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Risk of new-onset seizures following immunization against COVID-19: a self-controlled case-series study
Hwa Yeon Ko1, Dongwon Yoon1,2, Ju Hwan Kim1,2
1School of Pharmacy, Sungkyunkwan University, Suwon, Korea.
COVID-19 vaccination does not increase the risk of new-onset seizures (NOS). This study provides safety evidence for clinical decisions and public confidence in COVID-19 vaccines.
Area of Science:
- Neurology
- Vaccinology
- Public Health
Background:
- Reports of new-onset seizures (NOS) post-COVID-19 vaccination exist, but safety data are limited.
- Investigating the association between COVID-19 vaccination and NOS is crucial for vaccine safety assessment.
Purpose of the Study:
- To evaluate the risk of new-onset seizures (NOS) following COVID-19 vaccination.
- To provide robust safety evidence for COVID-19 vaccines.
Main Methods:
- A self-controlled case series study using nationwide databases (February 2021-October 2022).
- Included adults (≥18 years) vaccinated with BNT162b2, ChAdOx1 nCoV-19, mRNA-1273, NVX-CoV2373, or Ad26.COV2.S.
- Compared NOS risk in a 28-day window post-vaccination versus the remaining observation period.
Main Results:
- No increased risk of NOS was found within 28 days post-vaccination (IRR, 0.99; 95% CI, 0.94-1.05).
- Subgroup analyses showed no significant increase for most vaccines.
- A marginally elevated risk was observed for mRNA-1273 (IRR, 1.21; 95% CI, 1.04-1.42).
Conclusions:
- COVID-19 vaccination is not associated with an increased risk of new-onset seizures.
- Findings support the safety of COVID-19 vaccines and aid clinical decision-making.
- This evidence can enhance public trust in COVID-19 vaccination programs.
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