Index Entries

Hyunju Lee, Donghyok Kwon, Seoncheol Park, Seung Ri Park, Darda Chung, and Jongmok Ha
June 22, 2023
Osong Public Health and Research Perspectives

"Abstract ... The incidence of Guillain-Barré syndrome (GBS) changed significantly during the coronavirus disease 2019 (COVID-19) pandemic. Emerging reports suggest that viral vector-based vaccines may be associated with an elevated risk of GBS ... 

Discussion ... We conducted a nationwide time-series correlation study involving 1,856 cases of GBS during the pandemic following the vaccine rollout. We compared the real-world age-specific incidence of GBS with forecasted values based on pre-pandemic incidence data. Additionally, we assessed the temporal association between the time-series trends of GBS and SARS-CoV-2 vaccination, stratified into 3 categories of biological mechanisms. Our main findings include: (1) a significantly high number of GBS patients among older adults in June to August and November 2021 compared to forecasted estimates; (2) the observed incidence of GBS converging with the forecasted incidence in 2022 for all age groups; and (3) a relevant significant temporal association between viral vector-based vaccine and GBS incidence in older adults. We believe that our study supports the findings from large database-driven studies and demonstrates the utility of time-series analysis as an auxiliary tool in evaluating temporal associations ...

In September 2021, there was a notable increase in the incidence of GBS among individuals aged 30 to 59 years compared to predicted values. Moreover, a strong positive correlation was observed between mRNA-based vaccines and GBS incidence in this age group."

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adverse events,COVID-19,demyelination,mRNA,neurological disorders,vaccines