Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach

Side effects of COVID-19 or other vaccinations may affect an individual’s safety, ability to work or care for self or others, and/or willingness to be vaccinated. Identifying modifiable factors that influence these side effects may increase the number of people vaccinated. In this observational stud...

Full description

Bibliographic Details
Main Authors: Sara Abbaspour, Gregory K. Robbins, Kimberly G. Blumenthal, Dean Hashimoto, Karen Hopcia, Shibani S. Mukerji, Erica S. Shenoy, Wei Wang, Elizabeth B. Klerman
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/10/1747
_version_ 1797469741040795648
author Sara Abbaspour
Gregory K. Robbins
Kimberly G. Blumenthal
Dean Hashimoto
Karen Hopcia
Shibani S. Mukerji
Erica S. Shenoy
Wei Wang
Elizabeth B. Klerman
author_facet Sara Abbaspour
Gregory K. Robbins
Kimberly G. Blumenthal
Dean Hashimoto
Karen Hopcia
Shibani S. Mukerji
Erica S. Shenoy
Wei Wang
Elizabeth B. Klerman
author_sort Sara Abbaspour
collection DOAJ
description Side effects of COVID-19 or other vaccinations may affect an individual’s safety, ability to work or care for self or others, and/or willingness to be vaccinated. Identifying modifiable factors that influence these side effects may increase the number of people vaccinated. In this observational study, data were from individuals who received an mRNA COVID-19 vaccine between December 2020 and April 2021 and responded to at least one post-vaccination symptoms survey that was sent daily for three days after each vaccination. We excluded those with a COVID-19 diagnosis or positive SARS-CoV2 test within one week after their vaccination because of the overlap of symptoms. We used machine learning techniques to analyze the data after the first vaccination. Data from 50,484 individuals (73% female, 18 to 95 years old) were included in the primary analysis. Demographics, history of an epinephrine autoinjector prescription, allergy history category (e.g., food, vaccine, medication, insect sting, seasonal), prior COVID-19 diagnosis or positive test, and vaccine manufacturer were identified as factors associated with allergic and non-allergic side effects; vaccination time 6:00–10:59 was associated with more non-allergic side effects. Randomized controlled trials should be conducted to quantify the relative effect of modifiable factors, such as time of vaccination.
first_indexed 2024-03-09T19:24:29Z
format Article
id doaj.art-f93fe81807e94daaa3ddb15751c96854
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-09T19:24:29Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-f93fe81807e94daaa3ddb15751c968542023-11-24T03:05:22ZengMDPI AGVaccines2076-393X2022-10-011010174710.3390/vaccines10101747Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning ApproachSara Abbaspour0Gregory K. Robbins1Kimberly G. Blumenthal2Dean Hashimoto3Karen Hopcia4Shibani S. Mukerji5Erica S. Shenoy6Wei Wang7Elizabeth B. Klerman8Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Medicine, Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA 02114, USAHarvard Medical School, Boston, MA 02114, USAHarvard Medical School, Boston, MA 02114, USAOccupational Health Services, MassGeneralBrigham, Boston, MA 02114, USAHarvard Medical School, Boston, MA 02114, USADepartment of Medicine, Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA 02114, USADivision of Sleep Medicine, Harvard Medical School, Boston, MA 02114, USADepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USASide effects of COVID-19 or other vaccinations may affect an individual’s safety, ability to work or care for self or others, and/or willingness to be vaccinated. Identifying modifiable factors that influence these side effects may increase the number of people vaccinated. In this observational study, data were from individuals who received an mRNA COVID-19 vaccine between December 2020 and April 2021 and responded to at least one post-vaccination symptoms survey that was sent daily for three days after each vaccination. We excluded those with a COVID-19 diagnosis or positive SARS-CoV2 test within one week after their vaccination because of the overlap of symptoms. We used machine learning techniques to analyze the data after the first vaccination. Data from 50,484 individuals (73% female, 18 to 95 years old) were included in the primary analysis. Demographics, history of an epinephrine autoinjector prescription, allergy history category (e.g., food, vaccine, medication, insect sting, seasonal), prior COVID-19 diagnosis or positive test, and vaccine manufacturer were identified as factors associated with allergic and non-allergic side effects; vaccination time 6:00–10:59 was associated with more non-allergic side effects. Randomized controlled trials should be conducted to quantify the relative effect of modifiable factors, such as time of vaccination.https://www.mdpi.com/2076-393X/10/10/1747vaccinationCOVID-19side effectsallergytime-of-day-effectsmachine learning
spellingShingle Sara Abbaspour
Gregory K. Robbins
Kimberly G. Blumenthal
Dean Hashimoto
Karen Hopcia
Shibani S. Mukerji
Erica S. Shenoy
Wei Wang
Elizabeth B. Klerman
Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
Vaccines
vaccination
COVID-19
side effects
allergy
time-of-day-effects
machine learning
title Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
title_full Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
title_fullStr Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
title_full_unstemmed Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
title_short Identifying Modifiable Predictors of COVID-19 Vaccine Side Effects: A Machine Learning Approach
title_sort identifying modifiable predictors of covid 19 vaccine side effects a machine learning approach
topic vaccination
COVID-19
side effects
allergy
time-of-day-effects
machine learning
url https://www.mdpi.com/2076-393X/10/10/1747
work_keys_str_mv AT saraabbaspour identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT gregorykrobbins identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT kimberlygblumenthal identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT deanhashimoto identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT karenhopcia identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT shibanismukerji identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT ericasshenoy identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT weiwang identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach
AT elizabethbklerman identifyingmodifiablepredictorsofcovid19vaccinesideeffectsamachinelearningapproach