Academic Journal
Safety of Ancestral Monovalent BNT162b2, mRNA-1273, and NVX-CoV2373 COVID-19 Vaccines in US Children Aged 6 Months to 17 Years
| العنوان: | Safety of Ancestral Monovalent BNT162b2, mRNA-1273, and NVX-CoV2373 COVID-19 Vaccines in US Children Aged 6 Months to 17 Years |
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| المؤلفون: | Hu, Mao, Shoaibi, Azadeh, Feng, Yuhui, Lloyd, Patricia C., Wong, Hui Lee, Smith, Elizabeth R., Amend, Kandace L., Kline, Annemarie, Beachler, Daniel C., Gruber, Joann F., Mitra, Mahasweta, Seeger, John D., Harris, Charlalynn, Secora, Alex, Obidi, Joyce, Wang, Jing, Song, Jennifer, McMahill-Walraven, Cheryl N., Reich, Christian, McEvoy, Rowan, Do, Rose, Chillarige, Yoganand, Clifford, Robin, Cooper, Danielle D., Forshee, Richard A., Anderson, Steven A. |
| المصدر: | JAMA Network Open ; volume 7, issue 4, page e248192 ; ISSN 2574-3805 |
| بيانات النشر: | American Medical Association (AMA) |
| سنة النشر: | 2024 |
| الوصف: | Importance Active monitoring of health outcomes after COVID-19 vaccination provides early detection of rare outcomes that may not be identified in prelicensure trials. Objective To conduct near-real-time monitoring of health outcomes after COVID-19 vaccination in the US pediatric population. Design, Setting, and Participants This cohort study evaluated 21 prespecified health outcomes after exposure before early 2023 to BNT162b2, mRNA-1273, or NVX-CoV2373 ancestral monovalent COVID-19 vaccines in children aged 6 months to 17 years by applying a near-real-time monitoring framework using health care data from 3 commercial claims databases in the US (Optum [through April 2023], Carelon Research [through March 2023], and CVS Health [through February 2023]). Increased rates of each outcome after vaccination were compared with annual historical rates from January 1 to December 31, 2019, and January 1 to December 31, 2020, as well as between April 1 and December 31, 2020. Exposure Receipt of an ancestral monovalent BNT162b2, mRNA-1273, or NVX-CoV2373 COVID-19 vaccine dose identified through administrative claims data linked with Immunization Information Systems data. Main Outcomes and Measures Twenty-one prespecified health outcomes, of which 15 underwent sequential testing and 6 were only monitored descriptively due to lack of historical rates. Results Among 4 102 016 vaccinated enrollees aged 6 months to 17 years, 2 058 142 (50.2%) were male and 3 901 370 (95.1%) lived in an urban area. Thirteen of 15 sequentially tested outcomes did not meet the threshold for a statistical signal. Statistical signals were detected for myocarditis or pericarditis after BNT162b2 vaccination in children aged 12 to 17 years and seizure after vaccination with BNT162b2 and mRNA-1273 in children aged 2 to 4 or 5 years. However, in post hoc sensitivity analyses, a statistical signal for seizure was observed only after mRNA-1273 when 2019 background rates were selected; no statistical signal was observed when 2022 rates were selected. ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1001/jamanetworkopen.2024.8192 |
| الاتاحة: | http://dx.doi.org/10.1001/jamanetworkopen.2024.8192 https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2818033/hu_2024_oi_240302_1713374678.67183.pdf |
| رقم الانضمام: | edsbas.2F89CC9C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1001/jamanetworkopen.2024.8192 |
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