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BMC Infect Dis . Association between vaccination status and clinical characteristics among young adults infected with COVID-19

tetano

Editor, Senior Moderator
BMC Infect Dis


. 2025 Oct 14;25(1):1321.
doi: 10.1186/s12879-025-11652-5. Association between vaccination status and clinical characteristics among young adults infected with COVID-19

Wei Zhao[SUP] #[/SUP][SUP] 1 [/SUP], Xiaolin Lu[SUP] #[/SUP][SUP] 1 [/SUP], Yan Yan[SUP] 2 [/SUP], Li Xie[SUP] 3 4 [/SUP], Shanshan Yan[SUP] 5 [/SUP]



Affiliations
Abstract

Objective: To explore the association between Vaccination Status and Clinical Characteristics Among Young Adults Infected With COVID-19.
Methods: We conducted a cross-sectional Survey among young adults aged 16-35 years in Tianjin, China. Our analysis focused on COVID-19 infection rates, risk factors, demographic characteristics, and clinical symptoms.
Results: We collected 738 valid questionnaires between December 20 to 23, 2022, achieving a response rate of 98.27%. Among the 412 infected participants, 33.25% were male and 66.75% were female, with a marginal significant difference (P = 0.054). The distribution of infected participants across various age groups, as well as the presence or absence of co-residents, showed a significant difference between the infected and uninfected cohorts (P = 0.003 and P < 0.001, respectively). Compared with participants who received two or less vaccine dose, participants who had received three or more doses of vaccine had a significantly lower incidence of headache (0-2 vs. > = 3 doses: 80.43% and 69.38%, P = 0.038), olfactory reduction or loss (0-2 vs. > = 3 doses: 22.83% and 14.06%, P = 0.043). Compared with the time since vaccination of 7-12 months, those vaccinated with less than 6 months or more than 12 months exhibited a higher incidence of fatigue (< 6 vs. 7-12 vs. > 12 months: 75.41%, 63.13% and 77.61%, P = 0.009) but a lower incidence of vomiting (< 6 vs. 7-12 vs. > 12 months: 8.20%, 17.51% and 8.21%, P = 0.020).
Conclusion: Our study found that young adults who received three or more doses of the COVID-19 vaccine had a lower incidence of symptoms such as headache and olfactory reduction. These findings underscore the importance of vaccination in mitigating the severity of COVID-19 symptoms and provide valuable insights for future public health strategies and vaccine policies.

Keywords: COVID-19; Infection; Symptoms; Vaccination; Young adults.

 
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