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Symptom-Specific Hospital Contacts in 12-18-Year-Olds Vaccinated against COVID-19: A Danish Register-Based Cohort
Selina Kikkenborg Berg1,2, Helle Wallach-Kildemoes1, Line Ryberg Rasmussen1
1Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Inge Lehmanns Vej 7, 2100 Copenhagen, Denmark.
Insights
This study examined COVID-19 vaccine side effects in adolescents. BNT162b2 vaccination showed varied hospital contact rates, with specific symptoms noted in boys and girls post-vaccination.
Area of Science:
- Pediatric Health
- Vaccinology
- Public Health Surveillance
Background:
- Adolescent vaccination against COVID-19 is crucial for public health.
- Understanding potential side effects and healthcare utilization post-vaccination is essential.
- Real-world data on BNT162b2 vaccine effects in adolescents is needed.
Purpose of the Study:
- To investigate symptom-specific hospital contacts in adolescents (12-18 years) after two doses of the BNT162b2 COVID-19 vaccine.
- To compare hospital contact rates between vaccinated and unvaccinated adolescent cohorts.
- To identify potential symptom patterns requiring monitoring post-vaccination.
Main Methods:
- Register-based real-life cohort study design.
- Sex and age-matched cohorts of vaccinated and unvaccinated adolescents (May-September 2021).
- Analysis of symptom-specific hospital contacts (ICD-10 R diagnoses) pre- and post-vaccination.
Main Results:
- Differences in symptom-specific hospital contacts were observed between vaccinated and unvaccinated adolescents.
- Higher rates of certain hospital contacts were noted in the vaccinated group, while others were higher in the unvaccinated group.
- Specific symptoms like unspecific cognition in girls and throat/chest pain in boys warrant monitoring in the initial months post-vaccination.
Conclusions:
- BNT162b2 vaccination in adolescents is associated with varied patterns of symptom-specific hospital contacts.
- Monitoring for specific symptoms in vaccinated adolescent boys and girls is recommended in the early post-vaccination period.
- Assessment of post-vaccination hospital contacts should consider the risks associated with COVID-19 infection itself.
Abstract:
In this register-based real-life cohort study, changes in symptom-specific hospital contacts among 12-18-year-olds following two doses of the BNT162b2 COVID-19 vaccine compared to unvaccinated peers were investigated. Using national register data, vaccinated and unvaccinated adolescents were sex and age-matched each week during the inclusion period from May to September 2021. Symptom-specific hospital contacts covering ICD-10 R diagnoses were assessed before first the vaccine dose and after the second vaccine dose. Taking previous rates of symptom-specific hospital contacts into account, differences between vaccinated and unvaccinated adolescents were found. For some hospital contacts, higher rates were seen among the vaccinated, and for others, higher rates were seen among the unvaccinated. Unspecific cognition symptoms may be important to monitor in vaccinated girls, and likewise for throat and chest pain in vaccinated boys within the first months post-vaccination. In perspective, symptom-specific hospital contacts after vaccination against COVID-19 must be assessed by taking the risk of infection and symptoms following COVID-19 infection into account.
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