Side effects of COVID-19 vaccines among Iranian healthcare workers: a retrospective cohort study

被引:1
作者
Roudgari, Hassan [1 ]
Etemad, Koorosh [2 ]
Karami, Manoochehr [2 ]
Mostafavi, Farideh [2 ]
Ghorbani, Sahar Sotoodeh [2 ]
Babadi, Kosar Farhadi [2 ]
Rahimi, Elham [2 ]
Taherpour, Niloufar [2 ,3 ]
Masoom, Seyed Mahmood Fattahi [4 ]
Habibi, Masoud [5 ]
Kermanpour, Hossein [6 ]
Laripour, Reza [7 ]
Manoochehri, Omid [8 ]
Raeeszadeh, Mohammad [9 ]
Salimi, Alireza [10 ]
Shekarchi, Babak [11 ]
Tajernia, Ali [12 ]
Zafarghandi, Mohammad Reza [13 ]
Zali, Alireza [14 ]
Zarghi, Afshin [15 ]
Nazari, Seyed Saeed Hashemi [16 ,17 ]
机构
[1] Shahid Beheshti Univ Med Sci, Genom Res Ctr, Natl Ctr Genom Excellence, Dept Res,IR Iran Med Council, Tehran, Iran
[2] Shahid Beheshti Univ Med Sci, Sch Publ Hlth & Safety, Dept Epidemiol, Tehran, Iran
[3] Shahid Beheshti Univ Med Sci, Prevent Cardiovasc Dis Res Ctr, Tehran, Iran
[4] NOBAAN Private Corp, Tehran, Iran
[5] ACECR, Yara Inst, Dept Photo Healing & Regenerat, Med Laser Res Ctr, Tehran, Iran
[6] Univ Tehran Med Sci, Sina Hosp, Emergency Dept, Tehran, Iran
[7] AJA Univ Med Sci, Dept Neurosurg, Tehran, Iran
[8] NOBAAN Private Corp, Board, Tehran, Iran
[9] Baqiyatallah Univ Med Sci, Fac Med, Tehran, Iran
[10] Shahid Beheshti Univ Med Sci, Masih Daneshvari Hosp, Chron Resp Dis Res Ctr, Anesthesia & Crit Care Dept, Tehran, Iran
[11] AJA Univ Med Sci, Sch Med, Dept Radiol, Tehran, Iran
[12] Iranian Dent Assoc, Tehran, Iran
[13] Univ Tehran Med Sci, Sina Gen Hosp, Dept Vasc Surg & Traumatol, Tehran, Iran
[14] Shahid Beheshti Univ Med Sci, Shohada Tajrish Hosp, Funct Neurosurg Res Ctr, Shohada Tajrish Neurosurg Ctr Excellence, Tehran, Iran
[15] Shahid Beheshti Univ Med Sci, Dept Med & Pharmaceut Chem, Tehran, Iran
[16] Shahid Beheshti Univ Med Sci, Prevent Cardiovasc Dis Res Ctr, Sch Publ Hlth & Safety, Dept Epidemiol, Tehran, Iran
[17] Shahid Beheshti Univ Med Sci, Sch Publ Hlth & Safety, Daneshjoo Blvd,Evin Ave, Tehran, Iran
关键词
side effects; vaccine; COVID-19; healthcare workers;
D O I
10.3855/jidc.17691
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction: This study assessed the incidence and severity of side effects associated with coronavirus disease 2019 (COVID-19) vaccination among healthcare workers registered with the Medical Council of the Islamic Republic of Iran. Methodology: A retrospective cohort study was conducted on the healthcare workers focusing on the side-effects of COVID-19 vaccines from March to June 2021. Data were collected using online questionnaires. Multivariable logistic regression was used to assess the association between side effects of the vaccines and demographic variables, comorbidities, vaccine type, and history of COVID-19. Results: Out of 42,018 people who were included, 55.85% reported at least one side effect after receiving the first vaccine dose. 4.59% of those with side effects sought diagnostic intervention or were referred to treatment centers. Multivariable logistic regression indicated that being a woman, higher education, having a history of COVID-19 infection, and having comorbidities increased the risk of side effects. The AstraZeneca vaccine significantly increased the risk of side effects compared to the Sputnik vaccine, while the Sinopharm vaccine decreased this risk. The risk of developing a side effect decreased with age. The risk of moderate and severe side effects was significantly associated with gender, younger age, comorbidities, and a history of COVID-19 infection. Moderate and severe side effects were less reported by those who received the Sinopharm vaccine. Conclusions: Clinical complications after COVID-19 vaccination, directly or indirectly caused by the vaccines, are common. However, the benefits of COVID-19 vaccines greatly outweigh the risk of reversible side effects, especially among the high -risk population.
引用
收藏
页码:532 / 541
页数:10
相关论文
共 31 条
[1]   A Summary of the SARS-CoV-2 Vaccines and Technologies Available or under Development [J].
