Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan

Abstract Mass vaccination against coronavirus disease 2019 (COVID-19) is ongoing in many countries worldwide. This study reports the occurrence of acute adverse events among vaccine recipients at a mass vaccination center in Japan. Between August and November 2021, approximately 130,000 individuals...

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Main Authors: Tetsuya Akaishi, Tamotsu Onodera, Tatsuya Takahashi, Hideo Harigae, Tadashi Ishii
Format: Article
Language:English
Published: Nature Portfolio 2022-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-19936-5
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author Tetsuya Akaishi
Tamotsu Onodera
Tatsuya Takahashi
Hideo Harigae
Tadashi Ishii
author_facet Tetsuya Akaishi
Tamotsu Onodera
Tatsuya Takahashi
Hideo Harigae
Tadashi Ishii
author_sort Tetsuya Akaishi
collection DOAJ
description Abstract Mass vaccination against coronavirus disease 2019 (COVID-19) is ongoing in many countries worldwide. This study reports the occurrence of acute adverse events among vaccine recipients at a mass vaccination center in Japan. Between August and November 2021, approximately 130,000 individuals received two mRNA vaccine doses (mRNA-1273; Moderna) at the vaccination center. Acute adverse events at the site were observed in 1.1% of the recipients after the first dose and in 0.4% of the recipients after the second dose. The most common event was vasovagal syncope/presyncope, followed by acute allergic reactions. The occurrence rate of vasovagal syncope/presyncope was highest in the young population of those aged 16–29 years, but such age-dependency was not apparent in acute allergic reactions. Both symptoms were more prevalent in women than in men. Vasovagal syncope/presyncope occurred mainly within 20 min of the injection, whereas nearly half of the episodes of acute allergic reactions occurred after 20 min. The vaccine being injected while the recipient was in the supine position effectively reduced the occurrence of vasovagal syncope/presyncope. In summary, the suggested risk factors for vasovagal syncope/presyncope included a young age and female sex. The vaccine being injected while the recipient was in the supine position would reduce the risk of vasovagal syncope/presyncope.
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spelling doaj.art-4b12738c009b4c7491543985ae078e242022-12-22T03:16:47ZengNature PortfolioScientific Reports2045-23222022-09-011211610.1038/s41598-022-19936-5Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in JapanTetsuya Akaishi0Tamotsu Onodera1Tatsuya Takahashi2Hideo Harigae3Tadashi Ishii4Department of Education and Supports for Regional Medicine, Tohoku University HospitalHealth and Welfare Department, Miyagi Prefectural GovernmentHealth and Welfare Department, Miyagi Prefectural GovernmentDepartment of Hematology, Tohoku University Graduate School of Medicine, Tohoku UniversityDepartment of Education and Supports for Regional Medicine, Tohoku University HospitalAbstract Mass vaccination against coronavirus disease 2019 (COVID-19) is ongoing in many countries worldwide. This study reports the occurrence of acute adverse events among vaccine recipients at a mass vaccination center in Japan. Between August and November 2021, approximately 130,000 individuals received two mRNA vaccine doses (mRNA-1273; Moderna) at the vaccination center. Acute adverse events at the site were observed in 1.1% of the recipients after the first dose and in 0.4% of the recipients after the second dose. The most common event was vasovagal syncope/presyncope, followed by acute allergic reactions. The occurrence rate of vasovagal syncope/presyncope was highest in the young population of those aged 16–29 years, but such age-dependency was not apparent in acute allergic reactions. Both symptoms were more prevalent in women than in men. Vasovagal syncope/presyncope occurred mainly within 20 min of the injection, whereas nearly half of the episodes of acute allergic reactions occurred after 20 min. The vaccine being injected while the recipient was in the supine position effectively reduced the occurrence of vasovagal syncope/presyncope. In summary, the suggested risk factors for vasovagal syncope/presyncope included a young age and female sex. The vaccine being injected while the recipient was in the supine position would reduce the risk of vasovagal syncope/presyncope.https://doi.org/10.1038/s41598-022-19936-5
spellingShingle Tetsuya Akaishi
Tamotsu Onodera
Tatsuya Takahashi
Hideo Harigae
Tadashi Ishii
Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
Scientific Reports
title Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
title_full Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
title_fullStr Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
title_full_unstemmed Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
title_short Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan
title_sort reports of acute adverse events in mrna covid 19 vaccine recipients after the first and second doses in japan
url https://doi.org/10.1038/s41598-022-19936-5
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