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Efficacy and safety of an inactivated whole-virion SARS-CoV-2 vaccine (CoronaVac) in Brazilian healthcare professionals: The PROFISCOV trial

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Moreira, Jose ; Patino, Elizabeth G. ; Braga, Patricia Emilia ; Pacheco, Pedro ; Curimbaba, Caroline ; Gast, Christopher ; Palacios, Ricardo ; Teixeira, Mauro ; Ramos, Fabiano ; Romero, Gustavo ; Leal, Fabio ; Junior, Luiz ; Camargo, Luiz ; Aoki, Francisco ; Coelho, Eduardo ; Siqueira, Andre ; Raboni, Sonia ; Oliveira, Danise ; Tarso, Paulo ; Fontes, Cor ; Lyrio, Ana ; Nogueira, Mauricio L. ; Kallas, Esper ; PROFISCOV Study Grp
Total Authors: 24
Document type: Journal article
Source: Vaccine; v. 62, p. 11-pg., 2025-07-31.
Abstract

Background CoronaVac, an inactivated COVID-19 vaccine, underwent evaluation for its efficacy and safety during the PROFISCOV study conducted in Brazil. Methods Between July 21, 2020, and July 29, 2021, 13,166 participants provided informed consent, with 12,688 randomized for the trial. Participants were allocated between vaccine and placebo arms (1:1) and monitored for symptomatic COVID-19 cases, severity of disease, and adverse reactions after two doses given 14 days apart. Findings The primary efficacy analysis revealed a vaccine efficacy of 50.4 % (95 % confidence interval [CI], 35.3 % to 62.0 %; p = 0.0049) in preventing symptomatic COVID-19, leading to the issuance of Emergency Use Authorization for CoronaVac in January 2021. Upon completion of follow-up, vaccine efficacy was 44.6 % [95 % CI, 34.9 % to 52.8 %; p = 0.0023] in preventing COVID-19 and 82.1 % (95 % CI, 64.9 % to 90.9 %; p < 0.0001) in preventing severe COVID-19. Safety data indicated that adverse reactions were more frequent in the vaccine arm, primarily mild to moderate, with pain at the injection site and headache being the most common. Interpretation CoronaVac demonstrated moderate efficacy in preventing symptomatic COVID-19 and high efficacy against severe disease. While reactions were slightly more common in the vaccine group, they were generally mild and manageable. (AU)

FAPESP's process: 20/10127-1 - Development of vaccine against COVID-19
Grantee:Dimas Tadeu Covas
Support Opportunities: Research Grants - Research in Public Policies
FAPESP's process: 20/06409-1 - Evaluation of humoral immune response and inflammatory response in patients with confirmed diagnosis of COVID-19 at Hospital Sírio Libanês and correlation with disease severity
Grantee:Edison Luiz Durigon
Support Opportunities: Regular Research Grants