Abstract

Introduction: COVID-19 vaccination has now become the most effective way to combat the pandemic, but there is a gradual decline in the protection that it offers over time. Therefore, the Food and Drug Administration (FDA) and EMA now recommend the use of the so-called booster dose, especially in at-risk groups. The purpose of the study was to assess the attitudes of Poles towards the recommendation to receive a booster dose of the COVID-19 vaccine and to evaluate the main reasons for refusing or delaying the decision. Material and methods: The study was based on a proprietary questionnaire distributed via the Internet. There were 1598 respondents, 54 of which did not consent to participate in the survey and/or did not complete the vaccination against SARS-CoV-2. As a result, 1528 surveys were included in the final analysis. The vast majority of the respondents, namely 1275 (83.4%), were female, and 772 (50.5%) were residents of cities with a population of over 250,000. Results: Out of all respondents, 38 (2.5%) had already received the COVID-19 vaccine booster dose and 1031 (67.4%) would like to receive it as soon as possible. Forty-five (2.9%) respondents reported that they were completely unwilling to take the booster dose. The occurrence of adverse events after primary vaccination were reported by 79.9% of the survey participants. The most common reasons why the respondents refused to be vaccinated are lack of confidence in the effectiveness of the booster dose and the occurrence of adverse events in them or their loved ones. Age, gender, residence, or relationship status were not shown to affect attitudes towards the expansion of the basic vaccination schedule. Conclusions: One in three respondents plans to delay or refrain from taking the COVID-19 vaccine booster dose. The main reason for refusal to be vaccinated is the belief that the previous vaccination provides sufficient protection.

Highlights

  • COVID-19 vaccination has become the most effective way to combat the pandemic, but there is a gradual decline in the protection that it offers over time

  • Studies were undertaken to investigate the administration of a supplemental dose in persons with impaired immunocompetence, which has been shown to significantly increase protection, and the administration of a booster dose in persons with a healthy immune system in order to extend the protection provided by primary vaccination [17,18]

  • 1528 surveys were included in the final analysis

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Summary

Introduction

COVID-19 vaccination has become the most effective way to combat the pandemic, but there is a gradual decline in the protection that it offers over time. There is a group of patients, including those with reduced immune system function, in whom the basic schedule produced a low level of neutralising antibodies or the body did not produce them at all. Based on these data, studies were undertaken to investigate the administration of a supplemental dose in persons with impaired immunocompetence, which has been shown to significantly increase protection, and the administration of a booster dose in persons with a healthy immune system in order to extend the protection provided by primary vaccination [17,18].

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