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Mini-Review Discussing the Reliability and Efficiency of COVID-19 Vaccines
Bogdan Doroftei1,2,3, Alin Ciobica4,5, Ovidiu-Dumitru Ilie5
1Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", University Street, no 16, 700115 Iasi, Romania.
Abstract:
Severe Acute Respiratory Syndrome Coronavirus 2 is a novel strain of human beta-coronavirus that has produced over two million deaths and affected one hundred million individuals worldwide. As all the proposed drugs proved to be unstable, inducing side effects, the need to develop a vaccine crystallized in a short time. As a result, we searched the databases for articles in which the authors reported the efficacy and safety of the use of several vaccines vaccines by sex, age group, and frequency of adverse reactions. We identified a total of 19 relevant articles that were discussed throughout this manuscript. We concluded that from all eleven vaccines, three had an efficacy >90% (Pfizer-BioNTech (~95%), Moderna (~94%), and Sputnik V (~92%)) except for Oxford-AstraZeneca (~81%). However, Moderna, Sputnik V, and Oxford-AstraZeneca also alleviate severe adverse reactions, whereas in Pfizer-BioNTech this was not revealed. The remaining five (Convidicea (AD5-nCOV); Johnson & Johnson (Ad26.COV2.S); Sinopharm (BBIBP-CorV); Covaxin (BBV152), and Sinovac (CoronaVac)) were discussed based on their immunogenicity, and safety reported by the recipients since only phases 1 and 2 were conducted without clear evidence published regarding their efficacy. CoviVac and EpiVacCorona have just been approved, which is why no published article could be found. All adverse events reported following the administration of one of the four vaccines ranged from mild to moderate; limited exceptions in which the patients either developed severe forms or died, because most effects were dose-dependent. It can be concluded that aforementioned vaccines are efficient and safe, regardless of age and sex, being well-tolerated by the recipients.
Insights
This study reviewed eleven COVID-19 vaccines, finding three with over 90% efficacy: Pfizer-BioNTech, Moderna, and Sputnik V. Most vaccines were safe and effective across age and sex groups.
Area of Science:
- Virology
- Immunology
- Public Health
Background:
- Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) caused a global pandemic with millions of deaths.
- Existing drug treatments for SARS-CoV-2 showed instability and side effects, necessitating rapid vaccine development.
- Vaccine efficacy and safety data are crucial for public health decision-making.
Purpose of the Study:
- To evaluate the efficacy and safety of various COVID-19 vaccines.
- To analyze vaccine performance across different demographics, including sex and age groups.
- To assess the frequency and severity of adverse reactions associated with different vaccines.
Main Methods:
- A comprehensive literature search was conducted across multiple databases.
- Nineteen relevant articles reporting on COVID-19 vaccine efficacy and safety were identified and analyzed.
- Data on vaccine effectiveness, immunogenicity, and adverse events were systematically reviewed.
Main Results:
- Three vaccines demonstrated over 90% efficacy: Pfizer-BioNTech (~95%), Moderna (~94%), and Sputnik V (~92%).
- Oxford-AstraZeneca showed ~81% efficacy, while Moderna, Sputnik V, and Oxford-AstraZeneca also helped alleviate severe adverse reactions.
- Most reported adverse events were mild to moderate and dose-dependent; vaccines were generally well-tolerated across age and sex.
Conclusions:
- Several COVID-19 vaccines, including Pfizer-BioNTech, Moderna, and Sputnik V, exhibit high efficacy rates.
- The reviewed vaccines are considered efficient and safe for use across diverse populations, irrespective of age and sex.
- While most adverse reactions are mild, careful monitoring for dose-dependent effects remains important.
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