4.7 Review

COVID-19 vaccinations: The unknowns, challenges, and hopes

Journal

JOURNAL OF MEDICAL VIROLOGY
Volume 94, Issue 4, Pages 1336-1349

Publisher

WILEY
DOI: 10.1002/jmv.27487

Keywords

COVID-19; COVID-19 vaccination; global assessment; global challenges; herd immunity; SARS-CoV-2

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Funding

  1. Sao Paulo Research Foundation (FAPESP) [2018/18886-9, 2020/01688-0, 2020/07069-0]

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Vaccines have brought hope to the world in controlling the COVID-19 pandemic, despite facing challenges and uncertainties such as longevity, asymptomatic spread, long-term side effects, global access and distribution, compliance with hygiene guidelines, emerging variants, and vaccine resistance. Reports show a significant decrease in the risk of COVID-19-related infection and hospitalizations, indicating the positive impact of vaccination.
The entire world has been suffering from the coronavirus disease 2019 (COVID-19) pandemic since March 11, 2020. More than a year later, the COVID-19 vaccination brought hope to control this viral pandemic. Here, we review the unknowns of the COVID-19 vaccination, such as its longevity, asymptomatic spread, long-term side effects, and its efficacy on immunocompromised patients. In addition, we discuss challenges associated with the COVID-19 vaccination, such as the global access and distribution of vaccine doses, adherence to hygiene guidelines after vaccination, the emergence of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, and vaccine resistance. Despite all these challenges and the fact that the end of the COVID-19 pandemic is still unclear, vaccines have brought great hope for the world, with several reports indicating a significant decline in the risk of COVID19-related infection and hospitalizations.

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