{"doi":"10.1038/s41541-024-00964-3","title":"Assessing acute kidney injury risk after COVID vaccination and infection in a large cohort study","abstract":"Acute kidney injury (AKI) has been noticed after both COVID-19 vaccination and infection, affecting risk-benefit evaluations and vaccine hesitancy. We conducted a large-scale N3C cohort study to compare AKI incidence following COVID-19 vaccination and infection. Participants from December 2020 to August 2023 were divided into two groups based on their initially observed COVID-19 antigen exposure: COVID-19 vaccination group (n = 2,953,219) and COVID-19 infection group (n = 3,616,802). AKI was defined by diagnostic codes and serum creatinine changes within a 30 day follow-up window after exposure. The absolute risk of AKI was 0.66% in the vaccination group versus 4.88% in the infection group. After adjusting for various confounders, COVID-19 infection was associated with a significantly higher risk of AKI than COVID-19 vaccination (aHR = 10.31, P < 0.001). Our study reveals that COVID-19 vaccination is associated with a significant lower AKI risk compared to COVID-19 infection.","journal":"npj Vaccines","year":2024,"id":456751,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8307,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":265845,"name":"Yun Han","orcid":"0000-0002-3847-3757","position":1,"is_corresponding":false},{"id":455250,"name":"Chuan Zhou","orcid":"0000-0002-0609-1658","position":2,"is_corresponding":false},{"id":479616,"name":"Jie Zheng","orcid":"0000-0002-2999-0103","position":3,"is_corresponding":false},{"id":1281607,"name":"Lili Zhao","orcid":"0000-0001-5501-0028","position":4,"is_corresponding":false},{"id":880998,"name":"Xianwei Ye","orcid":"0000-0002-2330-3907","position":5,"is_corresponding":false},{"id":90652,"name":"Yongqun He","orcid":"0000-0001-9189-9661","position":6,"is_corresponding":false},{"id":49900,"name":"Farrukh M. Koraishy","orcid":"0000-0001-6974-5674","position":7,"is_corresponding":false},{"id":49893,"name":"Christopher G. Chute","orcid":"0000-0001-5437-2545","position":8,"is_corresponding":false},{"id":1218066,"name":"Yuanyi Pan","orcid":"0000-0002-0595-4335","position":0,"is_corresponding":true}],"reference_count":50,"raw_metadata":null,"created_at":"2026-07-19T02:03:32.516678Z","pmid":"39516206","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}