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Multimorbidity and adverse events of special interest associated with Covid-19 vaccines in Hong Kong

Lai, FTT; Huang, L; Chui, CSL; Wan, EYF; Li, X; Wong, CKH; Chan, EWW; ... Wong, ICK; + view all (2022) Multimorbidity and adverse events of special interest associated with Covid-19 vaccines in Hong Kong. Nature Communications , 13 (1) , Article 411. 10.1038/s41467-022-28068-3. Green open access

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Abstract

Prior research using electronic health records for Covid-19 vaccine safety monitoring typically focuses on specific disease groups and excludes individuals with multimorbidity, defined as ≥2 chronic conditions. We examine the potential additional risk of adverse events 28 days after the first dose of CoronaVac or Comirnaty imposed by multimorbidity. Using a territory-wide public healthcare database with population-based vaccination records in Hong Kong, we analyze a retrospective cohort of patients with chronic conditions. Thirty adverse events of special interest according to the World Health Organization are examined. In total, 883,416 patients are included and 2,807 (0.3%) develop adverse events. Results suggest vaccinated patients have lower risks of adverse events than unvaccinated individuals, multimorbidity is associated with increased risks regardless of vaccination, and the association of vaccination with adverse events is not modified by multimorbidity. To conclude, we find no evidence that multimorbidity imposes extra risks of adverse events following Covid-19 vaccination.

Type: Article
Title: Multimorbidity and adverse events of special interest associated with Covid-19 vaccines in Hong Kong
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41467-022-28068-3
Publisher version: https://doi.org/10.1038/s41467-022-28068-3
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
URI: https://discovery.ucl.ac.uk/id/eprint/10142619
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