The Burden of COVID-19 Vaccine Side Effects on Nursing Staff in Palestine
DOI:
https://doi.org/10.70411/MJHAS.2.2.2025202Keywords:
COVID-19, Immunity, Nursing, Hesitancy, Vaccines, Side effectsAbstract
This study investigates the impact of various COVID-19 vaccine side effects on nursing staff in Palestine. A quantitative cross-sectional study design was used, and 355 nurses participated by completing a self-administered questionnaire via Google Forms. These nurses worked in private and governmental hospitals and health centres in Palestine. The study showed that 55.2% of participants were hesitant to receive the vaccine. The majority of participants received the Pfizer vaccine (46.5%). Moreover, 50.7% reported experiencing post-vaccination side effects, with 37.5% describing them as mild. The most common side effects included fatigue (48.4%), pain at the injection site (46.2%), fever (46.2%), and headache (39.1%). The impact of different types of COVID-19 vaccines on missed work due to side effects was most notable after the first dose (21.7%), and the side effects were mainly mild and disappeared after one day (34.6%). Participants expressed concerns about safety, effectiveness, and short- and long-term side effects of vaccines.
References
Abukhalil, A., Abushehadeh, R., Shatat, S., Al-Shami, N., Naseef, H., Ladadweh, H., & Madia, R. (2024). COVID-19 Vaccines Breakthrough Infections and Adverse Effects Reported by the Birzeit University Community in Palestine. International Journal of General Medicine, Volume 17, 3349–3360. https://doi.org/10.2147/IJGM.S466838.
Ahmed Mohamed Ibrahim, S., Mohamed Ibrahim Mohamed, M., Mohammed Alhussin, E., Ahmed Hassan, A., Alsomali, N. I., Mohammed Mallawi, M., & Al-Qudimat, A. R. (2024). Short-term Side Effects Raises Following Covid-19 Vaccination Among Healthcare Workers. International Journal of Africa Nursing Sciences, 20, 100749. https://doi.org/10.1016/j.ijans.2024.100749.
Alalawi, M., Alsalloum, M. A., Garwan, Y. M., Abuzeid, M., Alalawi, H., Eljaaly, K., Thabit, A. K., & Jose, J. (2024). COVID-19 vaccine hesitancy among healthcare workers in Arab Countries: A systematic review and meta-analysis. PLOS ONE, 19(1), e0296432. https://doi.org/10.1371/journal.pone.0296432.
Alguraini, J., Saleem, M. T. S., Mahrous, N. N., Shamsan, A., Zaidi, F. Z., Alhumaidan, O. S., & Jamous, Y. F. (2024). The Impact of COVID-19 Vaccination Side-Effects on Work Attendance among Saudi Healthcare Workers. Infectious Disease Reports, 16(4), 770–782. https://doi.org/10.3390/idr16040059.
Al-Hatamleh, M. A. I., Hatmal, M. M., Mustafa, S. H. F., Alzu’bi, M., AlSou’b, A. F., Abughanam, S. N. S., Olaimat, A. N., Kateeb, E. T., & Mohamud, R. (2022). Experiences and perceptions of COVID-19 infection and vaccination among Palestinian refugees in Jerash camp and Jordanian citizens: A comparative cross-sectional study by face-to-face interviews. Infectious Diseases of Poverty, 11(1), 123. https://doi.org/10.1186/s40249-022-01047-y.
Alhazmi, A., Alamer, E., Daws, D., Hakami, M., Darraj, M., Abdelwahab, S., Maghfuri, A., & Algaissi, A. (2021). Evaluation of Side Effects Associated with COVID-19 Vaccines in Saudi Arabia. Vaccines, 9(6), 674. https://doi.org/10.3390/vaccines9060674.
Al-Matouq, J. A., Ali, M. D., Al-Somali, S. M., Ahmad, A., Banu, N., & Patel, M. (2022). Prevalence of side-effects associated with the booster dose of Pfizer-BioNTech (BNT162b2) of COVID-19 Vaccine among vaccinated adults in the Eastern province of Saudi Arabia. Infection Prevention in Practice, 4(4), 100251. https://doi.org/10.1016/j.infpip.2022.100251
Aloweidi, A., Bsisu, I., Suleiman, A., Abu-Halaweh, S., Almustafa, M., Aqel, M., Amro, A., Radwan, N., Assaf, D., Abdullah, M. Z., Albataineh, M., Mahasneh, A., Badaineh, A., & Obeidat, H. (2021). Hesitancy towards COVID-19 Vaccines: An Analytical Cross–Sectional Study. International Journal of Environmental Research and Public Health, 18(10), 5111. https://doi.org/10.3390/ijerph18105111.
Amer, S. A., Al-Zahrani, A., Imam, E. A., Ishteiwy, E. M., Djelleb, I. F., Abdullh, L. R., Ballaj, D., Amer, Y. A., El-Sokkary, R. H., Elshabrawy, A. M., Eskander, G., Shah, J., Raza, M. L., ALsafa, A. M. A. A., Ali, H. T., & Fawzy, H. M. (2024). Exploring the reported adverse effects of COVID-19 vaccines among vaccinated Arab populations: A multi-national survey study. Scientific Reports, 14(1), 4785. https://doi.org/10.1038/s41598-024-54886-0.
