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June 1, 2026Global Epidemiology0 citationsOpen Access

Safety profile following mRNA-1273 COVID-19 primary vaccination in healthy adults in Indonesia

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BMBernie Endyarni MediseUniversity of IndonesiaNKNastiti KaswandaniUniversity of IndonesiaNPNina Dwi PutriUniversity of Indonesia

Key Points

  • This study aims to evaluate the safety and benefit-risk profile of mRNA-1273 after its authorization in Indonesia.
  • Retrospective analytical study assessing adverse events following immunization (AEFI) within 28 days after vaccination.
  • Data collected from November 3rd to December 31st, 2022, in 18 public health centers and one hospital across five regions in Jakarta.
  • Participants responded to questionnaires via telephone conducted by trained interviewers.
  • A total of 1284 subjects were enrolled (response rate = 31.05%), with common reactions including local pain, erythema, and swelling.
  • Systemic reactions like fever peaked on days 1–3 post-vaccination, decreasing thereafter.
  • Four serious adverse events (SAE) were reported, classified as coincidences and indicating overall safety.

Abstract

Objectives To evaluate the safety and benefit-risk profile of mRNA-1273 following the vaccine's authorization and the administration of over one million doses in Indonesia. Design A retrospective analytical study was conducted to assess adverse events following immunization (AEFI) within 28 days after the latest dose of primary vaccine of mRNA-1273 COVID-19 vaccine. Data collection was conducted on November 3rd - December 31st, 2022 in 18 public health centers and one hospital from five regions in Jakarta, Indonesia. All of the participants' candidates will be contacted by trained interviewers via telephone to answer the questionnaire. Results A total of 1284 subjects (response rate = 31.05%) were enrolled and interviewed, with 13 drop out subjects. The most common solicited local reactions were local pain, erythema and swelling, meanwhile for systemic systemic reaction was fever. Most solicited and systemic local reactions showed an increase in reported events on days 1–3 after vaccination and rapidly decreasing afterwards. After dose 2 of mRNA-1273 COVID-19 vaccine, local pain, was reported more frequently in females and younger age. There were four serious adverse events (SAE) reported in this study which classified as coincidence. Conclusion mRNA-1273 COVID-19 vaccination in Indonesia is safe.

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Cite This Study

Medise et al. (2026) studied this question.

synapsesocial.com/papers/6a1d22f702fbce9130638a02https://doi.org/10.1016/j.gloepi.2026.100269
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