Effectiveness of mRNA, protein subunit vaccine and viral vectors vaccines against SARS-CoV-2 in people over 18 years old: a systematic review

Expert Rev Vaccines. 2023 Jan-Dec;22(1):35-53. doi: 10.1080/14760584.2023.2156861. Epub 2022 Dec 15.

Abstract

Introduction: Vaccines prevent disease and disability; save lives and represent a good assessment of health interventions. Several systematic reviews on the efficacy and effectiveness of COVID-19 vaccines have been published, but the immunogenicity and safety of these vaccines should also be addressed.

Areas covered: This systemic investigation sought to explain the efficacy, immunogenicity, and safety of new vaccination technologies against SARS-CoV-2 in people over 18 years old. Original research studying the effectiveness on mRNA, protein subunit vaccines, and viral vector vaccines against SARS-CoV-2 in people over 18 years old was analyzed. Several databases (Web of Science, Scopus, MEDLINE and EMBASE) were searched between 2012 and November 2022 for English-language papers using text and MeSH terms related to SARS-CoV-2, mechanism, protein subunit vaccine, viral vector, and mRNA. The protocol was registered on PROSPERO, CRD42022341952. Study quality was assessed using the NICE methodology. We looked at a total of six original articles. All studies gathered and presented quantitative data.

Expert opinion: Our results suggest that new vaccinations could have more than 90% efficacy against SARS-CoV-2, regardless of the technology used. Furthermore, adverse reactions go from mild to moderate, and good immunogenicity can be observed for all vaccine types.

Keywords: COVID vaccines; Coronavirus; number of doses; vaccination; vaccine efficacy; vaccine platforms.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Antibodies, Viral
  • COVID-19 Vaccines / adverse effects
  • COVID-19* / prevention & control
  • Humans
  • Immunogenicity, Vaccine
  • Protein Subunits
  • RNA, Messenger
  • SARS-CoV-2
  • Vaccines, Subunit / adverse effects
  • Viral Vaccines*

Substances

  • Viral Vaccines
  • Protein Subunits
  • COVID-19 Vaccines
  • RNA, Messenger
  • Vaccines, Subunit
  • Antibodies, Viral