ASSOCIATION BETWEEN THE USE OF MEDICINES AND ADVERSE REACTIONS RELATED TO VACCINATION AGAINST COVID-19 IN RIO BRANCO, ACRE

Authors

  • Hemeson Moura Centro Universitário Uninorte
  • Aline Silva
  • Rainara Silva
  • Regiane Gomes
  • Oyatagan Silva
  • Ildercílio Lima
  • Simone Fonseca

Keywords:

SARS-CoV-2; Vaccines; Adverse reactions; self-medication

Abstract

COVID-19, originated by the new coronavirus SARS-CoV-2, has become a global pandemic. Despite the rapid development of vaccines against it, adverse reactions can occur and understanding individual responses and post-vaccination therapeutic decisions is essential. This study sought to evaluate the relationship between medications and reactions after vaccination in Rio Branco, Acre. The research involved 150 participants who received the 3rd or 4th dose of the COVID-19 vaccine. After vaccination, these participants were monitored by telephone for 30 days to check for any adverse reactions. Demographic data, information on adverse reactions after vaccination and use of medications associated with possible reactions to the vaccine were collected. Statistical analysis was represented by descriptive analysis and the association between variables and their influence according to the logistic regression model. The most common symptoms were local pain (42.9%), headache (22%), tiredness (8.8%) and fever (8.8%). Regarding gender, 42.9% of women and 44.1% of men reported pain at the application site. Furthermore, 8.7% chose anti-inflammatories and 6.5% used antibiotics after vaccination. Participants who experienced adverse reactions were almost 8 times more likely to resort to medication to relieve symptoms compared to those who did not experience such reactions (OR = 7.9895, p < 0.05). The significant association between adverse reactions and medication use highlights the importance of personalized and inclusive approaches to immunization against COVID-19, recognizing that different reactions can impact post-vaccination therapeutic choices.

References

OMS afirma que COVID-19 é agora caracterizada como pandemia - OPAS/OMS | Organização Pan-Americana da Saúde n.d. https://www.paho.org/pt/news/11-3-2020-who-characterizes-covid-19-pandemic (accessed June 19, 2022).

Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JAD, Rocha ADS, et al. Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil. Ciênc Saúde Coletiva 2020;25:2423–46. https://doi.org/10.1590/1413-81232020256.1.10502020.

Garcia-Alamino JM. Aspectos epidemiológicos, clínica y mecanismos de control de la pandemia por SARS-CoV-2: situación en España. Enferm Clínica 2021;31:S4–11. https://doi.org/10.1016/j.enfcli.2020.05.001.

Oliveira AMD, Santos BGRD, Gomes KJDRM, Rocha LKSD, Arruda VMA, Saliba WA, et al. MECANISMO DE AÇÃO DAS VACINAS UTILIZADAS PARA A COVID-19 ATUALMENTE COMO USO EMERGENCIAL NO BRASIL. Rev Ibero-Am Humanidades Ciênc E Educ 2021;7:1087–106. https://doi.org/10.51891/rease.v7i11.3147.

Balzan De Oliveira AS, Andolfatto D, Ferraz L. O desenvolvimento de vacinas contra COVID-19 no primeiro ano da pandemia: um estudo narrativo: O desenvolvimento de vacinas contra COVID-19. Rev Atenção À Saúde 2022;20. https://doi.org/10.13037/2359-4330.8286.

Moreira HG, Oliveira MTD, Valdigem BP, Martins CN, Polanczyk CA. Posicionamento sobre Segurança Cardiovascular das Vacinas contra COVID-19 - 2022. Arq Bras Cardiol 2022;118:789–96. https://doi.org/10.36660/abc.20220179.

Babaee E, Amirkafi A, Tehrani-Banihashemi A, SoleimanvandiAzar N, Eshrati B, Rampisheh Z, et al. Adverse effects following COVID-19 vaccination in Iran. BMC Infect Dis 2022;22. https://doi.org/10.1186/s12879-022-07411-5.

Correa I, Pereira MA, Luz KCSI, Teixeira MM, Santos FGT. Reações adversas pós-vacinação por COVID-19: uma revisão integrativa. Res Soc Dev 2022;11:e188111335278. https://doi.org/10.33448/rsd-v11i13.35278.

