Key result
Systemic BNT162b2 adverse reactions are linked to ~126% higher SARS-CoV-2 IgG levels versus no reactions.
Why the study?
Vaccine hesitancy due to concerns about adverse reactions to the BNT162b2 vaccine has been a barrier to widespread SARS-CoV-2 vaccination.
Is the occurrence of BNT162b2 vaccine adverse reactions associated with enhanced SARS-CoV-2 IgG antibody response?
Cross-Sectional (n=136)
No
Is the occurrence of BNT162b2 vaccine adverse reactions associated with enhanced SARS-CoV-2 IgG antibody response?
Absolute Event Rate: 12119% vs 5358%
p-value: p=<0.001
Experiencing adverse reactions to the BNT162b2 vaccine is associated with a stronger IgG antibody response, suggesting a robust immune reaction.
May link reactogenicity to stronger immunogenicity after BNT162b2; hypothesis-generating and should not yet change practice.
Promoting SARS-CoV-2 vaccination has been a global mission since the first vaccines were approved for emergency use. Alongside the excitement following the possibility of eradicating SARS-CoV-2 and ending the COVID-19 pandemic, there has been ample vaccine hesitancy, some due to the abundant reporting of adverse reactions. We report here that the occurrence of BNT162b2 vaccine adverse reactions is associated with enhanced antibody response. We found a statistically significant correlation between having an adverse reaction, whether local or systemic, and higher antibody levels. No sex difference was observed in antibody levels. However, as was recently reported, the antibody response was found to be lower among older vaccinees. The demonstration of a clear correlation between adverse reactions and antibody levels may help reduce vaccination hesitancy by reassuring that the presence of such reactions is an indication of a well-functioning immune system.
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Rechavi et al. (2021) conducted a cross-sectional in COVID-19 vaccination (n=136). Systemic adverse reactions to BNT162b2 vaccine vs. No adverse reactions was evaluated on SARS-CoV-2 IgG antibody levels (AU/mL) (p=<0.001). Vaccinees who experienced systemic adverse reactions to the BNT162b2 vaccine had significantly higher median SARS-CoV-2 IgG antibody levels compared to those with no adverse reactions (12,119 vs 5,358 AU/mL).
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