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. 2021 Jun 25;336:354–374. doi: 10.1016/j.jconrel.2021.06.036

Table 1.

Rolling out COVID-19 vaccine candidates

Developer Vaccine Side-effects Advantages Disadvantages Vaccine efficiency
Pfizer-BioNTech Lipid nanoparticle mRNA vaccines Injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever [113], allergic reactions, Bell’s Palsy (partial facial paralysis) [114] Does not interact with the genome; rapid production capacity; stimulates both cellular and humoral immunity Needs to be kept at cold temperatures; two-dose vaccine ~ 95%
Moderna Prefusion stabilized S protein mRNA vaccine Injection site pain, fatigue, headache, muscle pain, chills, joint pain, fever Does not interact with the genome; rapid production capacity; stimulates both cellular and humoral immunity Needs to be kept at cold temperatures; two-dose vaccine 94.1%
Russian Gamaleya Institute’s Sputnik V Adenoviral vector-based vaccine subjective heart palpitation [115], injection site pain, fatigue, headache, muscle pain, fever Dry form; no need to be kept at cold temperatures; strong immune response; long-term gene expression Two-dose vaccine; data on safety or efficacy have not been released; recombinant viruses may cause disease in immunocompromised hosts 91.4%
Wuhan Institute of Biological Products/Sinopharm Inactivated vaccine of SARS-CoV-2 Injection site pain, rash, headaches, muscle pain, fever, nausea, vomiting Induces strong antibody response; no need to be kept at cold temperatures Two-dose vaccine; data on safety or efficacy have not been released; recombinant viruses may cause disease in immunocompromised hosts 86%. [116]
University of Oxford/AstraZeneca Adenovirus vector-based vaccine Neutropenia (temporary) [117], injection site pain, rash, headaches, muscle pain Single-dose schedule; long-term gene expression Recombinant viruses may cause disease in immunocompromised hosts; prior exposure to vector virus (e.g., adenovirus) may reduce immunogenicity [117] 62% [118]
Bharat Biotech BBV152 Inactivated vaccine Injection site pain, fever, headache, fatigue Induces strong antibody response; no need to be kept at cold temperatures Two-dose vaccine; requires large quantities of virus N.A. [35]
Sinovac CoronaVaca Inactivated vaccine Injection site pain, fever, fatigue, nausea, vomiting, headache Induces strong antibody response; no need to be kept at cold temperatures. Two-dose vaccine; requires large quantities of virus 50.7% [119]
Johnson & Johnson JNJ-78436735 Nonreplicating viral vector Injection site pain, rash, headache, muscle soreness, mild to moderate febrile episode and myalgia Fast manufacturing time; single-dose vaccine Dependency of vaccine efficiency on hosts’ immune responses 66% [120]
CanSino Biologics Convidecia Nonreplicating viral vector Injection site pain, rash, headaches, muscle soreness, fever Single-dose vaccine; Rapid manufacturing Dependency of vaccine efficiency on hosts’ immune responses 65.3% [35,120]