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A Real-world Evidence Study of BNT162b2 mRNA Covid-19 Vaccine Among Children in Brazil

Completed
Conditions
COVID-19
Registration Number
NCT05403307
Lead Sponsor
Hospital Moinhos de Vento
Brief Summary

The present test-negative design study aims to estimate the real-world effectiveness of Pfizer-BioNTech BNT162b2 mRNA vaccine on symptomatic SARS-CoV-2 infection and its consequences among children aged 5 to 11 years in the city of Toledo in Southern Brazil.

Individuals aged 5 to 11 years who seek the public healthcare system with symptoms suggestive COVID-19 will be enrolled. Participants with a positive reverse transcriptase polymerase chain reaction (RT-PCR) test for SARS-CoV-2 will be classified as cases, and those with negative RT-PCR test for SARS-CoV-2 will be classified as controls. Cases will be followed-up for a period of 3 months by means of structured telephone interviews.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
757
Inclusion Criteria
  • Age between 5 and 11 years;
  • Resident of Toledo city;
  • Seeking care in the public healthcare system with symptoms suggestive of COVID-19 defined as follows: 1) ARI symptoms (nasal congestion, rhinorrhea, anosmia, sore throat, hoarseness, new or increased-from-baseline cough, sputum production, dyspnea, wheezing, myalgia) OR 2) Admitting diagnosis suggestive of ARI (pneumonia, upper respiratory infection, bronchitis, influenza, cough, asthma, viral respiratory illness, respiratory distress, AND/OR respiratory failure).
  • Nasal or nasopharyngeal sample for SARS-CoV-2 test obtained as standard of care.
Exclusion Criteria
  • SARS-CoV-2-directed antiviral treatment within the past 30 days;
  • COVID-19 monoclonal antibody therapy within the past 90 days;
  • COVID-19 convalescent serum therapy within the past 90 days;
  • Failure to perform RT-PCR for diagnosis of SARS-CoV-2 infection.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Odds of symptomatic SARS-CoV-2 infectionAt the moment of enrollment

Odds of symptomatic SARS-CoV-2 infection defined by the presence of symptoms suggestive COVID-19 with a positive RT-PCR test for SARS-CoV-2. Symptoms suggestive of COVID-19 are defined as follows: 1) Acute respiratory illness symptoms (nasal congestion, rhinorrhea, anosmia, sore throat, hoarseness, new or increased-from-baseline cough, sputum production, dyspnea, wheezing, myalgia) OR 2) Admitting diagnosis suggestive of ARI (pneumonia, upper respiratory infection, bronchitis, influenza, cough, asthma, viral respiratory illness, respiratory distress, AND/OR respiratory failure).

Secondary Outcome Measures
NameTimeMethod
Incidence of multisystem inflammatory syndromeWithin 90 days from enrollment

Incidence of multisystem inflammatory syndrome

Odds of symptomatic SARS-CoV-2 infection due to Omicron variantAt the moment of enrollment

Odds of symptomatic SARS-CoV-2 infection due to Omicron variant defined by the presence of symptoms suggestive COVID-19 with a positive RT-PCR test for SARS-CoV-2 Omicron variant

Incidence of invasive mechanical ventilationWithin 90 days from enrollment

Incidence of invasive mechanical ventilation

Mortality due to COVID-19Within 90 days from enrollment

Incidence of COVID-19-related mortality

Prevalence of long COVID-19 symptoms at 3 monthsWithin 90 days from enrollment

Prevalence of long COVID-19-related symptoms (fatigue, muscular weakness, dyspnea, cough, loss of taste or smell, concentration or memory difficulties, sleep disorders, headache)

Odds of symptomatic SARS-CoV-2 infection due to other circulating variants of concernAt the moment of enrollment

Odds of symptomatic SARS-CoV-2 infection due to other circulating variants of concern defined by the presence of symptoms suggestive COVID-19 with a positive RT-PCR test for SARS-CoV-2 variants of concern.

Incidence of hospitalization due to COVID-19Within 90 days from enrollment

Incidence of hospital admission due to COVID-19

Incidence of PICU admissionWithin 90 days from enrollment

Incidence of Pediatric intensive care unit admission

Duration of COVID-19 symptomswithin 90 days from enrollment

Length of COVID-19-related symptoms

Trial Locations

Locations (5)

Jardim Coopagro

🇧🇷

Toledo, PR, Brazil

Jardim Cosmos primary healthcare unit

🇧🇷

Toledo, PR, Brazil

Jardim Maracanã

🇧🇷

Toledo, PR, Brazil

Jardim Porto Alegre

🇧🇷

Toledo, PR, Brazil

Pediatric Emergency Service

🇧🇷

Toledo, PR, Brazil

Jardim Coopagro
🇧🇷Toledo, PR, Brazil

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