PMID- 34960125 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211231 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 9 IP - 12 DP - 2021 Nov 24 TI - Serum Antibody Response Comparison and Adverse Reaction Analysis in Healthcare Workers Vaccinated with the BNT162b2 or ChAdOx1 COVID-19 Vaccine. LID - 10.3390/vaccines9121379 [doi] LID - 1379 AB - The COVID-19 pandemic is changing rapidly and requires different strategies to maintain immunization. In Korea, different COVID-19 vaccines are recommended and available for various populations, including healthcare workers (HCWs) at high risk of SARS-CoV-2 infection. We plan to evaluate the adverse events (AEs) and immunogenicity of the BNT162b2 and ChAdOx1 vaccines in HCWs at a single center. This cohort study included HCWs fully vaccinated with either BNT162b2 or ChAdOx1. Blood samples were taken eight weeks after the second vaccination with both COVID-19 vaccines and six months after the second vaccination from participants with the BNT162b2 vaccine. The primary endpoint for immunogenicity was the serum neutralizing antibody responses eight weeks after vaccination. The secondary endpoint was the incidence of various AEs within 28 days of each vaccination. Between 16 March and 23 June 2021, 115 participants were enrolled (65 in the ChAdOx1 group and 50 in the BNT162b2 group). Significantly higher surrogate virus neutralization test (sVNT) inhibition was observed in participants vaccinated with two doses of BNT162b2 (mean (SD) 91.4 (9.68)%) than in those vaccinated with ChAdOx1 (mean (SD) 73.3 (22.57)%). The effectiveness of the BNT162b2 vaccine was maintained across all age and gender categories. At six months after the second dose, serum antibody levels declined significantly in the BNT162b2 group. The main adverse events, including fever, myalgia, fatigue, and headache, were significantly higher in the ChAdOx1 group after the first dose, whereas, after the second dose, those AEs were significantly higher in the BNT162b2 group (p < 0.05). Two doses of either the ChAdOx1 or the BNT162b2 COVID-19 vaccine resulted in very high seropositivity among the HCWs at our center. The quality of the antibody response, measured by sVNT inhibition, was significantly better with the BNT162b2 vaccine than with the ChAdOx1 vaccine. There was no significant association between neutralizing antibody response and AE after each vaccination in our cohort. FAU - Lim, Sung-Hee AU - Lim SH AUID- ORCID: 0000-0003-0845-9994 AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Choi, Seong-Hyeok AU - Choi SH AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Kim, Bora AU - Kim B AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Kim, Ji-Youn AU - Kim JY AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Ji, Young-Sok AU - Ji YS AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Kim, Se-Hyung AU - Kim SH AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Kim, Chan-Kyu AU - Kim CK AUID- ORCID: 0000-0002-1517-9950 AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Kim, Tark AU - Kim T AD - Department of Medicine, Division of Infectious Disease, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Choo, Eun-Ju AU - Choo EJ AUID- ORCID: 0000-0003-2842-7041 AD - Department of Medicine, Division of Infectious Disease, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Moon, Ji-Eun AU - Moon JE AUID- ORCID: 0000-0002-7293-7463 AD - Department of Biostatistics, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Yun, Jina AU - Yun J AUID- ORCID: 0000-0001-5897-8309 AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. FAU - Park, Seong-Kyu AU - Park SK AD - Department of Medicine, Division of Hematology-Oncology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Korea. LA - eng PT - Journal Article DEP - 20211124 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC8708890 OTO - NOTNLM OT - BNT162b2 OT - ChAdOx1 OT - SARS-CoV-2 vaccines OT - neutralizing antibodies immunogenicity COIS- Authors declare no conflict of interest. EDAT- 2021/12/29 06:00 MHDA- 2021/12/29 06:01 PMCR- 2021/11/24 CRDT- 2021/12/28 01:05 PHST- 2021/11/03 00:00 [received] PHST- 2021/11/17 00:00 [revised] PHST- 2021/11/21 00:00 [accepted] PHST- 2021/12/28 01:05 [entrez] PHST- 2021/12/29 06:00 [pubmed] PHST- 2021/12/29 06:01 [medline] PHST- 2021/11/24 00:00 [pmc-release] AID - vaccines9121379 [pii] AID - vaccines-09-01379 [pii] AID - 10.3390/vaccines9121379 [doi] PST - epublish SO - Vaccines (Basel). 2021 Nov 24;9(12):1379. doi: 10.3390/vaccines9121379.