Safety of mRNA Vaccines Administered During the First Twenty-Four Months of the International COVID-19 Vaccination Program

E. Romero, Shawn Fry, B. Hooker
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引用次数: 1

Abstract

Two mRNA-based COVID vaccines were granted emergency use authorization in both children and adults in 2021 after a drastically accelerated approval process that allowed the manufacturers to essentially fast-track their vaccines. We analyzed data from regulatory surveillance and self-reporting systems like Defense Medical Epidemiology Database(DMED); EudraVigilance; Eurostat; German health insurers; the Israeli Minister of Health; the Natural Cycles app; Public Health Scotland; the United Kingdom’s (UK) Office for National Statistics (ONS); UK’s yellow card reporting system; the vaccine adverse event reporting system (VAERS); and v-safe entries to look for long-term adverse events of these vaccines that cannot be captured in the expedited clinical safety trials. In this observational study, we analyzed non-foreign VAERS data for selected symptoms reported after COVID, influenza, and pertussis vaccines and calculated rates per vaccine dose administered as well as proportion of total reports received. We also looked at DMED data and compared annual incidence rates of selected conditions by taking into account the total number of military personnel for each study year. Our data show, among other trends, increases in adverse event reports if we compare COVID vaccines to influenza and pertussis vaccines and statistically significant higher numbers of hospital encounters in military personnel, as well as increases in incidences of thromboembolic conditions, such as menstrual abnormalities, myocarditis, and cerebrovascular events after the implementation of COVID vaccine mandates, compared to the five years prior. We verified these observations using data from EudraVigilance; the UK’s ONS; German health providers; and Eurostat. Our meta-analysis of both national and international vaccine adverse events emphasizes the importance of re-evaluating public health policies that promote universal mass vaccination and multiple boosters for all demographic groups. In combination with anecdotal evidence, limitations of the safety trials, and the decreased lethality of new strains our research demonstrates that the cost (both monetary and humanitarian) of vaccinating otherwise healthy people, and especially children, may outweigh the benefits.
在国际COVID-19疫苗接种计划的前24个月接种mRNA疫苗的安全性
2021年,两种基于mrna的COVID - 19疫苗获得了儿童和成人的紧急使用授权,此前审批程序大幅加快,使制造商基本上能够快速开发疫苗。我们分析了来自监管监测和自我报告系统的数据,如国防医学流行病学数据库(DMED);EudraVigilance;欧盟统计局(Eurostat);德国健康保险公司;以色列卫生部长;Natural Cycles应用程序;苏格兰公共卫生部;英国国家统计局(ONS);英国的黄牌报告制度;疫苗不良事件报告系统(VAERS);v-safe条目是为了寻找这些疫苗的长期不良事件,而这些不良事件在快速临床安全试验中无法捕捉到。在这项观察性研究中,我们分析了在接种COVID、流感和百日咳疫苗后报告的部分症状的非外国VAERS数据,并计算了每次接种疫苗的比率以及收到的总报告的比例。我们还查看了DMED数据,并通过考虑每个研究年度的军事人员总数,比较了选定疾病的年发病率。我们的数据显示,与其他趋势相比,如果我们将COVID疫苗与流感和百日咳疫苗进行比较,则不良事件报告增加,军事人员在医院就诊的数量在统计上显着增加,并且在实施COVID疫苗任务后,血栓栓塞性疾病(如月经异常、心肌炎和脑血管事件)的发生率与五年前相比有所增加。我们使用EudraVigilance的数据验证了这些观察结果;英国国家统计局;德国保健提供者;和欧盟统计局。我们对国家和国际疫苗不良事件的荟萃分析强调了重新评估公共卫生政策的重要性,这些政策促进了所有人口群体的普遍大规模疫苗接种和多种增强剂。结合传闻证据、安全性试验的局限性以及新菌株致死率的降低,我们的研究表明,为健康人群(尤其是儿童)接种疫苗的成本(包括金钱和人道主义)可能超过收益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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