Risk of Herpes Zoster Ophthalmicus After COVID-19 Vaccination in a Large US Health Care Claims Database.

Am J Ophthalmol

From the F.I. Proctor Foundation (I.A., S.J.S., D.C.M., Y.S., B.F.A., J.D.K., N.R.A.); Department of Ophthalmology (B.F.A., N.R.A.); Department of Epidemiology and Biostatistics (J.D.K., N.R.A.); Institute for Global Health Sciences (J.D.K., N.R.A.), University of California, San Francisco, California, USA. Electronic address:

Published: February 2024

AI Article Synopsis

  • This study aimed to investigate whether COVID-19 vaccination is linked to an increased risk of developing herpes zoster ophthalmicus (HZO).
  • It included a large cohort of over 1.9 million vaccinated patients and identified 80 cases of HZO, assessing various vaccine types like BNT162b2 and mRNA-1273.
  • The results showed no significant increase in the risk of HZO following vaccination, suggesting that COVID-19 vaccines are safe concerning this specific concern.

Article Abstract

Purpose: Herpes zoster ophthalmicus (HZO) after COVID-19 vaccination has been reported in numerous case studies. However, no large-scale epidemiologic studies have been conducted to date. The purpose of this study was to determine whether COVID-19 vaccination is associated with an increased risk of HZO.

Design: Retrospective before-and-after risk interval analysis.

Methods: RESULTS: In total, 1,959,157 patients received a dose of a COVID-19 vaccine during the study period and met eligibility criteria. A total of 80 individuals without a prior history of HZO were included in the analysis because they developed HZO in the risk or control period. Patients had a mean age of 54.0 years (SD = 12.3 years). There were 45 cases of HZO in the risk interval after COVID-19 vaccination. There was not an increased risk of HZO after vaccination with BNT162b2 (IRR = 0.90, 95% CI: 0.49-1.69, P = .74), mRNA-1273 (IRR = 0.74, 95% CI: 0.36-1.54, P = .42), or Ad26.COV2.S (IRR = 0.50, 95% CI: 0.07-2.56, P = .42).

Conclusions: This study found no evidence of increased risk of HZO after COVID-19 vaccination, providing reassurance for patients and providers who may be concerned about the safety profile of the COVID-19 vaccines.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963023PMC
http://dx.doi.org/10.1016/j.ajo.2023.07.004DOI Listing

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