Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community

Abstract Background The Pfizer BioNTech COVID-19 vaccine was the first to receive emergency authorization and approval from the FDA. Therefore, it is preferred by most recipients; however, many people are concerned about the vaccine’s side effects. At the time of the study, December 2021, Palestine...

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Main Authors: Abdallah Damin Abukhalil, Sireen Sultan Shatat, Raya Riyad Abushehadeh, Ni’meh Al-Shami, Hani A. Naseef, Abdullah Rabba
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-022-07974-3
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author Abdallah Damin Abukhalil
Sireen Sultan Shatat
Raya Riyad Abushehadeh
Ni’meh Al-Shami
Hani A. Naseef
Abdullah Rabba
author_facet Abdallah Damin Abukhalil
Sireen Sultan Shatat
Raya Riyad Abushehadeh
Ni’meh Al-Shami
Hani A. Naseef
Abdullah Rabba
author_sort Abdallah Damin Abukhalil
collection DOAJ
description Abstract Background The Pfizer BioNTech COVID-19 vaccine was the first to receive emergency authorization and approval from the FDA. Therefore, it is preferred by most recipients; however, many people are concerned about the vaccine’s side effects. At the time of the study, December 2021, Palestine lacked a national reporting system for monitoring adverse vaccine effects. Therefore, this study investigates the post-vaccine adverse events following the Pfizer/BioNTech COVID-19 Vaccine administration in Palestine and identifies the occurrence, extent, and severity among university staff, employees, and students at Birzeit University. Method A questionnaire-based retrospective cross-sectional study was conducted using a university website (Ritaj), social media platforms (e.g., Facebook and Telegram), and in-person interviews. The Chi-square, Fisher’s exact, and McNemar’s tests were used to investigate significant relationships. Data were analyzed using SPSS version 22. Results In total, 1137 participants completed the questionnaire, 33.2% were males, and the mean age was 21.163 years. All participants received at least one dose of the Pfizer-BioNTech COVID-19 vaccine. Approximately one-third of participants reported no adverse effects after receiving the first, second, or third doses (34%, 33.6%, and 32.5%, respectively). The most commonly reported adverse events were fever, chills, headache, fatigue, pain and swelling at the injection site, muscle pain, and joint pain. Allergic reactions were reported by 12.7% of the participants; furthermore, participants with a history of allergy or anaphylaxis before vaccination had a significantly higher tendency for post-vaccination allergic reactions. Eight participants reported rare side effects, including 7 (0.6%) cases of thrombocytopenia and one (0.1%) case of myocarditis. Males aged less than 20 years and smokers were significantly less likely to complain of adverse events. The number of reported side effects was significantly higher after the second vaccine dose than after the first dose. Finally, participants infected with COVID-19 before vaccination was significantly associated with side effects such as fever, chills, shortness of breath, and persistent cough. Conclusion In this study, the most common post- BNT162b2 Vaccination reported self-limiting side effects similar to those reported by Pfizer/BioNTech Company. However, higher rates of allergic reactions were reported in this sample. Rare side effects, such as thrombocytopenia and myocarditis, were reported by 8 participants. COVID vaccines have been developed at an accelerated pace, and vaccine safety is a top priority; therefore, standard monitoring through a national adverse event reporting system is necessary for safety assurance. Continuous monitoring and long-term studies are required to ensure vaccine safety.
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spelling doaj.art-f9a790b2fcb6407881e53247bf8543c42023-01-08T12:05:44ZengBMCBMC Infectious Diseases1471-23342023-01-0123111510.1186/s12879-022-07974-3Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University communityAbdallah Damin Abukhalil0Sireen Sultan Shatat1Raya Riyad Abushehadeh2Ni’meh Al-Shami3Hani A. Naseef4Abdullah Rabba5Pharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityPharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityPharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityPharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityPharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityPharmacy Department, Faculty of Pharmacy, Nursing and Health Professions, Birzeit UniversityAbstract Background The Pfizer BioNTech COVID-19 vaccine was the first to receive emergency authorization and approval from the FDA. Therefore, it is preferred by most recipients; however, many people are concerned about the vaccine’s side effects. At the time of the study, December 2021, Palestine lacked a national reporting system for monitoring adverse vaccine effects. Therefore, this study investigates the post-vaccine adverse events following the Pfizer/BioNTech COVID-19 Vaccine administration in Palestine and identifies the occurrence, extent, and severity among university staff, employees, and students at Birzeit University. Method A questionnaire-based retrospective cross-sectional study was conducted using a university website (Ritaj), social media platforms (e.g., Facebook and Telegram), and in-person interviews. The Chi-square, Fisher’s exact, and McNemar’s tests were used to investigate significant relationships. Data were analyzed using SPSS version 22. Results In total, 1137 participants completed the questionnaire, 33.2% were males, and the mean age was 21.163 years. All participants received at least one dose of the Pfizer-BioNTech COVID-19 vaccine. Approximately one-third of participants reported no adverse effects after receiving the first, second, or third doses (34%, 33.6%, and 32.5%, respectively). The most commonly reported adverse events were fever, chills, headache, fatigue, pain and swelling at the injection site, muscle pain, and joint pain. Allergic reactions were reported by 12.7% of the participants; furthermore, participants with a history of allergy or anaphylaxis before vaccination had a significantly higher tendency for post-vaccination allergic reactions. Eight participants reported rare side effects, including 7 (0.6%) cases of thrombocytopenia and one (0.1%) case of myocarditis. Males aged less than 20 years and smokers were significantly less likely to complain of adverse events. The number of reported side effects was significantly higher after the second vaccine dose than after the first dose. Finally, participants infected with COVID-19 before vaccination was significantly associated with side effects such as fever, chills, shortness of breath, and persistent cough. Conclusion In this study, the most common post- BNT162b2 Vaccination reported self-limiting side effects similar to those reported by Pfizer/BioNTech Company. However, higher rates of allergic reactions were reported in this sample. Rare side effects, such as thrombocytopenia and myocarditis, were reported by 8 participants. COVID vaccines have been developed at an accelerated pace, and vaccine safety is a top priority; therefore, standard monitoring through a national adverse event reporting system is necessary for safety assurance. Continuous monitoring and long-term studies are required to ensure vaccine safety.https://doi.org/10.1186/s12879-022-07974-3Pfizer/BioNTech COVID-19 vaccinemRNA COVID-19 vaccinePost-vaccination side effectsPalestine
spellingShingle Abdallah Damin Abukhalil
Sireen Sultan Shatat
Raya Riyad Abushehadeh
Ni’meh Al-Shami
Hani A. Naseef
Abdullah Rabba
Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
BMC Infectious Diseases
Pfizer/BioNTech COVID-19 vaccine
mRNA COVID-19 vaccine
Post-vaccination side effects
Palestine
title Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
title_full Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
title_fullStr Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
title_full_unstemmed Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
title_short Side effects of Pfizer/BioNTech (BNT162b2) COVID-19 vaccine reported by the Birzeit University community
title_sort side effects of pfizer biontech bnt162b2 covid 19 vaccine reported by the birzeit university community
topic Pfizer/BioNTech COVID-19 vaccine
mRNA COVID-19 vaccine
Post-vaccination side effects
Palestine
url https://doi.org/10.1186/s12879-022-07974-3
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