PMID- 35632500 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230308 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 10 IP - 5 DP - 2022 May 9 TI - Adverse Events and Safety Profile of the COVID-19 Vaccines in Adolescents: Safety Monitoring for Adverse Events Using Real-World Data. LID - 10.3390/vaccines10050744 [doi] LID - 744 AB - A COVID-19 vaccine BNT162b2 (Pfizer-BioNTech) has recently been authorized for adolescents in the US. However, the impact of adverse events on adolescents after vaccination has not been fully investigated. To assess the safety of the COVID-19 vaccine in adolescents, the incidence of adverse events (AEs) in adolescents and adults was compared after vaccination. We included 6304 adolescents (68.14 per 100,000 people) who reported adverse events using vaccine adverse event reporting system (VAERS) data from 10 May 2021 to 30 September 2021. The mean age was 13.6 +/- 1.1 years and women (52.7%) outnumbered men. We analyzed severe and common adverse events in response to the COVID-19 vaccine among 6304 adolescents (68.14 per 100,000 people; 52% female; mean age, 13.6 +/- 1.1 years). The risk of myocarditis or pericarditis among adolescents was significantly higher in men than in women (OR = 6.61, 95% CI = 4.43 to 9.88; p < 0.001), with a higher frequency after the second dose of the vaccine (OR = 8.52, 95% CI = 5.79 to 12.54; p < 0.001). In addition, severe adverse events such as multisystem inflammatory syndromes, where the incidence rate per 100,000 people was 0.11 (n = 10), and the relative risk was 244.3 (95% CI = 31.27 to 1908.38; p < 0.001), were significantly higher in adolescents than in adults. The risk of the inflammatory response to the COVID-19 vaccine, including myocarditis, pericarditis, or multisystem inflammatory syndromes, was significantly higher in men than in women, with a higher frequency in adolescents than in adults. The inflammation-related AEs may require close monitoring and management in adolescents. FAU - Lee, Chae Won AU - Lee CW AUID- ORCID: 0000-0002-9380-8230 AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute of Basic Medical Sciences, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute for Biomedical Informatics, School of Medicine, CHA University, Seongnam 13488, Korea. FAU - Sa, Soonok AU - Sa S AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute of Basic Medical Sciences, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute for Biomedical Informatics, School of Medicine, CHA University, Seongnam 13488, Korea. FAU - Hong, Myunghee AU - Hong M AUID- ORCID: 0000-0002-4573-3625 AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute of Basic Medical Sciences, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute for Biomedical Informatics, School of Medicine, CHA University, Seongnam 13488, Korea. FAU - Kim, Jihyun AU - Kim J AD - Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea. FAU - Shim, Sung Ryul AU - Shim SR AUID- ORCID: 0000-0003-4143-7383 AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute of Basic Medical Sciences, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute for Biomedical Informatics, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Healthcare Big-Data Center, Bundang CHA Hospital, Seongnam 13488, Korea. AD - Department of Health and Medical Informatics, Kyungnam University College of Health Sciences, Changwon 51767, Korea. FAU - Han, Hyun Wook AU - Han HW AUID- ORCID: 0000-0002-6918-5694 AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute of Basic Medical Sciences, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Institute for Biomedical Informatics, School of Medicine, CHA University, Seongnam 13488, Korea. AD - Healthcare Big-Data Center, Bundang CHA Hospital, Seongnam 13488, Korea. LA - eng GR - No. 20015086/Ministry of Trade, Industry and Energy/ GR - National IT Industry Promotion Agency (NIPA)/Ministry of Science ICT and Future Planning/ GR - No.2020R1F1A1068423/Ministry of Education/ PT - Journal Article DEP - 20220509 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC9143867 OTO - NOTNLM OT - BNT162b2 OT - COVID-19 OT - adolescents OT - safety OT - severe adverse events OT - vaccines COIS- The authors declare no conflict of interest. EDAT- 2022/05/29 06:00 MHDA- 2022/05/29 06:01 PMCR- 2022/05/09 CRDT- 2022/05/28 01:44 PHST- 2022/04/12 00:00 [received] PHST- 2022/05/06 00:00 [revised] PHST- 2022/05/07 00:00 [accepted] PHST- 2022/05/28 01:44 [entrez] PHST- 2022/05/29 06:00 [pubmed] PHST- 2022/05/29 06:01 [medline] PHST- 2022/05/09 00:00 [pmc-release] AID - vaccines10050744 [pii] AID - vaccines-10-00744 [pii] AID - 10.3390/vaccines10050744 [doi] PST - epublish SO - Vaccines (Basel). 2022 May 9;10(5):744. doi: 10.3390/vaccines10050744.