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COVID-19 Vaccination in Children: An Open Question
Giuseppe Campagnani1, Flaminia Bardanzellu1, Maria Cristina Pintus1
1Department of Surgical Sciences, Neonatal Intensive Care Unit, AOU University of Cagliari, Cagliari, Italy, SS 554 km 4,500, 09042 Monserrato, CA , Italy.
Insights
COVID-19 vaccination for children and adolescents is recommended, though further research is needed to confirm vaccine-related side effects. This review examines the pros and cons of pediatric COVID-19 immunization.
Area of Science:
- Pediatric Infectious Diseases
- Vaccinology
- Public Health
Background:
- The COVID-19 pandemic necessitates effective control measures, with vaccines being paramount.
- While children face lower severe disease risk, pediatric vaccination can curb community viral spread.
- High safety standards are crucial for vaccines administered to healthy pediatric populations.
Purpose of the Study:
- To conduct a narrative review of current literature on the benefits and drawbacks of COVID-19 vaccination in children and adolescents.
- To analyze the available data regarding the efficacy and safety of COVID-19 vaccines in the pediatric demographic.
Main Methods:
- Bibliographic research was performed using PubMed, Read, and Scopus databases.
- Keywords included "COVID-19", "SARS-CoV-2", "immunization", "antibody", "COVID-19 vaccine efficacy", "COVID-19 vaccine safety", "children", "adolescents", "MIS-C", and "adverse effects".
Main Results:
- Children, while less susceptible, can develop severe outcomes like multi-inflammatory syndrome.
- Adverse effects post-vaccination in adolescents and young adults are reported but appear to be isolated cases.
- Thorough evaluation of vaccine-related side effects is essential before pediatric administration.
Conclusions:
- Further investigation is required to establish causality between COVID-19 vaccines and adverse effects.
- COVID-19 vaccination is currently recommended for individuals aged 12 and older.
- The debate surrounding pediatric vaccination involves complex ethical, political, and social considerations.
Background:
A safe and effective vaccine represents the best way to control the COVID-19 pandemic, which has caused more than 4 million deaths to date. Several vaccines have now been approved worldwide, depending on the country. Being administered to healthy people, anti-SARS-CoV-2 vaccines must meet high safety standards, and this is even more important among the pediatric population in which the risk of developing severe disease is significantly lower than adults. However, vaccination of the pediatric population could help in reducing viral spread in the whole population.
Objective:
Our narrative review analyzes and discusses the currently available literature on the advantages and disadvantages of COVID-19 vaccination in the pediatric population.
Methods:
A bibliographic research was conducted through Pubmed, Read, and Scopus using COVID-19, SARS-CoV-2, immunization, antibody, COVID-19 vaccine efficacy, COVID-19 vaccine safety, children, adolescents, MIS-C, adverse effects as keywords.
Results:
Although children are less susceptible to COVID-19 infection, they can develop serious consequences, including multi-inflammatory syndrome. However, any vaccine-related side effects should be evaluated before administering vaccination to children while ensuring complete safety. To date, adverse effects are reported in adolescents and young adults following vaccination; however, these are mostly isolated reports.
Conclusion:
Further investigation is needed to establish whether there is indeed a cause-and-effect relationship in the development of vaccine-related adverse effects. However, to date, COVID-19 vaccination is recommended for children and adolescents older than 12 years of age. However, this question is still under debate and involves ethical, political, and social issues.
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