Review Article

Challenges in Emerging Vaccines and Future Promising Candidates against SARS-CoV-2 Variants

Table 4

Comparison of efficacy and safety of various COVID-19 vaccines.

Vaccine brandPlatformEfficacySafetyImpact on transmissibilityEffectiveness against variantsReferences

Pfizer–BioNTech
(mRNA-1273)
mRNA vaccinesHigh against severe infection, moderate against symptomatic diseaseAll individuals aged 6 months and above. Rare serious adverse event of mild myocarditis in young males aged 18–35 after the second doseModestLow against for omicron variant[63, 90, 91],
Moderna vaccines (BNT162b2)High against severe infection, Moderate against symptomatic diseaseVaccine for emergency use.
Rare mild myocarditis in young males aged 18–35 after the second dose
ModestLow for the omicron variant[63, 5]

Novavax
(NVX-CoV2373)
Subunit vaccineHigh against severe infectionAll individuals aged 12 and above. Infrequent adverse severe events of anaphylaxis, paresthesia, hypesthesia, myocarditis, and pericarditis were reportedNo substantive data are availableHigh against alpha, beta, and delta variants. No data are available for the omicron variant[92, 93]

Soberana plus vaccine (Soberana 02 vaccine)Conjugate vaccine (recombinant RBD conjugated to tetanus toxoid)High against severe infection, moderate against symptomatic diseaseAll individuals aged 19–80 years, for emergency use only, transient or mild discomfortModestEffective against delta variant. Data are not available for other variants[63, 94],

Sinopharm
Beijing Bio-Institute of Biological Products
(BBIBP-CorV)
Whole inactivated virusEfficacy trials are underway, but data are not available yetAll individuals aged 18 and above. Not suitable for an individual with a history of anaphylaxisNo substantive data are availableNo substantive data are available[95, 96]

Oxford/AstraZeneca ChAdOx1-S
(ChAdOx1 nCoV-19/ Covishield)
Recombinant vaccineHigh against severe infection and symptomatic infectionAll individuals aged 18 and above. Not suitable for an individual with a history of severe allergic reactions.
Rare cases of Guillain–Barré syndrome (GBS), thrombosis with thrombocytopenia syndrome (TTS) were reported
No substantive data are availableEffective against alpha variant No substantive data available for other variants[97]

Sinovac-CoronaVac (CoronaVac)Whole inactivated virusHigh against severe infectionAll individuals aged three and above. Mild and local side effects. It is recommended for emergency use onlyNo substantive data are availableNo substantive data are available[98, 99]

Janssen Ad26.COV2.SNonreplicating adenovirus vectorHigh against severe infectionAll individuals aged 18 and above. Not suitable for an individual with a history of severe allergic reactions. Rare cases of Guillain–Barré syndrome (GBS), thrombosis with thrombocytopenia syndrome (TTS) were reportedNo substantive data are availableHigh against B1.351 and P.2. No data available for the omicron variant[63, 100]

Bharat Biotech BBV152 COVAXINWhole inactivated virusHigh against severe infection, moderate against symptomatic diseaseAll individuals aged 18 and above. Not suitable for an individual with a history of anaphylaxisNo substantive data are availableHigh against all variant-related COVID-19 diseases. No data yet for omicron[96, 101],

Sputnik V or Gam-COVID-VacNonreplicating adenovirus vector
(first registered combination vector vaccine)
High against severe infection, not reported against symptomatic diseaseAll individuals aged 18 and aboveNo substantive data are availableNo substantive data are available[96, 102],