Azimi-nezhad, M., Gholami, A., Taghiabadi, E., & Ghodsi, H. (2022). Short-term Side Effects of COVID-19 Vaccines (Astrazeneca, Sputnik-V, and Sinopharm) in Health Care Workers: A Cross-Sectional Study in Iran. Medical Journal of the Islamic Republic of Iran. https://doi.org/10.47176/mjiri.36.159.
Barouch, D. H. (2022). Covid-19 Vaccines—Immunity, Variants, Boosters. New England Journal of Medicine, 387(11), 1011–1020. https://doi.org/10.1056/NEJMra2206573.
Biswas, Md. R., Alzubaidi, M. S., Shah, U., Abd-Alrazaq, A. A., & Shah, Z. (2021). A Scoping Review to Find Out Worldwide COVID-19 Vaccine Hesitancy and Its Underlying Determinants. Vaccines, 9(11), 1243. https://doi.org/10.3390/vaccines9111243.
Chrissian, A. A., Oyoyo, U. E., Patel, P., Lawrence Beeson, W., Loo, L. K., Tavakoli, S., & Dubov, A. (2022). Impact of COVID-19 vaccine-associated side effects on health care worker absenteeism and future booster vaccination. Vaccine, 40(23), 3174–3181. https://doi.org/10.1016/j.vaccine.2022.04.046.
Colleran, R., Fitzgerald, S., Rai, H., McGovern, L., Byrne, R. J., Mansur, A., Cradock, A., Lavery, R., Bisset, J., McKeogh, S., Cantwell, G., O’Ciardha, D., Wilson, H., Begossi, N., Blake, N., Fitzgibbon, M., McNulty, J., Széplaki, G., Heffernan, E., … Byrne, R. A. (2024). Symptom burden, coagulopathy and heart disease after acute SARS-CoV-2 infection in primary practice. Scientific Reports, 14(1), 21229. https://doi.org/10.1038/s41598-024-71535-8.
Darraj, M. A., & Al-Mekhlafi, H. M. (2022). Prospective Evaluation of Side-Effects Following the First Dose of Oxford/AstraZeneca COVID-19 Vaccine among Healthcare Workers in Saudi Arabia. Vaccines, 10(2), 223. https://doi.org/10.3390/vaccines10020223.
Dejen Tilahun, A., Liyew, B., & Kassew, T. (2024). What influences nurses’ practice towards enteral nutrition support in the intensive care units? International Journal of Africa Nursing Sciences, 20, 100727. https://doi.org/10.1016/j.ijans.2024.100727.
Desai, S., Kainth, T., Yadav, G., Kochhar, H., Srinivas, S., Kamil, S., & Du, W. (2023). Role of Psychosomatic Symptoms in COVID-19 Vaccine Hesitancy. Vaccines, 11(5), 922. https://doi.org/10.3390/vaccines11050922.
Elhadi, M., Alsoufi, A., Alhadi, A., Hmeida, A., Alshareea, E., Dokali, M., Abodabos, S., Alsadiq, O., Abdelkabir, M., Ashini, A., Shaban, A., Mohammed, S., Alghudban, N., Bureziza, E., Najah, Q., Abdulrahman, K., Mshareb, N., Derwish, K., Shnfier, N., … Msherghi, A. (2021). Knowledge, attitude, and acceptance of healthcare workers and the public regarding the COVID-19 vaccine: A cross-sectional study. BMC Public Health, 21(1), 955. https://doi.org/10.1186/s12889-021-10987-3.
Eterafi, M., Fouladi, N., Golizadeh, M., Shaker, H., Matin, S., & Safarzadeh, E. (2024). Reported side-effects following Oxford/AstraZeneca COVID-19 vaccine in the north-west province, Iran: A cross-sectional study. PLOS ONE, 19(1), e0296669. https://doi.org/10.1371/journal.pone.0296669.
Feikin, D. R., Higdon, M. M., Abu-Raddad, L. J., Andrews, N., Araos, R., Goldberg, Y., Groome, M. J., Huppert, A., O’Brien, K. L., Smith, P. G., Wilder-Smith, A., Zeger, S., Deloria Knoll, M., & Patel, M. K. (2022). Duration of effectiveness of vaccines against SARS-CoV-2 infection and COVID-19 disease: Results of a systematic review and meta-regression. The Lancet, 399(10328), 924–944. https://doi.org/10.1016/S0140-6736(22)00152-0.
Hoffman, Y. S. G., Levin, Y., Palgi, Y., Goodwin, R., Ben-Ezra, M., & Greenblatt-Kimron, L. (2022). Vaccine hesitancy prospectively predicts nocebo side-effects following COVID-19 vaccination. Scientific Reports, 12(1), 20018. https://doi.org/10.1038/s41598-022-21434-7.
