Table 2:
Characteristics of included studies (n=14)-Study outcome, Solicited systemic AEs and Unsolicited AEs
| Study | Vaccine | # of doses | Dose schedule (days) | Doses (μg) | Study outcome | Study time point/follow-up | Solicited systemic AEs | Unsolicited adverse reactions | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gp 1 |
Gp 2 |
Gp 3 |
Gp 4 |
Gp 1 |
Gp 2 |
Gp 3 |
Gp 4 |
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| Zhu, et al. [14] | adenovirus type-5 (Ad5)-vectored | (1:1:2) | 0 | 5 × 1010 1 × 10¹¹, 1.5 × 10¹¹ viral particles | Safety, tolerability, and immunogenicity | Days 7 and 28 | 30 | 30 | 27 | - | - | - | - | |
| Zhu, et al. [15] | adenovirus type-5 (Ad5)-vectored | 1 | 0 | 1 × 10¹¹, 5 × 1010 and Placebo | safety and immunogenicity | Days 14 and 28, and month 6 | 183 | 96 | Placebo | - | 19 | 7 | Placebo | |
| Jackson, et al. [16] | mRNA (mRNA-1273) | 2 | 0 and 29 | 25, 100 and 250 | safety and immunogenicity | 7 and 14 days after each dose and on days 57, 119, 209, and 394 | 7 | 15 | 14 | - | Mild in 69 (21 related to vaccine), Moderate in 19 (12 related to vaccine) and Severe in 2 related to vaccine | |||
| Folegatti, et al. [17] | ChAdOx1 nCoV-19 (SARS-CoV-2) vs. MenACWY (Control) | 2 | 0 and 28 | 5 × 1010 viral particles | safety and immunogenicity | Days 3, 7, 14, 28, and 56 | 42 | 382 | meningococcal conjugate vaccine as comparator | - | 12 | 134 | meningococcal conjugate vaccine as comparator | |
| Xia, et al. [18] | Inactivated COVID-19 vaccine (Phase-I) | 3 | 0, 28, and 56 | 2.5 (low), 5 (medium), and 10-μg (high), control | safety and immunogenicity | Days 28, 90, 180, and 360 | 5 | 4 | 6 | - | 1 | 0 | 4 | |
| Xia, et al. [18] | Inactivated COVID-19 vaccine (Phase-II) | 2 | 0 and 14 (Gp-1); 0 and 21 (Gp-2) | 5-μg (medium) and control | safety and immunogenicity | Days 28, 90, 180, and 360 | 5 | 16 | - | 2 | 5 | |||
| Ramasamy, et al. [19] | ChAdOx1 nCoV-19 (SARS-CoV-2) vs. MenACWY (Control) | 2 | 0 and 28 | 2·2 × 1010 virus particles and 3·5–6·5 × 1010 virus | safety and immunogenicity | day 0, 7, 14, and 28 | At least one systemic symptom after prime vaccination with the standard dose of ChAdOx1 nCoV-19 by 42 (86%) of 49 participants in the 18–55 years group, 23 (77%) of 30 in the 56–69 group, and 32 (65%) of 49 in the age group of 70 and above. | - | ||||||
| Xia, et al. [20] | BBIBP-CorV | 2 | 0 and 28 | 2 μg, 4 μg, or 8 μg | safety and immunogenicity | Days 7, 14, 28, 32, and 42 | 12 | 11 | 11 | - | - | - | - | - |
| Xia, et al. [20] | BBIBP-CorV | 1/2 | 8 μg on day 0 or on a two-dose schedule of 4 μg on days 0 and 14, 0 and 21, or 0 and 28 | safety and immunogenicity | 33/84 | 19/84 | 15/84 | 11/84 | - | - | - | - | ||
| Anderson, et al. [21] | mRNA (mRNA-1273) | 2 | 1 and 29 | 25 and 100 | safety and immunogenicity | Days 1, 15, 29, 36, 43, and 57. | 5 (Dose 1); 7 (Dose 2) | 5 (Dose 1); 3 (Dose 2) | 3 (Dose 1); 8 (Dose 2) | 3 (Dose 1); 7 (Dose 2) | 3 | 14 | ||
| Keech, et al. [22] | full-length wild-type SARS-CoV-2 spike glycoprotein | 2 | 0 and 21 | placebo (group A), 25-μg (group B), 5-μg plus Matrix-M1 (group C), 25-μg + Matrix-M1 (group D), single 25-μg + Matrix-M1 + single dose of placebo (group E) |
