Incidence and Risk Factors of Immediate Hypersensitivity Reactions and Immunisation Stress-related Responses with COVID-19 mRNA Vaccine

BackgroundWith the implementation of mass vaccination campaigns against COVID-19, the safety of vaccine needs to be evaluated. ObjectiveWe aimed to assess the incidence and risk factors for immediate hypersensitivity reactions (IHSR) and immunisation stress-related responses (ISRR) with the Moderna COVID-19 vaccine. MethodsThis nested case-control study included recipients who received the Moderna vaccine at a mass vaccination centre, Japan. Recipients with IHSR and ISRR were designated as cases 1 and 2, respectively. Controls 1 and 2 were selected from recipients without IHSR or ISRR and matched (1:4) with cases 1 and cases 2, respectively. Conditional logistic regression analysis was used to identify risk factors associated with IHSR and ISRR. ResultsOf the 614,151 vaccine recipients who received 1,201,688 vaccine doses, 306 recipients (cases 1) and 2,478 recipients (cases 2) showed 318 events of IHSR and 2,558 events of ISRR, respectively. The incidence rates per million doses were estimated as - IHSR: 266 cases, ISRR: 2,129 cases, anaphylaxis: 2 cases, and vasovagal syncope: 72 cases. Risk factors associated with IHSR included female, asthma, atopic dermatitis, thyroid diseases, and history of allergy; for ISRR, they were younger age, female, asthma, thyroid diseases, mental disorders, and a history of allergy and vasovagal reflex. ConclusionIn the mass vaccination settings, the Moderna vaccine can be used safely owing to the low incidence rates of IHSR and anaphylaxis. However, providers should beware of the occurrence of ISRR. Risk factor identification may contribute to the stratification of high-risk recipients for IHSR and ISRR.

Treatment capability of an up-flow anammox column reactor using polyethylene sponge strips as biomass carrier.

The feasibility of applying a polyethylene (PE) sponge as a biomass carrier in an anaerobic ammonium oxidation (anammox) reactor and its nitrogen removal performance were also investigated. Experiments were carried out in an up-flow column reactor with synthetic inorganic wastewater. Experimental results indicate that reactor containing PE sponge biomass carriers showed a high nitrogen removal capability and exhibited stable performance. In addition, the reactor with 8 strips PE sponge as biomass carrier exhibited greater adaptation capacity compared to that with 6 strips and could achieve a high TN removal rate within a very short period. The ratio of NO(2)-N removal and NO(3)-N production to NH(4)-N removal for the reactor was 1.26:0.21. Furthermore, to investigate the bacterial composition of the mature community, 16S rRNA sequences were amplified by PCR and analyses were conducted using DNA databases. Results showed that a new kind of anammox microorganism (Kumadai-1) was the dominant species in the reactor when using PE sponge as a biomass carrier.