Self-reported maternal adverse events of covid-19 vaccination during pregnancy

OBJECTIVE: To describe the self-reported maternal adverse events (AEs) of covid-19 vaccination during pregnancy.

DESIGN: The Dutch Pregnancy Drug Register ("Moeders van Morgen"), is a prospective cohort study among pregnant women in the Netherlands.

METHOD: Using online questionnaires, women reported whether they received a covid-19 vaccination and the self-perceived AEs after vaccination. We included women who received their first covid-19 vaccination during pregnancy. We assessed the maternal AEs by vaccine dose, type of vaccine (BioNTech/Pfizer, Moderna, AstraZeneca, and Janssen) and moment of vaccination in pregnancy.

RESULTS: 4348 women received their first covid-19 vaccination during pregnancy and were included. Of these, 2787 women also reported a second dose during pregnancy. After the first dose, AEs were less often reported for BioNTech/Pfizer (56% ≥1 AE), compared to Moderna (68% ≥1 AE) or AstraZeneca (87% ≥1 AE). After the second dose, AEs were less often reported for BioNTech/Pfizer (44% ≥1 AE) compared to Moderna (76% ≥1 AE). Injection site reactions, myalgia and fatigue were reported most frequently. There was large variation in the percentage reporting pyrexia/fever between the different vaccines (3%, 22%, and 10% after the second dose of BioNTech/Pfizer, Moderna, and Astrazeneca respectively). There were no major differences in the rates of AEs between vaccination in the first, second, or third trimester.

CONCLUSION: The adverse event profile among women who were vaccinated against covid-19 during pregnancy do not indicate any safety concerns. Considering the reported maternal AEs, the BioNTech/Pfizer vaccine seems best for vaccination during pregnancy.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:166

Enthalten in:

Nederlands tijdschrift voor geneeskunde - 166(2022) vom: 22. Dez.

Sprache:

Niederländisch

Weiterer Titel:

Maternale bijwerkingen na covid-19-vaccinatie in de zwangerschap

Beteiligte Personen:

Woestenberg, Petra J [VerfasserIn]
Litjens, Carlijn H C [VerfasserIn]
Vissers, Lieke C M [VerfasserIn]
Kant, Agnes [VerfasserIn]
Berrens, Marianne [VerfasserIn]
Vorstenbosch, Saskia [VerfasserIn]

Themen:

COVID-19 Vaccines
English Abstract
Journal Article

Anmerkungen:

Date Completed 13.01.2023

Date Revised 16.02.2023

published: Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351439919