Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)

In healthcare workers (HCWs) and in the general population, fear of adverse effects is among the main reasons behind COVID-19 vaccine hesitancy. We present data on self-reported adverse effects from a large cohort of HCWs who underwent primary (N = 470) and booster (N = 990) mRNA vaccination against...

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Main Authors: Christiaan Serbanescu-Kele Apor de Zalán, Maud Bouwman, Frits van Osch, Jan Damoiseaux, Mary-Anne Funnekotter-van der Snoek, Frans Verduyn Lunel, Florence Van Hunsel, Janneke de Vries
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/12/1/39
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author Christiaan Serbanescu-Kele Apor de Zalán
Maud Bouwman
Frits van Osch
Jan Damoiseaux
Mary-Anne Funnekotter-van der Snoek
Frans Verduyn Lunel
Florence Van Hunsel
Janneke de Vries
author_facet Christiaan Serbanescu-Kele Apor de Zalán
Maud Bouwman
Frits van Osch
Jan Damoiseaux
Mary-Anne Funnekotter-van der Snoek
Frans Verduyn Lunel
Florence Van Hunsel
Janneke de Vries
author_sort Christiaan Serbanescu-Kele Apor de Zalán
collection DOAJ
description In healthcare workers (HCWs) and in the general population, fear of adverse effects is among the main reasons behind COVID-19 vaccine hesitancy. We present data on self-reported adverse effects from a large cohort of HCWs who underwent primary (N = 470) and booster (N = 990) mRNA vaccination against SARS-CoV-2. We described general patterns in, and predictors of self-reported adverse effect profiles. Adverse effects following immunisation (AEFI) were reported more often after the second dose of primary immunisation than after the first dose, but there was no further increase in adverse effects following the booster round. Self-reported severity of systemic adverse effects was less following booster immunisation. Prior infection with SARS-CoV-2 was found to be a significant predictor of AEFI following primary immunisation, but was no longer a predictor after booster vaccination. Compared to other studies reporting specifically on adverse effects of SARS-CoV-2 vaccination in healthcare workers, we have a relatively large cohort size, and are the first to compare adverse effects between different rounds of vaccination. Compared to studies in the general population, we have a considerably homogenous population. Insights in AEFI following primary and booster vaccinations may help in addressing vaccine hesitancy, both in HCWs and in the general population.
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spelling doaj.art-8c312d231ace4f768aa9ef5a921e44ed2024-01-29T14:25:28ZengMDPI AGVaccines2076-393X2023-12-011213910.3390/vaccines12010039Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)Christiaan Serbanescu-Kele Apor de Zalán0Maud Bouwman1Frits van Osch2Jan Damoiseaux3Mary-Anne Funnekotter-van der Snoek4Frans Verduyn Lunel5Florence Van Hunsel6Janneke de Vries7Department of Intensive Care, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsDepartment of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsDepartment of Clinical Epidemiology, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsDepartment of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsDepartment of Clinical Pharmacy, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsDepartment of Medical Microbiology, Utrecht University Medical Centre, 3584 CX Utrecht, The NetherlandsDepartment of Pharmacy, University of Groningen, 9713 AV Groningen, The NetherlandsDepartment of Medical Microbiology, VieCuri Medical Centre, 5912 BL Venlo, The NetherlandsIn healthcare workers (HCWs) and in the general population, fear of adverse effects is among the main reasons behind COVID-19 vaccine hesitancy. We present data on self-reported adverse effects from a large cohort of HCWs who underwent primary (N = 470) and booster (N = 990) mRNA vaccination against SARS-CoV-2. We described general patterns in, and predictors of self-reported adverse effect profiles. Adverse effects following immunisation (AEFI) were reported more often after the second dose of primary immunisation than after the first dose, but there was no further increase in adverse effects following the booster round. Self-reported severity of systemic adverse effects was less following booster immunisation. Prior infection with SARS-CoV-2 was found to be a significant predictor of AEFI following primary immunisation, but was no longer a predictor after booster vaccination. Compared to other studies reporting specifically on adverse effects of SARS-CoV-2 vaccination in healthcare workers, we have a relatively large cohort size, and are the first to compare adverse effects between different rounds of vaccination. Compared to studies in the general population, we have a considerably homogenous population. Insights in AEFI following primary and booster vaccinations may help in addressing vaccine hesitancy, both in HCWs and in the general population.https://www.mdpi.com/2076-393X/12/1/39COVID-19vaccineimmunisationadverse eventshealthcare workers
spellingShingle Christiaan Serbanescu-Kele Apor de Zalán
Maud Bouwman
Frits van Osch
Jan Damoiseaux
Mary-Anne Funnekotter-van der Snoek
Frans Verduyn Lunel
Florence Van Hunsel
Janneke de Vries
Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
Vaccines
COVID-19
vaccine
immunisation
adverse events
healthcare workers
title Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
title_full Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
title_fullStr Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
title_full_unstemmed Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
title_short Changes in Local and Systemic Adverse Effects following Primary and Booster Immunisation against COVID-19 in an Observational Cohort of Dutch Healthcare Workers Vaccinated with BNT162b2 (Comirnaty<sup>®</sup>)
title_sort changes in local and systemic adverse effects following primary and booster immunisation against covid 19 in an observational cohort of dutch healthcare workers vaccinated with bnt162b2 comirnaty sup r sup
topic COVID-19
vaccine
immunisation
adverse events
healthcare workers
url https://www.mdpi.com/2076-393X/12/1/39
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