Safety of Pediatric COVID-19 Vaccination

Duke University299 enrolled

Overview

This is a prospective, observational study. During the study, children and adolescents (ages ≥ 5 to \< 16) will be followed post administration of mRNA COVID-19 vaccines. Injection site (local), systemic reaction, and unsolicited adverse event data will be assessed on vaccination day and during the 7 days following each vaccination using either identical web-based or paper diaries, depending on study participant preference. At Duke University, Cincinnati's Children Hospital, and Kaiser Permanente Northern California, serum samples will be collected for optional assessment of antibody titers to COVID-19. Each participant who opts in will have baseline (within 3 days of vaccination) serologies obtained and immunogenicity assessment at 28 (+7) days after each dose. All participants will be followed for 180 days after dose 2 for serious adverse events and adverse events of special interest.

Study Type

OBSERVATIONAL

Enrollment

299

Conditions

Pain Injection Site Reaction Adverse Drug Event

Interventions

Eligibility

Sex: ALLMin age: 5 YearsMax age: 15 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children ≥ 5 years to \< 16 years of age 2. Receiving first dose or a booster dose of a U.S authorized or approved and recommended COVID-19 vaccine per standard of care 3. Parent/legal authorized representative (LAR) willing to provide written informed consent per local IRB requirements 4. Participant willing to provide assent per local IRB requirements 5. Intention of being available for entire study period and complete all relevant study procedures, including follow-up phone calls 6. English or Spanish literate. Exclusion Criteria: 1. Current or planned participation in any clinical trial with an investigational product during the study period.\* * Per protocol, co-enrollment in observational or behavioral intervention studies are permitted at any time. An investigational product or behavioral intervention permitted at any time. An investigational product may be permitted for therapy of an illness condition that occurs during the study period (e.g., COVID-19 illness) 2. Any condition, which, in the opinion of the investigators, may pose a health risk to the subject or interfere with the evaluation of the study objectives. 3. Anyone who is a relative of any research study personnel or is an employee supervised by study staff.

Locations (5)

Kaiser Permanente Northern California

Oakland, California, United States

Centers for Disease Control and Prevention

Atlanta, Georgia, United States

Columbia University

New York, New York, United States

Duke University

Durham, North Carolina, United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Outcomes

Primary Outcomes

Number of participants with defined local or systemic reactogenicity events after each dose of COVID-19 vaccine

Tables summarizing each solicited local and systemic reactogenicity event by maximum classification (none, mild, moderate, and severe), as well as by moderate or severe

Time frame: Up to 7 days post-vaccination

Number of participants with at least one severe (Grade 3) solicited local or systemic reactogenicity event after each dose of COVID-19 vaccine

Tables summarizing each severe (Grade 3) solicited local and systemic reactogenicity event

Time frame: Up to 7 days post-vaccination

Number of participants with at least one moderate-to-severe (Grade 2-3) solicited local or systemic reactogenicity event after each dose of COVID-19 vaccine

Tables summarizing each moderate-to-severe (Grade 2-3) solicited local and systemic reactogenicity event

Time frame: Up to 7 days post-vaccination

Number of participants with an unsolicited adverse events after each dose of COVID-19 vaccine

The number and percent and descriptions of unsolicited adverse events observed

Time frame: Up to 7 days post-vaccination

Number of participants with an adverse event of special interest

The number and percent of individuals with an adverse event of special interest after dose 2 of COVID-19 vaccine

Time frame: Up to 29 days post-vaccination

The number and percent of participants with at least one serious adverse event after dose 2 of COVID-19 vaccine

The number and percent of serious adverse events observed and description of each event

Time frame: Up to 29 days post-vaccination

Secondary Outcomes

Number of participants with defined local or systemic reactogenicity events after receiving other routinely recommended vaccines with each dose of COVID-19 vaccine

Tables summarizing each solicited local and systemic reactogenicity event by maximum classification (none, mild, moderate, and severe), as well as by moderate or severe

Time frame: Up to 7 days post-vaccination

Number of participants with defined local or systemic reactogenicity events after receiving each dose of COVID-19 vaccine without other vaccines

Tables summarizing each solicited local and systemic reactogenicity event by maximum classification (none, mild, moderate, and severe), as well as by moderate or severe

Time frame: Up to 7 days post-vaccination

Number of participants with at least one severe (Grade 3) solicited local or systemic reactogenicity event after other routinely recommended vaccines with each dose of COVID-19 vaccine

Tables summarizing each moderate to severe (Grade 2-3) solicited local and systemic reactogenicity event

Time frame: Up to 7 days post-vaccination

Number of participants with at least one severe (Grade 3) solicited local or systemic reactogenicity event after receiving COVID-19 vaccine without receiving other vaccines

Tables summarizing each severe (Grade 3) solicited local and systemic reactogenicity event

Time frame: Up to 7 days post-vaccination

Number of participants with at least one moderate-to-severe (Grade 2-3) solicited local or systemic reactogenicity event after receiving other routinely recommended vaccines with each dose of COVID-19 vaccine

Tables summarizing each moderate-to-severe (Grade 2-3) solicited local and systemic reactogenicity event

Time frame: Up to 7 days post-vaccination

Number of participants with at least one moderate-to-severe (Grade 2-3) solicited local or systemic reactogenicity event after receiving COVID-19 vaccine without receiving other vaccines

Tables summarizing each moderate-to-severe (Grade 2-3) solicited local and systemic reactogenicity event

Number of participants with an unsolicited adverse events after receiving other routinely recommended vaccines with each dose of COVID-19 vaccine

The number and percent and descriptions of unsolicited adverse events observed

Time frame: Up to 7 days post-vaccination

Number of participants with an unsolicited adverse events after receiving other routinely recommended vaccines with each dose of COVID-19 vaccine without receiving other vaccines

The number and percent and descriptions of unsolicited adverse events observed

Time frame: Up to 7 days post-vaccination

Number of participants with an adverse event of special interest who received other routinely recommended vaccines with each dose of COVID-19 vaccine

The number and percent of individuals who had at least one adverse event of special interest

Time frame: Up to 29 days post-vaccination

Number of participants with an adverse event of special interest who received other routinely recommended vaccines with each dose of COVID-19 vaccine without receiving other vaccines

The number and percent of individuals who had at least one adverse event of special interest

Time frame: Up to 29 days post-vaccination

The number and percent of participants with at least one serious adverse event who received other routinely recommended vaccines after dose 2 of COVID-19 vaccine

The number and percent of serious adverse events observed and description of each event

Time frame: Up to 29 days post-vaccination

The number and percent of participants with at least one serious adverse event who received other routinely recommended vaccines after dose 2 of COVID-19 vaccine without receiving other vaccines

The number and percent of serious adverse events observed and description of each event

Time frame: Up to 29 days post-vaccination