Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review

<b>Background:</b> Since the successful development, approval, and administration of vaccines against SARS-CoV-2, the causative agent of COVID-19, there have been reports in the published literature, passive surveillance systems, and other pharmacovigilance platforms of a broad spectrum...

Full description

Bibliographic Details
Main Authors: Rana I. Oueijan, Olivia R. Hill, Peter D. Ahiawodzi, Pius S. Fasinu, Dorothea K. Thompson
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Medicines
Subjects:
Online Access:https://www.mdpi.com/2305-6320/9/8/43
_version_ 1797443591019167744
author Rana I. Oueijan
Olivia R. Hill
Peter D. Ahiawodzi
Pius S. Fasinu
Dorothea K. Thompson
author_facet Rana I. Oueijan
Olivia R. Hill
Peter D. Ahiawodzi
Pius S. Fasinu
Dorothea K. Thompson
author_sort Rana I. Oueijan
collection DOAJ
description <b>Background:</b> Since the successful development, approval, and administration of vaccines against SARS-CoV-2, the causative agent of COVID-19, there have been reports in the published literature, passive surveillance systems, and other pharmacovigilance platforms of a broad spectrum of adverse events following COVID-19 vaccination. A comprehensive review of the more serious adverse events associated with the Pfizer-BioNTech and Moderna mRNA vaccines is warranted, given the massive number of vaccine doses administered worldwide and the novel mechanism of action of these mRNA vaccines in the healthcare industry. <b>Methods:</b> A systematic review of the literature was conducted to identify relevant studies that have reported mRNA COVID-19 vaccine-related adverse events. <b>Results:</b> Serious and severe adverse events following mRNA COVID-19 vaccinations are rare. While a definitive causal relationship was not established in most cases, important adverse events associated with post-vaccination included rare and non-fatal myocarditis and pericarditis in younger vaccine recipients, thrombocytopenia, neurological effects such as seizures and orofacial events, skin reactions, and allergic hypersensitivities. <b>Conclusions:</b> As a relatively new set of vaccines already administered to billions of people, COVID-19 mRNA-based vaccines are generally safe and efficacious. Further studies on long-term adverse events and other unpredictable reactions in close proximity to mRNA vaccination are required.
first_indexed 2024-03-09T12:59:16Z
format Article
id doaj.art-d85b34e946ea4464b19129cda5f11bb6
institution Directory Open Access Journal
issn 2305-6320
language English
last_indexed 2024-03-09T12:59:16Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series Medicines
spelling doaj.art-d85b34e946ea4464b19129cda5f11bb62023-11-30T21:57:10ZengMDPI AGMedicines2305-63202022-08-01984310.3390/medicines9080043Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic ReviewRana I. Oueijan0Olivia R. Hill1Peter D. Ahiawodzi2Pius S. Fasinu3Dorothea K. Thompson4School of Pharmacy, College of Pharmacy and Health Sciences, Campbell University, Buies Creek, NC 27501, USASchool of Pharmacy, College of Pharmacy and Health Sciences, Campbell University, Buies Creek, NC 27501, USADepartment of Public Health, College of Pharmacy and Health Sciences, Campbell University, Buies Creek, NC 27501, USADepartment of Pharmacology & Toxicology, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Pharmaceutical and Clinical Sciences, College of Pharmacy and Health Sciences, Campbell University, Buies Creek, NC 27501, USA<b>Background:</b> Since the successful development, approval, and administration of vaccines against SARS-CoV-2, the causative agent of COVID-19, there have been reports in the published literature, passive surveillance systems, and other pharmacovigilance platforms of a broad spectrum of adverse events following COVID-19 vaccination. A comprehensive review of the more serious adverse events associated with the Pfizer-BioNTech and Moderna mRNA vaccines is warranted, given the massive number of vaccine doses administered worldwide and the novel mechanism of action of these mRNA vaccines in the healthcare industry. <b>Methods:</b> A systematic review of the literature was conducted to identify relevant studies that have reported mRNA COVID-19 vaccine-related adverse events. <b>Results:</b> Serious and severe adverse events following mRNA COVID-19 vaccinations are rare. While a definitive causal relationship was not established in most cases, important adverse events associated with post-vaccination included rare and non-fatal myocarditis and pericarditis in younger vaccine recipients, thrombocytopenia, neurological effects such as seizures and orofacial events, skin reactions, and allergic hypersensitivities. <b>Conclusions:</b> As a relatively new set of vaccines already administered to billions of people, COVID-19 mRNA-based vaccines are generally safe and efficacious. Further studies on long-term adverse events and other unpredictable reactions in close proximity to mRNA vaccination are required.https://www.mdpi.com/2305-6320/9/8/43COVID-19 vaccinesmRNA vaccinesadverse eventsmyocarditispericarditisthrombocytopenia
spellingShingle Rana I. Oueijan
Olivia R. Hill
Peter D. Ahiawodzi
Pius S. Fasinu
Dorothea K. Thompson
Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
Medicines
COVID-19 vaccines
mRNA vaccines
adverse events
myocarditis
pericarditis
thrombocytopenia
title Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
title_full Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
title_fullStr Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
title_full_unstemmed Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
title_short Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review
title_sort rare heterogeneous adverse events associated with mrna based covid 19 vaccines a systematic review
topic COVID-19 vaccines
mRNA vaccines
adverse events
myocarditis
pericarditis
thrombocytopenia
url https://www.mdpi.com/2305-6320/9/8/43
work_keys_str_mv AT ranaioueijan rareheterogeneousadverseeventsassociatedwithmrnabasedcovid19vaccinesasystematicreview
AT oliviarhill rareheterogeneousadverseeventsassociatedwithmrnabasedcovid19vaccinesasystematicreview
AT peterdahiawodzi rareheterogeneousadverseeventsassociatedwithmrnabasedcovid19vaccinesasystematicreview
AT piussfasinu rareheterogeneousadverseeventsassociatedwithmrnabasedcovid19vaccinesasystematicreview
AT dorotheakthompson rareheterogeneousadverseeventsassociatedwithmrnabasedcovid19vaccinesasystematicreview