The efficacy and effectiveness of the COVID-19 vaccines in reducing infection, severity, hospitalization, and mortality: a systematic review
Open accessAbstract
With the relatively rapid development of the COVID-19 pandemic, vaccine development has become crucial for limiting disease transmission. The accelerated growth in the approved COVID-19 vaccines has sparked concerns about their efficacies which have been assessed by many studies. This systematic review compares the efficacy and effectiveness of seven COVID-19 vaccines. A comprehensive systematic literature search was performed using several databases to identify studies reporting the effectiveness or the efficacy of the vaccines. Only 42 studies met our inclusion criteria, which revealed that the COVID-19 vaccines have successfully reduced the rates of infections, severity, hospitalization, and mortality among the different populations. The full-dose regimen of the Pfizer/BioNTech vaccine is the most effective against infections with the B.1.1.7 and B.1.351 variants. Despite of the high effectiveness of some of the COVID-19 vaccines, more efforts are required to test their effectiveness against the other newly emerging variants.
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Overall, the relevant evidence in 2021 broadly supported the proposition that most COVID-19 vaccines were effective, particularly in reducing severe morbidity and mortality.
“Overall, the relevant evidence in 2021 broadly supported the proposition that most COVID-19 vaccines were effective, particularly in reducing severe morbidity and mortality”
From Ethical Principles in Legal Context: Vaccine Mandates During the COVID-19 Pandemic in Australia (2026) · cites this paper as Mohammed, et al. 2022
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- Authors
- Mohammed, I., Nauman, A., Paul, P., Ganesan, S., Chen, K.-H., Jalil, S. M. S., Jaouni, S. H., Kawas, H., Khan, W. A., Vattoth, A. L., Al-Hashimi, Y. A., Fares, A., Zeghlache, R., & Zakaria, D.
- Affiliations
- Weill Cornell Medical College in Qatar (QA)
- Corresponding author
- Zakaria, Dalia
- ORCID
- Venue
- Human Vaccines & Immunotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2022-01-31
- Volume
- 18
- Issue
- 1
- Pages
- 2027160-2027160
- ISSN
- 2164-5515 (ISSN-L)
- 2164-554X
- PMC
- PMC8862168
- OpenAlex
- W4210449375
- Cited by
- 406
- References
- 68
- Citations by year
- 2026: 55 · 2025: 85 · 2024: 100 · 2023: 107 · 2022: 59
- FWCI
- 13.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Human Vaccines & Immunotherapeutics (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- funding
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Keywords
- COVID-19 vaccines, vaccine efficacy, vaccine effectiveness, SARS-CoV-2 infection prevention, disease severity, hospitalization, mortality, BNT162b2, B.1.1.7 variant, B.1.351 variant, emerging variants
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Vaccines, Hospitalization, Humans, Pandemics
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