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- Safely produced without having to handle viral particles or cell cultures and animal matrix 37
- Unstable and requires ultra-cold storage facility 29 , 39 41 | 24% | VV | - Stronger immune response. Elicit robust humoral and cellular responses with a single dose by mimicking natural infection, providing long-term immune response 40 , 41 - Pre-existing immunity against human viral vectors can attenuate immune responses 42 , 43 | - Potential risk for infection and inflammation that can cause adverse reactions 44 , 45 - Risk of genomic integration 31 | - Optimization of the cellular system is required for efficient viral vector 31 - Safely produced without having to handle viral particle 29 - Can be easily produced on large scale 46 - Stable and do not require stringent storage conditions 41 | 21 (VVnr) 4 (VVr) 2 (VVr +APC) 1 (VVnr + APC) | 16% |
IV | - Weaker immune response compared to live attenuated vaccines, requiring a higher dose, booster dosages, or adjuvants 29 , 47 , 48 - Induction of long-lived humoral and cellular immune responses with several booster doses (results of nonrandomized trial among health care workers administered with BBIBP-CorV) 49 | - Less risk of virulence reversion compared with live attenuated virus vaccine if properly inactivated, which is also suitable for immunocompromised patients 29 - Potential induction of vaccine-induced eosinophilic pulmonary response 50 | - Require high levels of live pathogens for production 51 - Inactivation process can affect the immunogenicity of the antigen due to structural deformation 29 , 31 - Ease of transport and storage. Inactivated virus vaccine can be stored at 2â8 °C, enabling storage in countries with limited cold storage facilities 48 | 22 | 13% |
DNA |
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