Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile

Vaccines are considered to be the most beneficial means for combating the COVID-19 pandemic. Although vaccines against SARS-CoV-2 have demonstrated excellent safety profiles in clinical trials, real-world surveillance of post-vaccination side effects is an impetus. The study investigates the short-t...

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Main Authors: Abdulaziz Ibrahim Alzarea, Yusra Habib Khan, Ahmed D. Alatawi, Abdullah Salah Alanazi, Sami I. Alzarea, Muhammad Hammad Butt, Ziyad Saeed Almalki, Abdullah K. Alahmari, Tauqeer Hussain Mallhi
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/10/6/924
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author Abdulaziz Ibrahim Alzarea
Yusra Habib Khan
Ahmed D. Alatawi
Abdullah Salah Alanazi
Sami I. Alzarea
Muhammad Hammad Butt
Ziyad Saeed Almalki
Abdullah K. Alahmari
Tauqeer Hussain Mallhi
author_facet Abdulaziz Ibrahim Alzarea
Yusra Habib Khan
Ahmed D. Alatawi
Abdullah Salah Alanazi
Sami I. Alzarea
Muhammad Hammad Butt
Ziyad Saeed Almalki
Abdullah K. Alahmari
Tauqeer Hussain Mallhi
author_sort Abdulaziz Ibrahim Alzarea
collection DOAJ
description Vaccines are considered to be the most beneficial means for combating the COVID-19 pandemic. Although vaccines against SARS-CoV-2 have demonstrated excellent safety profiles in clinical trials, real-world surveillance of post-vaccination side effects is an impetus. The study investigates the short-term side effects following the administration of the Pfizer-BioNTech and Oxford-AstraZeneca vaccines in Saudi Arabia. A cross-sectional quantitative study was conducted among the general population with age ≥ 18 years, from five regions (Central, Northern, Eastern, Southern, and Western Regions) of Saudi Arabia for a period of 6 months (July to December 2021). A self-administered study instrument was used to record the side effects among the COVID-19 vaccine recipients. Of the total 398 participants (males: 59%), 56.3% received Pfizer and 43.7% were vaccinated with AstraZeneca. Only 22.6% of respondents received the second dose of the COVID-19 vaccines. The most commonly reported side effects were pain at the injection site (85.2%), fatigue (61.8%), bone or joint pain (54.0%), and fever (42.5%). The average side effects score was 3.4 ± 2.2. Females, young people, and Oxford-AstraZeneca recipients had a higher proportion of side effects. The Oxford-AstraZeneca vaccine recipients complained more about fever (<i>p</i> < 0.001), bone and joint pain (<i>p</i> < 0.001), fatigue (<i>p</i> < 0.001), loss of appetite (<i>p</i> = 0.001), headache (<i>p</i> = 0.008), and drowsiness (<i>p</i> = 0.003). The Pfizer-BioNTech vaccinees had more pain and swelling at the injection site (<i>p</i> = 0.001), and sexual disturbance (<i>p</i> = 0.019). The study participants also reported some rare symptoms (<10%) including heaviness, sleep disturbance, fainting, blurred vision, palpitations, osteomalacia, and inability to concentrate. This study revealed that both Pfizer-BioNTech and Oxford-AstraZeneca administration was associated with mild to moderate, transient, short-lived side effects. These symptoms corroborate the results of phase 3 clinical trials of these vaccines. The results could be used to inform people about the likelihood of side effects based on their demographics and the type of vaccine administered. The study reported some rare symptoms that require further validation through more pharmacovigilance or qualitative studies.
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spelling doaj.art-a7ed425e8b6f4fd1b6fe6eb68be3916d2023-11-23T19:21:32ZengMDPI AGVaccines2076-393X2022-06-0110692410.3390/vaccines10060924Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety ProfileAbdulaziz Ibrahim Alzarea0Yusra Habib Khan1Ahmed D. Alatawi2Abdullah Salah Alanazi3Sami I. Alzarea4Muhammad Hammad Butt5Ziyad Saeed Almalki6Abdullah K. Alahmari7Tauqeer Hussain Mallhi8Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi ArabiaDepartment of Pharmacology, College of Pharmacy, Jouf University, Sakaka 72341, Saudi ArabiaFaculty of Pharmacy, University of Central Punjab, Lahore 54000, PakistanDepartment of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi ArabiaVaccines are considered to be the most beneficial means for combating the COVID-19 pandemic. Although vaccines against SARS-CoV-2 have demonstrated excellent safety profiles in clinical trials, real-world surveillance of post-vaccination side effects is an impetus. The study investigates the short-term side effects following the administration of the Pfizer-BioNTech and Oxford-AstraZeneca vaccines in Saudi Arabia. A cross-sectional quantitative study was conducted among the general population with age ≥ 18 years, from five regions (Central, Northern, Eastern, Southern, and Western Regions) of Saudi Arabia for a period of 6 months (July to December 2021). A self-administered study instrument was used to record the side effects among the COVID-19 vaccine recipients. Of the total 398 participants (males: 59%), 56.3% received Pfizer and 43.7% were vaccinated with AstraZeneca. Only 22.6% of respondents received the second dose of the COVID-19 vaccines. The most commonly reported side effects were pain at the injection site (85.2%), fatigue (61.8%), bone or joint pain (54.0%), and fever (42.5%). The average side effects score was 3.4 ± 2.2. Females, young people, and Oxford-AstraZeneca recipients had a higher proportion of side effects. The Oxford-AstraZeneca vaccine recipients complained more about fever (<i>p</i> < 0.001), bone and joint pain (<i>p</i> < 0.001), fatigue (<i>p</i> < 0.001), loss of appetite (<i>p</i> = 0.001), headache (<i>p</i> = 0.008), and drowsiness (<i>p</i> = 0.003). The Pfizer-BioNTech vaccinees had more pain and swelling at the injection site (<i>p</i> = 0.001), and sexual disturbance (<i>p</i> = 0.019). The study participants also reported some rare symptoms (<10%) including heaviness, sleep disturbance, fainting, blurred vision, palpitations, osteomalacia, and inability to concentrate. This study revealed that both Pfizer-BioNTech and Oxford-AstraZeneca administration was associated with mild to moderate, transient, short-lived side effects. These symptoms corroborate the results of phase 3 clinical trials of these vaccines. The results could be used to inform people about the likelihood of side effects based on their demographics and the type of vaccine administered. The study reported some rare symptoms that require further validation through more pharmacovigilance or qualitative studies.https://www.mdpi.com/2076-393X/10/6/924COVID-19vaccinesOxford-AstraZenecaPfizer-BioNTechsafety profileside effects
spellingShingle Abdulaziz Ibrahim Alzarea
Yusra Habib Khan
Ahmed D. Alatawi
Abdullah Salah Alanazi
Sami I. Alzarea
Muhammad Hammad Butt
Ziyad Saeed Almalki
Abdullah K. Alahmari
Tauqeer Hussain Mallhi
Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
Vaccines
COVID-19
vaccines
Oxford-AstraZeneca
Pfizer-BioNTech
safety profile
side effects
title Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
title_full Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
title_fullStr Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
title_full_unstemmed Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
title_short Surveillance of Post-Vaccination Side Effects of COVID-19 Vaccines among Saudi Population: A Real-World Estimation of Safety Profile
title_sort surveillance of post vaccination side effects of covid 19 vaccines among saudi population a real world estimation of safety profile
topic COVID-19
vaccines
Oxford-AstraZeneca
Pfizer-BioNTech
safety profile
side effects
url https://www.mdpi.com/2076-393X/10/6/924
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