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. 2022 Jun 9;42(7):581–592. doi: 10.1007/s40261-022-01164-4

Table 2.

Rates of spontaneous reporting of Guillain Barré syndrome between countries

All mRNA-based COVID-19 vaccines Tozinameran Elosameran All adenovirus-based COVID-19 vaccines ChAdOx1 nCoV-19 Ad26.CoV2.S
All countriesa
 No. cases 1232 952 280 610 349 261
 No. doses 770,856,446 573,575,606 197,280,840 95,246,095 68,721,497 26,524,598
 Reporting rate [95% CI] per million dose administered 1.60 [1.51–1.69] 1.66 [1.56–1.77] 1.42 [1.26–1.60] 6.40 [5.91–6.93] 5.08 [4.56–5.64] 9.84 [8.68–11.11]
All EU countries
 No. cases 337 293 44 434 345 89
 No. doses 406,708,824 358,078,048 48,630,776 79,304,511 66,730,990 12,573,521
 Reporting rate [95% CI] per million dose administered 0.83 [0.74–0.92] 0.82 [0.74–0.92] 0.90 [0.66–1.21] 5.47 [4.97–6.01] 5.17 [4.64–5.75] 7.08 [5.69–8.71]
Selected EU countriesb
 Austria 0.61 [0.20–1.43] 0.70 [0.23–1.63] 8.37 [4.69–13.81] 8.31 [4.42–14.21] 8.81 [1.07–31.84]
 Belgium 0.76 [0.35–1.44] 0.66 [0.27–1.37] 1.56 [0.19–5.62] 3.48 [1.74–6.23] 3.90 [1.95–6.98] c
 France 1.17 [0.94–1.45] 1.21 [0.96–1.51] 0.87 [0.35–1.80] 6.52 [4.94–8.45] 6.44 [4.78–8.49] 7.21 [2.90–14.85]
 Germany 1.28 [1.05–1.55] 1.26 [1.02–1.54] 1.44 [0.77–2.46] 8.27 [6.89–9.84] 7.37 [5.95–9.03] 12.56 [8.65–17.64]
 Italy 0.53 [0.36–0.75] 0.52 [0.34–0.75] 0.61 [0.20–1.42] 4.85 [3.74–6.18] 4.33 [3.24–5.68] 9.23 [4.92–15.79]
 Netherlands 1.05 [0.63–1.64] 0.93 [0.52–1.53] 2.09 [0.57–5.34] 5.58 [3.41–8.62] 4.64 [2.47–7.94] 8.96 [3.60–18.45]
 Portugal 0.67 [0.27–1.39] 0.56 [0.18–1.31] 1.33 [0.16–4.81] 6.70 [4.15–10.24] 5.94 [3.17–10.17] 8.45 [3.65–16.64]
 Spain 0.49 [0.31–0.73] 0.48 [0.29–0.74] 0.58 [0.16–1.48] 5.25 [4.01–6.74] 5.15 [3.82–6.79] 5.75 [2.87–10.29]
 Sweden 0.98 [0.47–1.81] 0.90 [0.39–1.77] 1.54 [0.19–5.55] 9.01 [4.66–15.75] 9.01 [4.66–15.75] d
USA
 No. cases 869 640 229 170 170
 No. doses 342,208,275 200,551,649 141,656,626 13,892,386 e 13,892,386
 Reporting rate [95% CI] per million dose administered 2.54 [2.37–2.7] 3.19 [2.95–3.45] 1.62 [1.41–1.84] 12.24 [10.47–14.22] 12.24 [10.47–14.22]

CI confidence interval, EU European Union

aData include regions or countries with available cumulative data on the number of doses of each vaccine administered as of 15 August 2021 [11] and that contributed to reporting in VigiBase (at least one case, regardless of the vaccine). Besides the European Union and the US, five other countries contributed to the data (Ecuador, Iceland, Norway, Switzerland, and Uruguay)

bFor EU countries, reporting rates per million doses administered were given only for those that contributed to at least 20 cases of Guillain Barré syndrome associated with COVID-19 vaccines

cNo report in VigiBase

dNot used in Sweden

eNot used in the US