 100 000 py among 65 years or older. The adjusted IRR of death for the same age groups was 0.42 (95% CI 0.38 to 0.47), 0.39 (95% CI 0.37 to 0.41) and 0.42 (95% CI 0.41 to 0.43), respectively. The differences in the rate of death between vaccination groups were larger among men and peaked during 2022. Conclusion: Vaccinated individuals had a lower all-cause mortality rate than unvaccinated individuals during 2021-2023. This difference was larger among men and most prominent following the removal of COVID-19 control measures in 2022 but persisted throughout the study period.

Indexed as

COVID-19Public HealthVaccination

Identifiers

PMID41658231
PMCPMC12878302

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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.