PMID- 38048705 OWN - NLM STAT- MEDLINE DCOM- 20240304 LR - 20240304 IS - 1758-1052 (Electronic) IS - 0956-4624 (Linking) VI - 35 IP - 4 DP - 2024 Mar TI - Safety profiles of homologous and heterologous regimens containing three major types of COVID-19 vaccine among people living with HIV. PG - 262-273 LID - 10.1177/09564624231220090 [doi] AB - BACKGROUND: Existing data on adverse effects (AEs) of homologous and heterologous COVID-19 vaccine regimens among people living with HIV (PLHIV) are limited. METHODS: A prospective cohort study was conducted among Thai PLHIV during 2021-2022. Vaccine types and AEs were collected using an online survey. RESULTS: Of the 398 vaccinated PLHIV, 92% had CD4 count >/=200 cells/microL and 96% were virologically suppressed at enrolment; 38% received two doses and 62% received three doses of COVID-19 vaccines. Inactivated, viral vector and mRNA were the most common vaccine types received as the first, second, and booster doses, respectively. For the first and second vaccine doses, the most common AEs were fever (15% and 11%) and injection site pain (11% and 11%). The mRNA vaccine significantly caused more overall AEs, injection pain, fatigue, and rashes than the other two types. For a booster dose, viral vector vaccine significantly caused more injection site pain and headache than the other two types. The majority of AEs of the first, second and booster doses spontaneously recovered without treatment. By multivariable analysis, receipt of viral vector or mRNA vaccine and age less than 40 years were independently associated with AEs of the primary series vaccines, while having AEs from the previous dose and female sex were independent factors associated with AEs of a booster vaccine. CONCLUSIONS: Our study suggested the safety of homologous and heterologous regimens containing the three types of COVID-19 vaccines among PLHIV and identified those who required close monitoring for vaccine AEs. FAU - Khawcharoenporn, Thana AU - Khawcharoenporn T AUID- ORCID: 0000-0001-6093-2887 AD - Division of Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. AD - HIV/AIDS Care Unit of Thammasat University Hospital, Pathumthani, Thailand. RINGGOLD: 37699 FAU - Hanvivattanakul, Sirashat AU - Hanvivattanakul S AD - Faculty of Medicine, Thammasat University, Pathumthani, Thailand. RINGGOLD: 37699 LA - eng PT - Journal Article DEP - 20231204 PL - England TA - Int J STD AIDS JT - International journal of STD & AIDS JID - 9007917 RN - 0 (COVID-19 Vaccines) RN - 0 (mRNA Vaccines) SB - IM MH - Female MH - Humans MH - Adult MH - COVID-19 Vaccines/adverse effects MH - Prospective Studies MH - mRNA Vaccines MH - *COVID-19/prevention & control MH - Pain MH - *HIV Infections OTO - NOTNLM OT - COVID-19 vaccine OT - Safety OT - Thailand OT - adverse effects OT - human immunodeficiency virus OT - people living with HIV COIS- Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/12/05 00:41 MHDA- 2024/03/04 06:49 CRDT- 2023/12/04 18:06 PHST- 2024/03/04 06:49 [medline] PHST- 2023/12/05 00:41 [pubmed] PHST- 2023/12/04 18:06 [entrez] AID - 10.1177/09564624231220090 [doi] PST - ppublish SO - Int J STD AIDS. 2024 Mar;35(4):262-273. doi: 10.1177/09564624231220090. Epub 2023 Dec 4.