EC Pulmonology and Respiratory Medicine

Systematic Review Volume 12 Issue 3 - 2023

Immunogenicity and Safety of COVID-19 Vaccines in Medical-Conditioned Patients: A Systematic Review and Meta-Analysis

Attapon Cheepsattayakorn1,2*, Ruangrong Cheepsattayakorn3 and Porntep Siriwanarangsun1

1Faculty of Medicine, Western University, Pathumtani Province, Thailand

210th Zonal Tuberculosis and Chest Disease Center, Chiang Mai, Thailand

3Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

*Corresponding Author: Attapon Cheepsattayakorn, 10th Zonal Tuberculosis and Chest Disease Center, Chiang Mai, Thailand.
Received: March 13, 2023; Published:March 25, 2023



A comprehensive search was carried out in mainstream bibliographic databases or Medical Subject Headings, including ScienceDirect, PubMed, Scopus, and ISI Web of Science. The search was applied to the articles that were published between January 2020 and early 2023 With strict literature search and screening processes, it yielded 14 articles from 373 articles of initial literature database. Among 14 study results, there was acceptable for immunogenicity (both humoral and cellular immune responses (a key response for the development of a vaccination-induced immunogenicity and safety in 11 studies (78.57%), whereas acceptable potent immunogenicity was found in patients aged more than 40 years with chronic diseases, particularly, chronic respiratory diseases and coronary artery diseases, only potent T-cell response was identified in one study, and no significant difference in vaccine safety compared with healthy subjects and effective neutralizing antibodies (two doses completion) against SARS-CoV-2 (COVID-19) in patients older than 60 years with diabetes and/or hypertension were demonstrated after completion of COVID-19 vaccination. In conclusion, Immunogenicity (both humoral and cellular) and safety in aged people and individuals living with various chronic diseases (both infectious and non-infectious) is highlighted in this study and can decrease COVID-19 vaccination hesitancy in these persons.

Keywords: Adverse Reactions; COVID-19; Immunogenicity; Neutralizing Antibody; Safety; Vaccine; Titer

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Attapon Cheepsattayakorn., et al. "Immunogenicity and Safety of COVID-19 Vaccines in Medical-Conditioned Patients: A Systematic Review and Meta-Analysis". EC Pulmonology and Respiratory Medicine  12.3 (2023): 07-13.