Association between demographic factors and side effects associated with COVID 19 vaccination

Authors

  • Dur E Shumyle Azra Naheed Dental College, The Superior University, Lahore Pakistan
  • Syed Muhammad Abdullah Azra Naheed Dental College, The Superior University, Lahore Pakistan
  • Hina Rafiq Sheikh Medcity Medical Center, RAS Al Khaimah, United Arab Emirates
  • Noor Ul Huda Al Malik Hospital Taxilla, Rawalpindi Pakistan
  • Asma Shakoor Institute of Dentistry, CMH-Lahore Medical College (National University of Medical Sciences), Lahore Pakistan
  • Hira Butt College of dentistry, Sharif Medical and Dental College, Lahore Pakistan

DOI:

https://doi.org/10.61529/idjp.v33i3.173

Abstract

Background: COVID vaccines were crucial in tackling the COVID 19 pandemic. However, they were also associated with side effects in the vaccinated population. These side effects included mild symptoms of COVID, fever, pain and swelling at the injection site. Hence, we evaluated the association between demographic factors and side effects in individuals following COVID vaccination.

Material and methods: A cross- sectional study was conducted in 93 participants for a period of 1 year, from January 2022 to January 2023.  This was a retrospective study in which information regarding the side effects of two COVID vaccines was collected from the participants post-vaccination.  Demographic data of vaccinated individuals and side effects associated with COVID vaccination were documented on a standardized proforma. Statistical analysis was performed to ascertain any association between the demographic variables and vaccination-associated side effects.

Results: Total 93 participants were evaluated during the study period. Our findings revealed higher frequency of vaccination-associated side effects in females and individuals above 20 years of age. The most common side effects included mild symptoms of COVID, fatigue and tiredness, fever, pain and swelling at the injection site and allergic reaction. None of these associations were found to be statistically significant.

Conclusion: Our findings suggested relatively higher frequency of vaccination-associated side effects in females and in individuals above 20 years of age which according to our inference, might be attributable to certain immune mechanisms in the affected population. In order to develop effective and safer vaccines, we recommend multi-center studies to explore the immunogenesis of such side effects.

Keywords:  COVID, Demographics, Immunization, Vaccination-associated side effects

References

Ganesan S, Al Ketbi LMB, Al Kaabi N, Al Mansoori M, Al Maskari NN, Al Shamsi MS, et al. Vaccine side effects following COVID-19 vaccination among the residents of the UAE-An observational study. Front Public Health. 2022; 10: 876336. DOI: https://doi.org/10.3389/fpubh.2022.876336

Greenhalgh T, Sivan M, Perlowski A, Nikolich JŽ. Long COVID: A clinical update. The Lancet, 2024; 404 (10453): 707-24. DOI: https://doi.org/10.1016/s0140-6736(24)01136-x

Padilla-Flores T, Sampieri A, Vaca L. Incidence and management of the main serious adverse events reported after COVID‐19 vaccination. Pharmacol Res Perspect. 2024; 12(3): e1224. DOI: https://doi.org/10.1002/prp2.1224

Panagiotakopoulos L, Moulia DL, Godfrey M, Link-Gelles R, Roper L, Havers FP, et al. Use of COVID-19 Vaccines for Persons Aged ≥6 Months: Recommendations of the Advisory Committee on Immunization Practices - United States, 2024-2025. Morb Mortal Wkly Rep. 2024; 73(37): 819-24. DOI: https://doi.org/10.15585/mmwr.mm7337e2

Li Y, Lundin SK, Li J, Tao W, Dang Y, Chen Y, Tao C, Unpacking adverse events and associations post COVID-19 vaccination: a deep dive into vaccine adverse event reporting system data. Expert Rev Vaccines. 2024; 23(1): 53-9.

DOI: https://doi.org/10.1080/14760584.2023.2292203

Hosseini R, Askari N. A review of neurological side effects of COVID-19 vaccination. Eur J Med Res. 2023; 28(1): 102. DOI: https://doi.org/10.1186/s40001-023-00992-0

Ciotti M, Ciccozzi M, Terrinoni A, Jiang WC, Wang CB, Bernardini S. The COVID-19 pandemic. Crit Rev Clin Lab Sci. 2020 Aug 17;57(6):365-88. DOI: https://doi.org/10.1080/10408363.2020.1783198

Beatty AL, Peyser ND, Butcher XE, Cocohoba JM, Lin F, Olgin JE, et al. Analysis of COVID-19 vaccine type and adverse effects following vaccination. JAMA Netw Open. 2021; 4(12): e2140364.