Ministério da Saúde. Manual de vigilância epidemiológica de eventos adversos pós-vacinação. vol. 4 ed. Brasília: Ministério da Saúde; 2020.

Ooi EE, Dhar A, Petruschke R, Locht C, Buchy P, Low JGH. Use of analgesics/antipyretics in the management of symptoms associated with COVID-19 vaccination. Npj Vaccines 2022;7:31. https://doi.org/10.1038/s41541-022-00453-5.

Shaheed CA, Beardsley J, Day RO, McLachlan AJ. Immunomodulatory effects of pharmaceutical opioids and antipyretic analgesics: Mechanisms and relevance to infection. Br J Clin Pharmacol 2022;88:3114–31. https://doi.org/10.1111/bcp.15281.

IBGE. Instituto Brasileiro de Geografia e Estatística 2023. https://cidades.ibge.gov.br/brasil/ac/rio-branco/panorama (accessed August 23, 2023).

AMARAL, E. F. do, LANI, J. L., BARDALES, N. G., ARAÚJO, E. A. de. Origem, formação e diversidade dos solos do Acre. Capítulo Em Livro Científico CPAF-AC, 2021, p. Cap. 2, 61-102.

Modesto ACF, Ferreira TXAM, Provin MP, Amaral RG, Lima DM. Reações Adversas a Medicamentos e Farmacovigilância: Conhecimentos e Condutas de Profissionais de Saúde de um Hospital da Rede Sentinela. Rev Bras Educ Médica 2016;40:401–10. https://doi.org/10.1590/1981-52712015v40n3e01502015.

Chekol Abebe E, Mengie Ayele T, Tilahun Muche Z, Behaile T/Mariam A, Dagnaw Baye N, Mekonnen Agidew M, et al. Evaluation and comparison of post-vaccination adverse effects among Janssen and Oxford-AstraZeneca vaccinated adult individuals in Debre Tabor Town: A cross- sectional survey in Northwest Ethiopia. Hum Vaccines Immunother 2022;18:2104059. https://doi.org/10.1080/21645515.2022.2104059.

Menni C, Klaser K, May A, Polidori L, Capdevila J, Louca P, et al. Vaccine side-effects and SARS-CoV-2 infection after vaccination in users of the COVID Symptom Study app in the UK: a prospective observational study. Lancet Infect Dis 2021;21:939–49. https://doi.org/10.1016/S1473-3099(21)00224-3.

Clemens KS, Faasse K, Tan W, Colagiuri B, Colloca L, Webster R, et al. Social communication pathways to COVID-19 vaccine side-effect expectations and experience. J Psychosom Res 2023;164:111081. https://doi.org/10.1016/j.jpsychores.2022.111081.

Rzymski P, Sikora D, Zeyland J, Poniedziałek B, Kiedik D, Falfushynska H, et al. Frequency and Nuisance Level of Adverse Events in Individuals Receiving Homologous and Heterologous COVID-19 Booster Vaccine. Vaccines 2022;10:754. https://doi.org/10.3390/vaccines10050754.

Blanco S, Spinsanti L, Javier Aguilar J, Diaz A, Elisa Rivarola M, Beranek M, et al. Neutralizing response elicited by homologous and heterologous prime booster vaccination against ancestral SARS-CoV-2 B.1, P.1, C.37 and B.1.617.2 variants. Vaccine 2022;40:6706–10. https://doi.org/10.1016/j.vaccine.2022.10.021.

Gerhards C, Thiaucourt M, Hetjens M, Haselmann V, Neumaier M, Kittel M. Heterologous Vector—mRNA Based SARS-CoV-2 Vaccination Strategy Appears Superior to a Homologous Vector—Based Vaccination Scheme in German Healthcare Workers Regarding Humoral SARS-CoV-2 Response Indicating a High Boosting Effect by mRNA Vaccines. Vaccines 2023;11:701. https://doi.org/10.3390/vaccines11030701.

Mustafa ZU, Maqbool F, Wahid M, Salman M, Haroon S, Khan YH, et al. Short-term adverse effects of COVID-19 vaccines after the first, second, and booster doses: a cross-sectional survey from Punjab, Pakistan, and the implications. Rev Soc Bras Med Trop 2023;56:e0044-2023. https://doi.org/10.1590/0037-8682-0044-2023.

