COVID-19 vaccination: Is it a matter of concern?

Background: COVID-19 vaccination is still a matter of concern among the public since its inception. Primary care physicians being in prime position can share accurate and ample information about COVID-19 vaccination so we estimated proportion and determinants of adverse events following immunization...

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Main Authors: Poonam Kushwaha, Ashish Pundhir, Anju Gahlot
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2431;epage=2436;aulast=Kushwaha
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author Poonam Kushwaha
Ashish Pundhir
Anju Gahlot
author_facet Poonam Kushwaha
Ashish Pundhir
Anju Gahlot
author_sort Poonam Kushwaha
collection DOAJ
description Background: COVID-19 vaccination is still a matter of concern among the public since its inception. Primary care physicians being in prime position can share accurate and ample information about COVID-19 vaccination so we estimated proportion and determinants of adverse events following immunization (AEFI) with Covishield vaccine, vaccination and reasons of non-vaccination. Methods: A cross-sectional study was conducted from January to April 2021. Data collection was done by using data capture tool Epicollect-5. Regression analysis was performed to evaluate the association of AEFI and vaccine acceptance with various demographic variables. Results: Of 520 subjects, 408 got vaccinated, and of these 125 (30.6%) developed AEFI. Females without AEFI had lower median age than females having AEFI. Only religion (aOR = 5.311; 95%CI: 1.216–23.1) was significantly associated with AEFI. Education (aOR = 0.399; 95%CI: 0.199–0.799), marital status (aOR = 0.459; 95%CI: 0.245–0.858), and religion (aOR = 3.874; 95%CI: 1.96–7.648) were significantly associated with vaccination. Most common local AEFIs were inflammation (46; 36.8%) followed by lump (10; 8%) at the site of injection. Most common systemic AEFI were fever (87; 69.6%), feeling unwell (65; 52%), generalized weakness/fatigue (30; 20%), tiredness (26; 20.8%), flu-like symptoms (12; 9.6%), dizziness (10; 8%), headache (8; 6.4%) and gastrointestinal events (7; 5.6%). Conclusion: Most of the AEFI were mild and transient, resolved without any medical management. This study warrants active reporting of AEFI, public release of safety, and efficacy data. Primary care physicians can play a pivotal role by targeted awareness campaigns and trust-building activities to alleviate fear and anxiety related to vaccine.
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spelling doaj.art-6c3c88b65b0349ecae49b5164713ef7b2022-12-22T00:42:54ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011162431243610.4103/jfmpc.jfmpc_1778_21COVID-19 vaccination: Is it a matter of concern?Poonam KushwahaAshish PundhirAnju GahlotBackground: COVID-19 vaccination is still a matter of concern among the public since its inception. Primary care physicians being in prime position can share accurate and ample information about COVID-19 vaccination so we estimated proportion and determinants of adverse events following immunization (AEFI) with Covishield vaccine, vaccination and reasons of non-vaccination. Methods: A cross-sectional study was conducted from January to April 2021. Data collection was done by using data capture tool Epicollect-5. Regression analysis was performed to evaluate the association of AEFI and vaccine acceptance with various demographic variables. Results: Of 520 subjects, 408 got vaccinated, and of these 125 (30.6%) developed AEFI. Females without AEFI had lower median age than females having AEFI. Only religion (aOR = 5.311; 95%CI: 1.216–23.1) was significantly associated with AEFI. Education (aOR = 0.399; 95%CI: 0.199–0.799), marital status (aOR = 0.459; 95%CI: 0.245–0.858), and religion (aOR = 3.874; 95%CI: 1.96–7.648) were significantly associated with vaccination. Most common local AEFIs were inflammation (46; 36.8%) followed by lump (10; 8%) at the site of injection. Most common systemic AEFI were fever (87; 69.6%), feeling unwell (65; 52%), generalized weakness/fatigue (30; 20%), tiredness (26; 20.8%), flu-like symptoms (12; 9.6%), dizziness (10; 8%), headache (8; 6.4%) and gastrointestinal events (7; 5.6%). Conclusion: Most of the AEFI were mild and transient, resolved without any medical management. This study warrants active reporting of AEFI, public release of safety, and efficacy data. Primary care physicians can play a pivotal role by targeted awareness campaigns and trust-building activities to alleviate fear and anxiety related to vaccine.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2431;epage=2436;aulast=Kushwahaadverse event following vaccinationcovid-19indianonacceptancepandemicvaccine hesitancy
spellingShingle Poonam Kushwaha
Ashish Pundhir
Anju Gahlot
COVID-19 vaccination: Is it a matter of concern?
Journal of Family Medicine and Primary Care
adverse event following vaccination
covid-19
india
nonacceptance
pandemic
vaccine hesitancy
title COVID-19 vaccination: Is it a matter of concern?
title_full COVID-19 vaccination: Is it a matter of concern?
title_fullStr COVID-19 vaccination: Is it a matter of concern?
title_full_unstemmed COVID-19 vaccination: Is it a matter of concern?
title_short COVID-19 vaccination: Is it a matter of concern?
title_sort covid 19 vaccination is it a matter of concern
topic adverse event following vaccination
covid-19
india
nonacceptance
pandemic
vaccine hesitancy
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=6;spage=2431;epage=2436;aulast=Kushwaha
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AT ashishpundhir covid19vaccinationisitamatterofconcern
AT anjugahlot covid19vaccinationisitamatterofconcern