Efeito adverso pós-vacinação contra a COVID-19 em adultos com síndrome de Down

Autores

DOI:

https://doi.org/10.5585/22.2023.23794

Palavras-chave:

Síndrome de Down, Vacinas, COVID-19, Efeitos Adversos.

Resumo

Introdução: Comorbidades em adultos com síndrome de Down são comuns tornando-os um grupo de risco para COVID-19. Dessa forma, vacinar contra a COVID-19 torna-se necessária, mas requer cuidados contra possíveis efeitos colaterais.
Objetivo: Pesquisar possíveis efeitos adversos após vacinação contra COVID-19 em adultos com Síndrome de Down (SD).
Metodologia: Estudo descritivo no qual 97 adultos diagnosticados com SD foram entrevistados por meio de um questionário contendo dezessete questões relacionadas a dados pessoais e histórico, e sete questões relacionadas à vacinação.
Resultados: A vacina mais aplicada foi a AstraZeneca (94%), Pfizer (4%) e CoronaVac (2%); 74% dos sujeitos apresentaram efeitos adversos, sendo os mais frequentes após a primeira dose: dor no local da injeção (65,3%), febre (37,9%), dores musculares (37,8%), mal-estar (29,5%); na segunda dose houve diminuição desses efeitos adversos; 95% dos sintomas desapareceram após as primeiras 24 horas após a aplicação.
Conclusão: Mais da metade dos indivíduos entrevistados apresentou efeitos adversos após a aplicação da primeira dose da vacina, diminuindo com a segunda dose; a mais frequente foi a dor no local de aplicação.

 

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Referências

Huang C, Wang Y, Li. X, Ren. L, Zhao. J, Hu. Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lanceta. 2020;(January):19–21.

Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z. Review of the Clinical Characteristics of Coronavirus Disease 2019 (COVID-19). J Gen Intern Med. 2020;35(5):1545–9.

Gómes CC, Rodriguez ÓP, Torné ML, Santaolalla CE, Jiménez JFM, Fernández JG, et al. Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection. Arch Bronconeumol. 2020;56:11–8.

Silva AC, Heidemann AM, Cunha AA, Monte ABFO , Monteiro ACDCG, Vian BS, Et Al. Manual De Condutas Assistência Fisioterapêutica No. 2020.

Ministério da Saúde. Manejo Clínico Protocolo da COVID-19 de Manejo Clínico na Atenção Especializada Protocolo da COVID-19. 2020.

Murbe D, Kriegel M, Lange J, Schumann L, Hartmann A, Fleischer M. Aerosol emission of adolescents voices during speaking, singing and shouting. PLoS One. 2021;16(2 February):1–10.

World Health Organization W. Timeline: WHO response COVID-19. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline (acessado em 02/Dez/2020). 2021;2019–21.

GOV.UK. Conditions of Authorisation for Pfizer/BioNTech COVID-19 vaccine. Medicines & Healthcare products Regulatory Agency. (https://www.gov.uk/government/publications/regulatory-approval-of-pfizer-biontech-vaccine-for-COVID-19/conditions-of-authorisation-for-pfizerbiontech-COVID-19-vaccine). 2020; Conditions. (Regulamento 174):1–9.

GOV.UK. Information for Healthcare Professionals on Pfizer/BioNTech COVID-19 vaccine. Medicines & Healthcare products Regulatory Agency. (https://www.gov.uk/government/publications/regulatory-approval-of-COVID-19-vaccine-astrazeneca/information-for-healthcare-professionals-on-COVID-19-vaccine-astrazeneca). 2020;(Regulamento 174):1–15.

GOV.UK. UK medicines regulator gives approval for first UK COVID-19 vaccine. Medicines & Healthcare products Regulatory Agency. (https://www.gov.uk/government/news/uk-medicines-regulator-gives-approval-for-first-uk-COVID-19-vaccine). 2020;2020–3.

Folegatti PM, Ewer KJ, Aley PK, Angus B, Becker S, Belij-rammerstorfer S, et al. Articles Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2 : a preliminary report of a phase 1 / 2 , single-blind , randomised controlled trial. 2020;467–78.

Sadoff J, Gray G, Vandebosch A, Cárdenas V, Shukarev G, Grinsztejn B, et al. Safety and Efficacy of Single-Dose Ad26.COV2.S Vaccine against COVID-19. New England Journal of Medicine. 2021;384(23):2187–201.

Mulligan MJ, Lyke KE, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Phase I/II study of COVID-19 RNA vaccine BNT162b1 in adults. Nature. 2020;586(7830):589–93.

Butantan I. Vacina contra a COVID-19. https://vacinacovid.butantan.gov.br/vacinas. 2021;19:19–20.

Trombetta CM, Montomoli E. Influenza immunology evaluation and correlates of protection: a focus on vaccines. Expert Rev Vaccines. 2016;15(8):967–76.

Zuber PLF, Autran B, Asturias EJ, Evans S, Hartigan-Go K, Hussey G, et al. Global safety of vaccines: Strengthening systems for monitoring, management and the role of GACVS. Expert Rev Vaccines. 2009;8(6):705–16.

WHO. Adverse events following immunization and causality assessment of an adverse event following immunization. Vol. 16, Chinese Journal of Contemporary Pediatrics. 2014. 1–4 p.

Dieudonné Y, Uring-Lambert B, Jeljeli MM, Gies V, Alembik Y, Korganow AS, et al. Immune Defect in Adults With Down Syndrome: Insights Into a Complex Issue. Front Immunol. 2020;11(May):1–7.

Amanzio M, Mitsikostas DD, Giovannelli F, Bartoli M, Cipriani GE, Brown WA. Adverse events of active and placebo groups in SARS-CoV-2 vaccine randomized trials: A systematic review. The Lancet Regional Health - Europe. 2022;12:100253.

Meo SA, Bukhari IA, Akram J, Meo AS, Klonoff DC. COVID-19 vaccines: Comparison of biological, pharmacological characteristics and adverse effects of pfizer/BioNTech and moderna vaccines. Eur Rev Med Pharmacol Sci. 2021;25(3):1663–79.

Raw RK, Rees J, Kelly C, Wroe C, Chadwick DR. Prior COVID-19 infection is associated with increased Adverse Events (AEs) after the first, but not the second, dose of the BNT162b2/Pfizer vaccine. Vaccine. 2021.

Wi YM, Kim SH, Peck KR. Early adverse events between mrna and adenovirus-vectored COVID-19 vaccines in healthcare workers. Vaccines (Basel). 2021;9(8):1–7.

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Publicado

28.06.2023

Como Citar

1.
Lacerda de Andrade M, Uehara L, Ferreira de Moraes J, Ferrari Corrêa JC, Ishida Corrêa F. Efeito adverso pós-vacinação contra a COVID-19 em adultos com síndrome de Down. Cons. Saúde [Internet]. 28º de junho de 2023 [citado 8º de novembro de 2024];22(1):e23794. Disponível em: https://periodicos.uninove.br/saude/article/view/23794

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