Evaluating the efficacy and safety of the Covishield vaccine: Balancing immune response and side effects in diverse populations

Dipendra Kohar 1, *, Bibek Kumar Das 1, Sulav Rawal 1, Bishnu Kohar 2, Modassir Hussain 3, Dipesh Yadav 4 and Vishal kajla 1

1 College of pharmacy, RIMT UNIVERSITY, Mandigobindgarh, Punjab (147301), India.
2 Aditya Bangalore Institute of pharmacy education and Research, Bangalore (560064) India.
3 Maharajgunj Medical Campus, maharajgunj Kathmandu, Nepal.
4 MMU College of Pharmacy, Ramanagar, Karnataka, India.
 
Review
World Journal of Biology Pharmacy and Health Sciences, 2024, 20(02), 029–036.
Article DOI: 10.30574/wjbphs.2024.20.2.0830
 
Publication history: 
Received on 17 September 2024; revised on 26 October 2024; accepted on 28 October 2024
 
Abstract: 
The COVID-19 pandemic, which is attributed to the SARS-CoV-2 virus, has profoundly affected global health, especially among the elderly and those with preexisting health issues. In response to this crisis, the creation and distribution of effective vaccines have been vital. Covishield, a vaccine formulated by Oxford-AstraZeneca and produced by the Serum Institute of India, has been pivotalin the worldwide vaccination campaign. By utilizing viral vector technology, Covishield has demonstrated an efficacy rate of approximately 70% in preventing symptomatic COVID-19. Furthermore, it provides substantial protection against severe illness and hospitalization, even in the presence of emerging variants. This review aims to evaluate the efficacy, safety, and impact of Covishield across different demographic groups. Common side effects of the vaccine are generally mild, including pain at the injection site and low-grade fever. However, there have been rare reports of adverse events such as thrombosis with thrombocytopenia syndrome (TTS), which necessitate continuous monitoring and regulatory review. Despite these rare occurrences, Covishield remains an affordable option with manageable storage requirements, making it particularly valuable for low and middle-income countries. The review emphasizes the importance of ongoing survei lance, inclusive clinical trials, and transparent communication to address vaccine hesitancy. It also highlights the need for adaptation to new variants, equitable distribution of vaccines, and the integration of vaccination into broader public health strategies. The rapid development and distribution of Covishield underscore the significance of international cooperation and robust scientific methodologies in effectively addressing current and future global health emergencies.
 
Keywords: 
Covishield; COVID-19 vaccine; Vaccine efficacy; Safety profile; Immune response; Adverse effects
 
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