Abdulla, Zainalabideen A. ;
Al-Bashir, Sharaf M. ;
Al-Salih, Noor S. ;
Aldamen, Ala A. ;
Abdulazeez, Mohammad Z. .
PATHOGENS, 2021, 10 (07)
[2]   Adverse Events following AstraZeneca COVID-19 Vaccine in Saudi Arabia: A Cross-Sectional Study among Healthcare and Nonhealthcare Workers [J].
Alghamdi, Ahlam A. ;
Alkazemi, Afrah ;
Alissa, Abdulrahman ;
Alghamdi, Isra ;
Alwarafi, Ghada ;
Waggas, Hadeel A. .
INTERVIROLOGY, 2022, 65 (02) :104-109
[3]   BNT162b2 and ChAdOx1 SARS-CoV-2 Post-vaccination Side-Effects Among Saudi Vaccinees [J].
Alghamdi, Ahmed N. ;
Alotaibi, Mohammed, I ;
Alqahtani, Adel S. ;
Al Aboud, Daifullah ;
Abdel-Moneim, Ahmed S. .
FRONTIERS IN MEDICINE, 2021, 8
[4]   Parental Declaration of Adverse Event Following Immunization in a Cross-Sectional Study in Poland [J].
Baranski, Kamil ;
Gajda, Maksymilian ;
Braczkowska, Bogumila ;
Kowalska, Malgorzata .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2019, 16 (20)
[5]   Blood clots and bleeding events following BNT162b2 and ChAdOx1 nCoV-19 vaccine: An analysis of European data [J].
Cari, Luigi ;
Fiore, Paolo ;
Alhosseini, Mahdieh Naghavi ;
Sava, Gianni ;
Nocentini, Giuseppe .
JOURNAL OF AUTOIMMUNITY, 2021, 122
[6]   Cutaneous reactions after SARS-CoV-2 vaccination: a cross-sectional Spanish nationwide study of 405 cases [J].
Catala, A. ;
Munoz-Santos, C. ;
Galvan-Casas, C. ;
Roncero Riesco, M. ;
Revilla Nebreda, D. ;
Sola-Truyols, A. ;
Giavedoni, P. ;
Llamas-Velasco, M. ;
Gonzalez-Cruz, C. ;
Cubiro, X. ;
Ruiz-Villaverde, R. ;
Gomez-Armayones, S. ;
Gil Mateo, M. P. ;
Pesque, D. ;
Marcantonio, O. ;
Fernandez-Nieto, D. ;
Romani, J. ;
Iglesias Pena, N. ;
Carnero Gonzalez, L. ;
Tercedor-Sanchez, J. ;
Carretero, G. ;
Masat-Tico, T. ;
Rodriguez-Jimenez, P. ;
Gimenez-Arnau, A. M. ;
Utrera-Busquets, M. ;
Vargas Laguna, E. ;
Angulo Menendez, A. G. ;
San Juan Lasser, E. ;
Iglesias-Sancho, M. ;
Alonso Naranjo, L. ;
Hiltun, I ;
Cutillas Marco, E. ;
Polimon Olabarrieta, I ;
Marinero Escobedo, S. ;
Garcia-Navarro, X. ;
Calderon Gutierrez, M. J. ;
Baeza-Hernandez, G. ;
Bou Camps, L. ;
Toledo-Pastrana, T. ;
Guilabert, A. .
BRITISH JOURNAL OF DERMATOLOGY, 2022, 186 (01) :142-152
[7]   Reporting at Least One Adverse Effect Post-COVID-19 Vaccination From Primary Health Care in Muscat [J].
Ghafri, Thamra S. Al ;
Al Balushi, Lamya ;
Al Balushi, Zainab ;
Al Hinai, Fatma ;
Al Hasani, Said ;
Anwar, Huda ;
Al Lawati, Muna ;
Al Harthi, Saud .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (08)
[8]   Thrombotic Thrombocytopenia after ChAdOx1 nCov-19 Vaccination [J].
Greinacher, Andreas ;
Thiele, Thomas ;
Warkentin, Theodore E. ;
Weisser, Karin ;
Kyrle, Paul A. ;
Eichinger, Sabine .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (22) :2092-2101
[9]   Side Effects and Perceptions Following COVID-19 Vaccination in Jordan: A Randomized, Cross-Sectional Study Implementing Machine Learning for Predicting Severity of Side Effects [J].
Hatmal, Ma'mon M. ;
Al-Hatamleh, Mohammad A. I. ;
Olaimat, Amin N. ;
Hatmal, Malik ;
Alhaj-Qasem, Dina M. ;
Olaimat, Tamadur M. ;
Mohamud, Rohimah .
VACCINES, 2021, 9 (06)
[10]  
Inbaraj L., 2021, Current Medical Issues, V19, P162, DOI DOI 10.4103/CMI.CMI5021