safety and immunogenicity | Days 1, 7, 21, 28 and 35 | Dose 1 Gp-A:30%; Gp-B:32%; Gp-C:69.2%; Gp-D:60%; Gp-E:80.7%. Dose 2 Gp-A:19%; Gp-B:24%; Gp-C:92.3%; Gp-D:75%; Gp-E:15.4% |
- | ||||||
| Mulligan, et al. [23] | BNT162 mRNA vaccine |
2 | 0 and 21 | 10 μg, 30 μg or 100 μg | safety, tolerability and immunogenicity | 7, 21, 28 and 35 days | 25% (3/12 in 10-μg group) to 50% (6/12 each in 30-μg and 100-μg groups) of individuals who received BNT162b1 and by 11.1% (1/9) of placebo group. | - | ||||||
| Walsh, et al. [24] | BNT162b1 and BNT162b2 | 2 | 0 and 21 | 10 μg, 20 μg, 30 μg, and 100 μg | Safety and Immunogenicity | Day 28 and 35 | BNT162b1 18–55 years of age 10 μg (3/12) 20 μg (4/12) 30 μg (6/12) 100 μg (6/12) Placebo (1/12) 65–85 years of age 10 μg (3/12) 20 μg (4/12) 30 μg (2/12) Placebo (1/9) BNT162b2 18–55 years of age 10 μg (2/12) 20 μg (4/12) 30 μg (3/12) 100 μg (0/0) Placebo (1/9) 65–85 years of age 10 μg (0/12) 20 μg (1/12) 30 μg (0/12) Placebo (0/9) |
- | ||||||
| Zhang, et al. [25] | CoronaVac (an inactivated vaccine candidate) | 2 | Either day 0 and day 14, or day 0 and day 28 | μg and 6 μg and placebo | safety, tolerability and immunogenicity | Day 14, and 28 | Phase 1 Dose 1 3 μg group (6/24); 6 μg group (6/24); Placebo group (2/24). Dose 2 3 μg group (1/24); 6 μg group (5/24); Placebo group (1/24). Phase 2 Dose 1 3 μg group (22/120); 6 μg group (21/120); Placebo group (9/60). Dose 2 3 μg group (7/117); 6 μg group (10/118); Placebo group (2/61). |
Phase 1 Dose 1 3 μg group (1/24); 6 μg group (2/24); Placebo group (0/24). Dose 2 3 μg group (0/24); 6 μg group (0/24); Placebo group (0/24). Phase 2 Dose 1 3 μg group (22/120); 6 μg group (21/120); Placebo group (9/60). Dose 2 3 μg group (0/117); 6 μg group (0/118); Placebo group (0/61). |
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| Polack, et al. [26] | mRNA | 2 | 0,21 | 30 | Safety and Immunogenicity | 1 week, 1 month, 2 months | Systemic events were reported more often by younger vaccine recipients (16 to 55 years of age) than by older vaccine recipients (age 55 +) in the reactogenicity subset and more often after dose 2 than dose 1. Most common reported systemic events were fatigue and headache (59% and 52%, respectively, after the second dose, among younger recipients; 51% and 39% among older recipients) | 11678/43252 (27%) | ||||||
| Che, et al. [27] | Inactivated vaccine | 2 | 0,14 or 0,28 | 100 EU or 150 EU | Safety and Immunogenicity | 7 days, 28 days, 12 months | 0-14 procedure: 7 days after first and second immunizations, mainly slight fatigue and fever in 10%, 13%, and 14.7% of individuals in the medium-dose, high-dose, and placebo groups, respectively 0-28 procedure: 7 days after the first and second immunizations, mainly including slight fatigue and fever, were reported in 13.3%, 8%, and 9.3% of individuals |
Overall adverse reaction rates during the 28 days after immunization were 24%, 27.3%, and 17.3% (0, 14 procedure) and 27.3%, 19.3%, and 12% (0, 28 procedure) in the mediumdose, high-dose, and placebo groups, respectively | ||||||