DOI: https://doi.org/10.1001/jamanetworkopen.2021.40364

Li Y, Li J, Dang Y, Chen Y, Tao C. Adverse events of COVID-19 vaccines in the United States: Temporal and spatial analysis. JMIR Public Health Surveill, 2024. 10(1): 51007. DOI: https://doi.org/10.2196/51007

Buoninfante A, Andeweg A, Genov G, Cavaleri M et al. Myocarditis associated with COVID-19 vaccination. NPJ Vaccines, 2024. 9(1): 122. DOI: https://doi.org/10.1038/s41541-024-00893-1

Mascellino MT, Di Timoteo F, De Angelis M, Oliva A. Overview of the main anti-SARS-CoV-2 vaccines: mechanism of action, efficacy and safety. Infect Drug Resist. 2021; 143: 4501-4502. DOI: https://doi.org/10.2147/idr.s315727

Chary M, Barbuto AF, Izadmehr S, Tarsillo M, Fleischer E, Burns MM. COVID-19 therapeutics: use, mechanism of action, and toxicity (vaccines, monoclonal antibodies, and immunotherapeutics). J Med Toxicol. 2023. 19(2): p. 205-18. DOI: https://doi.org/10.1007/s13181-023-00931-9

Meo SA, ElToukhy RA, Meo AS, Klonoff DC. Comparison of biological, pharmacological characteristics, indications, contraindications, efficacy, and adverse effects of inactivated whole-virus COVID-19 vaccines Sinopharm, CoronaVac, and Covaxin: an observational study. Vaccines. 2023. 11(4): 826. DOI: https://doi.org/10.3390/vaccines11040826

Ghasemiyeh P, Mohammadi-Samani S, Firouzabadi N, Dehshahri A, Vazin A. A focused review on technologies, mechanisms, safety, and efficacy of available COVID-19 vaccines. Int Immunopharmacol. 2021. 100: p. 108162.

DOI: https://doi.org/10.1016/j.intimp.2021.108162

Alemayehu A, Demissie A, Yusuf M, Abdullahi Y, Abdulwehab R, Oljira L, et al. COVID-19 vaccine side effect: age and gender disparity in adverse effects following the first dose of AstraZeneca COVID-19 vaccine among the vaccinated population in Eastern Ethiopia: a community-based study. SAGE Open Med. 2022; 10: 20503121221108616. DOI: https://doi.org/10.1177/20503121221108616

Riad A, Sağıroğlu D, Üstün B, Pokorná A, Klugarová J, Attia S, et al., Prevalence and risk factors of CoronaVac side effects: an independent cross-sectional study among healthcare workers in Turkey. J Clin Med. 2021. 10(12): 2629. DOI: https://doi.org/10.3390/jcm10122629

Mohsin S, Zahoor M, Mashhadi SF, Ali U, Yousaf U, Malaika N- e-, et al. Safety of COVID-19 Vaccines; Frequency of Side Effects and Association with Sociodemographic Characteristics among Medical Students. Pak Armed Forces Med J. 2024; 72(SUPPL-4): S688-92. DOI: https://doi.org/10.51253/pafmj.v72iSUPPL-4.9639

Saeed BQ, Al-Shahrabi R, Alhaj SS, Alkokhardi ZM, Adrees AO. Side effects and perceptions following Sinopharm COVID-19 vaccination. Int J Infect Dis. 2021. 111: 219-26. DOI: https://doi.org/10.1016/j.ijid.2021.08.013

Abbas S, Abbas B, Amir S, Wajahat M. Evaluation of adverse effects with COVID-19 vaccination in Pakistan. Pak J Med Sci. 2021; 37(7); 1959. DOI: https://doi.org/10.12669/pjms.37.7.4522

Daniel WW and CL. Cross, Biostatistics: A foundation for analysis in the health sciences. 2018: Wiley.

Qureshi A, Syed Sulaiman SA, Rehman W, Mehmood A, Idrees S, Kumar N. Prevalence of post-vaccine side effects among COVID-19 immunized community of Southern Pakistan. PlosOne, 2023. 18(5): e0285736.

DOI: https://doi.org/10.1371/journal.pone.0285736

Hatmal MM, Al-Hatamleh MAI, Olaimat AN, Hatmal M, Alhaj-Qasem DM, Olaimat TM, et al. Side effects and perceptions following COVID-19 vaccination in Jordan: A randomized, cross-sectional study implementing machine learning for predicting the severity of side effects. Vaccines, 2021. 9(6): 556.

DOI: https://doi.org/10.3390/vaccines9060556

Jayadevan R, Shenoy R, Anithadevi TS. Survey of symptoms following COVID-19 vaccination in India. Medrxiv, 2021. DOI: https://doi.org/10.1101/2021.02.08.21251366

Klein SL, Marriott I, Fish EN. Sex-based differences in immune function and responses to vaccination. Trans R Soc Trop Med Hyg. 2015. 109(1): 9-15. DOI: https://doi.org/10.1093/trstmh/tru167

Wibowo J, Heriyanto RS, Wijovi F, Halim DA, Claudia C, Marcella E, et al. Factors associated with side effects of COVID-19 vaccine in Indonesia. Clin Exp Vaccine Res. 2022; 11(1): 89-95.

DOI: https://doi.org/10.7774/cevr.2022.11.1.89

Riad A, Pokorná A, Klugarová J, Antalová N, Kantorová L, Koščík M, Klugar M. Side effects of mRNA-based COVID-19 vaccines among young adults (18–30 years old): An independent post-marketing study. Pharmaceuticals, 2021. 14(10): p. 1049. DOI: https://doi.org/10.3390/ph14101049

Downloads

Published

27-09-2024

How to Cite

Shumyle, D. E., Abdullah, S. M., Sheikh, H. R., Huda, N. U., Shakoor, A., & Butt, H. (2024). Association between demographic factors and side effects associated with COVID 19 vaccination. Infectious Diseases Journal of Pakistan, 33(3), 140–145. https://doi.org/10.61529/idjp.v33i3.173