Graña C, Ghosn L, Evrenoglou T, Jarde A, Minozzi S, Bergman H, et al. Efficacy and safety of COVID-19 vaccines. Cochrane Database Syst Rev 2022;2023. https://doi.org/10.1002/14651858.CD015477.

Pormohammad A, Zarei M, Ghorbani S, Mohammadi M, Razizadeh MH, Turner DL, et al. Efficacy and Safety of COVID-19 Vaccines: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Vaccines 2021;9:467. https://doi.org/10.3390/vaccines9050467.

Liu Q, Qin C, Liu M, Liu J. Effectiveness and safety of SARS-CoV-2 vaccine in real-world studies: a systematic review and meta-analysis. Infect Dis Poverty 2021;10:132. https://doi.org/10.1186/s40249-021-00915-3.

Chen M, Yuan Y, Zhou Y, Deng Z, Zhao J, Feng F, et al. Safety of SARS-CoV-2 vaccines: a systematic review and meta-analysis of randomized controlled trials. Infect Dis Poverty 2021;10:94. https://doi.org/10.1186/s40249-021-00878-5.

Haas JW, Bender FL, Ballou S, Kelley JM, Wilhelm M, Miller FG, et al. Frequency of Adverse Events in the Placebo Arms of COVID-19 Vaccine Trials: A Systematic Review and Meta-analysis. JAMA Netw Open 2022;5:e2143955. https://doi.org/10.1001/jamanetworkopen.2021.43955.

Mahallawi WH, Mumena WA. Reactogenicity and Immunogenicity of the Pfizer and AstraZeneca COVID-19 Vaccines. Front Immunol 2021;12:794642. https://doi.org/10.3389/fimmu.2021.794642.

Serwaa D, Osei-Boakye F, Nkansah C, Ahiatrogah S, Lamptey E, Abdulai R, et al. Non-life-threatening adverse reactions from COVID-19 vaccine; a cross-sectional study with self-reported symptoms among Ghanaian healthcare workers. Hum Vaccines Immunother 2021;17:3881–6. https://doi.org/10.1080/21645515.2021.1963600.

Gobbi F, Buonfrate D, Moro L, Rodari P, Piubelli C, Caldrer S, et al. Antibody response to the bnt162b2 mrna covid-19 vaccine in subjects with prior sars-cov-2 infection. Viruses 2021;13. https://doi.org/10.3390/v13030422.

Quincho-Lopez A, Benites-Ibarra CA, Hilario-Gomez MM, Quijano-Escate R, Taype-Rondan A. Self-medication practices to prevent or manage COVID-19: A systematic review. PLOS ONE 2021;16:e0259317. https://doi.org/10.1371/journal.pone.0259317.

Gras M, Gras-Champel V, Moragny J, Delaunay P, Laugier D, Masmoudi K, et al. Impact of the COVID-19 outbreak on the reporting of adverse drug reactions associated with self-medication. Ann Pharm Fr 2021;79:522–9. https://doi.org/10.1016/j.pharma.2021.02.003.

Zheng Y, Liu J, Tang PK, Hu H, Ung COL. A systematic review of self-medication practice during the COVID-19 pandemic: implications for pharmacy practice in supporting public health measures. Front Public Health 2023;11:1184882. https://doi.org/10.3389/fpubh.2023.1184882.

Melo JRR, Duarte EC, Moraes MVD, Fleck K, Arrais PSD. Automedicação e uso indiscriminado de medicamentos durante a pandemia da COVID-19. Cad Saúde Pública 2021;37:e00053221. https://doi.org/10.1590/0102-311x00053221.

Published

2024-04-25

How to Cite

Moura, H., Silva, A., Silva, R. ., Gomes, R., Silva, O., Lima, I. ., & Fonseca, S. (2024). ASSOCIATION BETWEEN THE USE OF MEDICINES AND ADVERSE REACTIONS RELATED TO VACCINATION AGAINST COVID-19 IN RIO BRANCO, ACRE. South American Journal of Basic Education, Technical and Technological, 10(2), 29–39. Retrieved from https://periodicos.ufac.br/index.php/SAJEBTT/article/view/7204

Issue

Section

Artigos Originais Ciências da Saúde