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在COVID-19疫苗接种后对疹疹的GP咨询:基于荷兰电子健康记录数据的自我控制队列研究
Rana Jajou1, Eugène van Puijenbroek1,2, Jetty Overbeek3
1Netherlands Pharmacovigilance Centre Lareb, Goudsbloemvallei 7, 's-Hertogenbosch, The Netherlands.
Drug safety
|December 11, 2025
概括
接种COVID-19疫苗,特别是第三剂,与轻微增加疹风险有关. 这种风险在信使RNA疫苗中最为明显,而初级系列没有显示增加的风险.
科学领域:
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
- 传染性疾病 传染性疾病
背景情况:
- 在COVID-19疫苗接种后的疹风险上存在相互矛盾的系统审查.
- 需要大规模的电子健康记录数据来澄清这种关联.
研究的目的:
- 为了调查COVID-19疫苗接种后的疹风险.
- 使用荷兰的一般实践电子健康记录进行可靠的分析.
主要方法:
- 使用PHARMO和Nivel初级保健数据库数据进行自我控制的病例系列设计.
- 包括年龄≥12岁且至少接种过一剂COVID-19疫苗的个人.
- 在接种疫苗后的28天期间与对照期的比较疹风险,调整为SARS-CoV-2感染.
主要成果:
- 在所有COVID-19疫苗剂量组合和特别在第三剂量 (aIRR分别为1.07和1.21) 中观察到疹风险增加.
- 使者RNA (mRNA) 疫苗在所有剂量和第三剂量 (aIRR分别为1.06和1.21) 中都显示出类似的风险增加.
结论:
- 与所有COVID-19疫苗剂量和类型相关的疹风险略有增加.
- 在初级疫苗接种系列后没有发现增加的风险;在mRNA疫苗强剂后注意到略有增加的风险.
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