576名医务人员严重急性呼吸综合征冠状病毒2型(SARS-CoV-2) mRNA冠状病毒病2019 (COVID-19)疫苗不良反应分析

Fujita Medical Journal Pub Date : 2022-08-01 Epub Date: 2021-11-25 DOI:10.20407/fmj.2021-009
Masamichi Hayashi, Sayako Morikawa, Yusuke Goto, Takazumi Yoshida, Yutaro Kimura, Kazuyoshi Imaizumi
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引用次数: 2

摘要

目的:防控新冠肺炎疫情采取了多种措施,但效果有限。疫苗有望带来明显的改善。在日本,疫苗接种于2021年2月开始。然而,日本人对新型冠状病毒(SARS-CoV-2) mRNA疫苗的不良反应报道很少。因此,对提交人所在医院576名接种疫苗的医务人员的不良反应进行了调查。方法:以576名希望接种新型冠状病毒(SARS-CoV-2)疫苗的医务人员为研究对象。2021年3月8日至3月15日,辉瑞公司新型冠状病毒mRNA疫苗(商业名称:Comirnaty肌肉注射)首次接种。第二次疫苗接种于2021年3月29日至4月5日进行,间隔时间超过21天。结果:首次接种不良反应6例。1名受试者出现呼吸困难,1名受试者出现关节痛,3名受试者出现发热/不适,1名受试者出现左腋窝疼痛和淋巴结病变。一名受试者在接种部位出现了需要解决的反应。第二次接种时,64名受试者出现不良反应。发热58例,全身不适21例,关节痛12例,疼痛11例,头痛6例,发冷6例,恶心3例,发红2例,头晕2例,荨麻疹2例,肿胀2例,咳嗽1例,瘙痒1例(部分出现多次不良反应)。体温为37.4至38.9度。结论:新冠肺炎疫苗的不良反应多为轻度,未发生严重过敏反应。如果注意到不良反应,接种疫苗被认为是完全可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adverse reactions to mRNA coronavirus disease 2019 (COVID-19) vaccine for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 576 medical staff.

Objectives: Various measures have been taken to curb the COVID-19 epidemic, but their effect has been limited. Vaccines are expected to make a definite improvement. In Japan, vaccination began in February 2021. However, there are very few reports of adverse reactions to mRNA vaccines for the new coronavirus (SARS-CoV-2) in Japanese people. Therefore, adverse reactions in 576 vaccinated medical staff at the author's hospital were investigated.

Methods: The subjects were 576 medical staff who wished to receive the new coronavirus (SARS-CoV-2) vaccine. The first vaccination was performed with Pfizer's new coronavirus mRNA vaccine (commercial name: Comirnaty intramuscular injection) from March 8 to March 15, 2021. The second vaccination was performed from March 29 to April 5, 2021, at an interval of more than 21 days from the first vaccination.

Results: Adverse reactions were seen in six subjects in the first vaccination. There was dyspnea in one subject, arthralgia in one subject, fever/malaise in three subjects, and left axillary pain and lymphadenopathy in one subject. One subject had a reaction at the vaccination site that needed to be addressed. At the second vaccination, adverse reactions were observed in 64 subjects. There was fever in 58 subjects, malaise in 21 subjects, arthralgia in 12 subjects, aching pain in 11 subjects, headache in six subjects, chills in six subjects, nausea in three subjects, redness in two subjects, dizziness in two subjects, hives in two subjects, swelling in two subjects, cough in one subject, and itching in one subject (some had multiple adverse reactions). Fever was observed in the range of body temperature from 37.4 to 38.9 degrees.

Conclusions: Most of the adverse reactions to the COVID-19 vaccine were mild, and no serious anaphylaxis was observed. Vaccination was considered perfectly feasible if attention is paid to adverse reactions.

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