Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel

Abstract The effectiveness of Coronavirus disease 2019 (COVID-19) vaccines against the long-term COVID-19 symptoms expressed by a substantial proportion of patients is not well understood. We determined whether vaccination with the BNT162b2 mRNA vaccine was associated with incidence of reporting lon...

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Main Authors: Paul Kuodi, Yanay Gorelik, Hiba Zayyad, Ofir Wertheim, Karine Beiruti Wiegler, Kamal Abu Jabal, Amiel A. Dror, Saleh Nazzal, Daniel Glikman, Michael Edelstein
Format: Article
Language:English
Published: Nature Portfolio 2022-08-01
Series:npj Vaccines
Online Access:https://doi.org/10.1038/s41541-022-00526-5
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author Paul Kuodi
Yanay Gorelik
Hiba Zayyad
Ofir Wertheim
Karine Beiruti Wiegler
Kamal Abu Jabal
Amiel A. Dror
Saleh Nazzal
Daniel Glikman
Michael Edelstein
author_facet Paul Kuodi
Yanay Gorelik
Hiba Zayyad
Ofir Wertheim
Karine Beiruti Wiegler
Kamal Abu Jabal
Amiel A. Dror
Saleh Nazzal
Daniel Glikman
Michael Edelstein
author_sort Paul Kuodi
collection DOAJ
description Abstract The effectiveness of Coronavirus disease 2019 (COVID-19) vaccines against the long-term COVID-19 symptoms expressed by a substantial proportion of patients is not well understood. We determined whether vaccination with the BNT162b2 mRNA vaccine was associated with incidence of reporting long-term symptoms post-SARS-CoV-2 infection. We invited individuals PCR-tested for SARS-CoV-2 infection at participating hospitals between March 2020 and November 2021 to fill an online questionnaire that included information about demographics, acute COVID-19 episode and symptoms they were currently experiencing. Using binomial regression, we compared vaccinated individuals with those unvaccinated and those uninfected, in terms of post-acute self-reported symptoms. Of the 951 infected, 637(67%) were vaccinated. In the study population, the most prevalent symptoms were: fatigue (22%), headache (20%), weakness of limbs (13%), and persistent muscle pain (10%). After adjusting for age, time from beginning of symptoms to responding to the survey, and baseline symptoms, those who received two vaccine doses were less likely than unvaccinated individuals to report any of these symptoms (fatigue, headache, weakness of limbs, persistent muscle pain) by 62%, 50%, 62%, and 66% respectively, (Risk ratios 0.38, 0.50, 0.38, 0.34, p < 0.04 in the listed sequence). Compared to the 2447 included individuals who never reported SARS-CoV-2 infection, double-vaccinated participants were no more likely to report any of the mentioned symptoms. Vaccination with 2+ doses of BNT162b2 was associated with a reduced risk of reporting most of the common post-acute COVID-19 symptoms. Our results suggest that BNT162b2 vaccination may have a protective effect against longer term COVID-19 symptoms.
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spelling doaj.art-130ea228c216430fbe068dbaed7a39192023-11-02T04:32:10ZengNature Portfolionpj Vaccines2059-01052022-08-01711810.1038/s41541-022-00526-5Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, IsraelPaul Kuodi0Yanay Gorelik1Hiba Zayyad2Ofir Wertheim3Karine Beiruti Wiegler4Kamal Abu Jabal5Amiel A. Dror6Saleh Nazzal7Daniel Glikman8Michael Edelstein9Azrieli Faculty of Medicine, Bar-Ilan UniversityAzrieli Faculty of Medicine, Bar-Ilan UniversityAzrieli Faculty of Medicine, Bar-Ilan UniversityBaruch Padeh Medical CentreZiv Medical CentreAzrieli Faculty of Medicine, Bar-Ilan UniversityAzrieli Faculty of Medicine, Bar-Ilan UniversityBaruch Padeh Medical CentreAzrieli Faculty of Medicine, Bar-Ilan UniversityAzrieli Faculty of Medicine, Bar-Ilan UniversityAbstract The effectiveness of Coronavirus disease 2019 (COVID-19) vaccines against the long-term COVID-19 symptoms expressed by a substantial proportion of patients is not well understood. We determined whether vaccination with the BNT162b2 mRNA vaccine was associated with incidence of reporting long-term symptoms post-SARS-CoV-2 infection. We invited individuals PCR-tested for SARS-CoV-2 infection at participating hospitals between March 2020 and November 2021 to fill an online questionnaire that included information about demographics, acute COVID-19 episode and symptoms they were currently experiencing. Using binomial regression, we compared vaccinated individuals with those unvaccinated and those uninfected, in terms of post-acute self-reported symptoms. Of the 951 infected, 637(67%) were vaccinated. In the study population, the most prevalent symptoms were: fatigue (22%), headache (20%), weakness of limbs (13%), and persistent muscle pain (10%). After adjusting for age, time from beginning of symptoms to responding to the survey, and baseline symptoms, those who received two vaccine doses were less likely than unvaccinated individuals to report any of these symptoms (fatigue, headache, weakness of limbs, persistent muscle pain) by 62%, 50%, 62%, and 66% respectively, (Risk ratios 0.38, 0.50, 0.38, 0.34, p < 0.04 in the listed sequence). Compared to the 2447 included individuals who never reported SARS-CoV-2 infection, double-vaccinated participants were no more likely to report any of the mentioned symptoms. Vaccination with 2+ doses of BNT162b2 was associated with a reduced risk of reporting most of the common post-acute COVID-19 symptoms. Our results suggest that BNT162b2 vaccination may have a protective effect against longer term COVID-19 symptoms.https://doi.org/10.1038/s41541-022-00526-5
spellingShingle Paul Kuodi
Yanay Gorelik
Hiba Zayyad
Ofir Wertheim
Karine Beiruti Wiegler
Kamal Abu Jabal
Amiel A. Dror
Saleh Nazzal
Daniel Glikman
Michael Edelstein
Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
npj Vaccines
title Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
title_full Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
title_fullStr Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
title_full_unstemmed Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
title_short Association between BNT162b2 vaccination and reported incidence of post-COVID-19 symptoms: cross-sectional study 2020-21, Israel
title_sort association between bnt162b2 vaccination and reported incidence of post covid 19 symptoms cross sectional study 2020 21 israel
url https://doi.org/10.1038/s41541-022-00526-5
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