Adverse events following COVID-19 immunisation (AEFI) at a COVID-19 vaccination centre: An observational analytical

Vinita Shukla1, Beena Sachan1, Sugandha Jauhari2

  • 1Department of Community Medicine, Dr. R.M.L.I.M.S, Lucknow, Uttar Pradesh, India.

Insights

COVID-19 vaccines are safe, with most adverse events following immunisation (AEFI) being minor reactions. Higher AEFI incidence was observed in older age groups, but comorbidities showed no association with severity.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) vaccination programs aim to reduce disease severity and transmission.
  • Understanding adverse events following immunisation (AEFI) across different demographics is crucial for vaccine safety monitoring and public confidence.

Purpose of the Study:

  • To determine the incidence and characteristics of AEFI in various age groups following COVID-19 vaccination.
  • To assess the association between comorbidities and the occurrence or severity of AEFI.

Main Methods:

  • An observational analytical study was conducted on 1002 participants who received two doses of a COVID-19 vaccine.
  • Participants were categorized into three age groups: 18-44 years, 45-60 years, and over 60 years.
  • Data on AEFI were collected via semi-structured questionnaires during home visits.

Main Results:

  • The incidence of any AEFI was highest in the >60 years age group (31.9%), followed by 45-60 years (19.74%), and 18-44 years (15.17%).
  • AEFI severity was greater in the 18-44 years group (66.1%) compared to the 45-60 years (30.67%) and >60 years groups.
  • Fever and injection site pain/inflammation were the most frequently reported AEFI. No association was found between comorbidities and AEFI severity.

Conclusions:

  • COVID-19 vaccines demonstrate a favorable safety profile, with predominantly minor and expected immunogenic reactions.
  • The observed AEFI rates and types are consistent with general vaccine responses.
  • High vaccine uptake across all recommended age groups is encouraged to mitigate the impact of COVID-19.
Abstract

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