Maraqa, B., Nazzal, Z., Rabi, R., Sarhan, N., Al-Shakhra, K., & Al-Kaila, M. (2021). COVID-19 vaccine hesitancy among health care workers in Palestine: A call for action. Preventive Medicine, 149, 106618. https://doi.org/10.1016/j.ypmed.2021.106618.
Mohammed, R., Nguse, T. M., Habte, B. M., Fentie, A. M., & Gebretekle, G. B. (2021). COVID-19 Vaccine Hesitancy Among Ethiopian Healthcare Workers PLOS ONE, 16(12), e0261125. https://doi.org/10.1371/journal.pone.0261125.
Naqid, I. A., Mosa, A. A., Abdullrahman, L. S., Jamil, D. S., Shukur, I. T., Abdulkareem, D. S., & Hussein, N. R. (2024). Side Effects of COVID-19 Vaccines in Iraqi Kurdistan: A Population-Based Study. Cureus. https://doi.org/10.7759/cureus.71170.
Nwachukwu, G., Rihan, A., Nwachukwu, E., Uduma, N., Elliott, K. S., & Tiruneh, Y. M. (2024). Understanding COVID-19 Vaccine Hesitancy in the United States: A Systematic Review. Vaccines, 12(7), 747. https://doi.org/10.3390/vaccines12070747.
Odejinmi, F., Mallick, R., Neophytou, C., Mondeh, K., Hall, M., Scrivener, C., Tibble, K., Turay-Olusile, M., Deo, N., Oforiwaa, D., & Osayimwen, R. (2022). COVID-19 vaccine hesitancy: A midwifery survey into attitudes towards the COVID-19 vaccine. BMC Public Health, 22(1), 1219. https://doi.org/10.1186/s12889-022-13540-y.
Okpani, A. I., Lockhart, K., Grant, J. M., Barker, S., Srigley, J. A., & Yassi, A. (2023). Vaccination, time lost from work, and COVID-19 infections: A Canadian healthcare worker retrospective cohort study. Frontiers in Public Health, 11, 1214093. https://doi.org/10.3389/fpubh.2023.1214093.
Orebi, H. A., Emara, H. E., Alhindi, A. A., Shahin, M. R., Hegazy, A. H., Kabbash, I. A., & Saied, S. M. (2022). Perceptions and experiences of COVID-19 vaccines’ side effects among healthcare workers at an Egyptian University Hospital: A cross-sectional study. Tropical Medicine and Health, 50(1), 37. https://doi.org/10.1186/s41182-022-00427-2.
Park, J., & Ahn, Y. (2023). Motivations behind Vaccine Hesitancy: Examining Altruism and Government Distrust across Job Sectors during COVID-19. Public Performance & Management Review, 46(1), 165–192. https://doi.org/10.1080/15309576.2022.2137211.
Perrone, C., Fiabane, E., Maffoni, M., Pierobon, A., Setti, I., Sommovigo, V., & Gabanelli, P. (2023). Vaccination hesitancy: To be vaccinated, or not to be vaccinated, that is the question in the era of COVID‐19. Public Health Nursing, 40(1), 90–96. https://doi.org/10.1111/phn.13134.
Platto, S., Xue, T., & Carafoli, E. (2020). COVID19: An announced pandemic. Cell Death & Disease, 11(9), 799. https://doi.org/10.1038/s41419-020-02995-9.
Sedaghat, M., Karami, B., Najafi, F., Shadmani, F. K., & Rezaeian, S. (2024). Gender differences in adverse effects following the second dose of AstraZeneca COVID-19 vaccine: A cross-sectional study among healthcare workers. Vaccine, 42(26), 126424. https://doi.org/10.1016/j.vaccine.2024.126424.
Sette, A., & Crotty, S. (2021). Adaptive immunity to SARS-CoV-2 and COVID-19. Cell, 184(4), 861–880. https://doi.org/10.1016/j.cell.2021.01.007.
Shouli, M. M., Ayed, A., Shouli, K. M., Issa, B. M., & Khraiwesh, I. M. (2022). Health Consequences of University Employees Post-COVID-19 Vaccination at Palestinian Universities. SAGE Open Nursing, 8, 23779608221144935. https://doi.org/10.1177/23779608221144935.
Zare, Z., Assarroudi, A., Armat, M. R., Laal Ahangar, M., Estaji, M., MoghaddamHosseini, V., & Dianatinasab, M. (2022). Signs, Symptoms, and Side-Effects Presented by Different Types of COVID-19 Vaccines: A Prospective Cohort Study. Life, 12(12), 2046. https://doi.org/10.3390/life12122046.
Zawahrah, H. J., Saca-Hazboun, H., Melhem, S. S., Adwan, R., Sabateen, A., & Abu-Rmeileh, N. M. E. (2021). Acceptance of COVID-19 vaccines in Palestine: A cross-sectional online study. BMJ Open, 11(10), e053681. https://doi.org/10.1136/bmjopen-2021-053681.
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