2.Adverse reactions and safety profile of the mRNA COVID-19 vaccines among Asian military personnel.
Joshua T C TAN ; Clive TAN ; Jeremy TEOH ; M T WAHAB ; Guan Zhong TAN ; Reon Yew Zhou CHIN ; Anne LEE ; Adeliza MUTALIB ; Poh Lian LIM
Annals of the Academy of Medicine, Singapore 2021;50(11):827-837
INTRODUCTION:
The use of novel mRNA platforms for COVID-19 vaccines raised concern about vaccine safety, especially in Asian populations that made up less than 10% of study populations in the pivotal vaccine trials used for emergency use authorisation. Vaccine safety issues also remain a concern in assessing the clinical risks and benefits of vaccine boosters, particularly in specific age groups or segments of the population. This study describes a vaccination exercise involving Asian military personnel, and the adverse reactions and safety events observed.
METHODS:
Minor adverse reactions, hospitalisations and adverse events of special interest were monitored as part of the organisation's protocol for safety monitoring of COVID-19 vaccinations. All vaccine recipients were invited to complete an online adverse reaction questionnaire. Medical consults at the military's primary healthcare facilities were monitored for vaccine-related presentations. All hospitalisations involving vaccine recipients were analysed. Adverse reaction rates between doses, vaccines and age groups were compared.
RESULTS:
A total of 127,081 mRNA vaccine doses were administered to 64,661 individuals up to 24 July 2021. Common minor adverse reactions included fever/chills, body aches and injection site pain. These were more common after dose 2. Younger individuals experienced minor adverse reactions more frequently. Rare cases of anaphylaxis, Bell's palsy and myocarditis/pericarditis were observed. No deaths occurred.
CONCLUSION
Minor adverse reactions were less common than reported in other studies, and rates of anaphylaxis, Bell's palsy and myocarditis/pericarditis were comparable. Our study supports the favourable safety profile of mRNA COVID-19 vaccines, which may help guide decisions about booster doses if required.
COVID-19
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COVID-19 Vaccines
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Humans
;
Military Personnel
;
RNA, Messenger
;
SARS-CoV-2
;
Vaccines, Synthetic
3.Managing the COVID-19 pandemic in non-purpose-built dormitories.
Si Jack CHONG ; Sreemanee Raaj DORAJOO ; Seng Bin ANG ; Iain Beehuat TAN ; Clive TAN ; Kok Pun FOONG ; Jui Sheng CHOO ; Li Yang HSU ; Weilong YEO ; Eti BHASKER ; Chun Shan GOH ; Saihah ISMADI ; Cherng Yeu NEO ; Michael Tack Keong WONG
Annals of the Academy of Medicine, Singapore 2021;50(8):649-651
COVID-19
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Housing
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Humans
;
Pandemics
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SARS-CoV-2