{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:28:08Z","timestamp":1785198488332,"version":"3.55.0"},"reference-count":69,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>The SARS-CoV-2 vaccination campaign is probably one of the most historic public hygiene measures in modern medicine. The drama of the pandemic has forced the scientific community to accelerate the development and commercialization of vaccines, thereby enhancing the phases of active surveillance. Among the adverse events following immunization (AEFI) reported, those of an audiovestibular interest, such as sudden sensorineural hearing loss (SSNHL), tinnitus, dizziness, and vertigo, constitute a very small percentage. There are many plausible etiological hypotheses, and scientific research needs to pay more attention to the correct collection of data, which up until now have often been inadequate and fragmented, on which to base future studies. SSNHL, new onset tinnitus, vertigo, and dizziness require a prompt evaluation, while the proposed treatment is the same as it is for events unrelated to vaccination. These are uncommon adverse events, and the risk rates for these diseases have not increased in conjunction with the COVID-19 vaccinations, therefore there is no justification of any hesitation towards the vaccination campaign.<\/jats:p>","DOI":"10.3390\/audiolres12030024","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T05:07:22Z","timestamp":1650604042000},"page":"212-223","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Audiovestibular Disorders after COVID-19 Vaccine: Is There an Association?"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-0140","authenticated-orcid":false,"given":"Davide","family":"Pisani","sequence":"first","affiliation":[{"name":"Unit of Audiology, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico Maria","family":"Gioacchini","sequence":"additional","affiliation":[{"name":"Ear, Nose, and Throat Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Via Conca 71, 60020 Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2352-1146","authenticated-orcid":false,"given":"Pasquale","family":"Viola","sequence":"additional","affiliation":[{"name":"Unit of Audiology, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Scarpa","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Salerno, 84084 Fisciano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Astorina","sequence":"additional","affiliation":[{"name":"Unit of Audiology, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Re","sequence":"additional","affiliation":[{"name":"Ear, Nose, and Throat Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Via Conca 71, 60020 Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1478-9551","authenticated-orcid":false,"given":"Gianmarco","family":"Marcian\u00f2","sequence":"additional","affiliation":[{"name":"Department of Health Science, University Magna Graecia, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Manti","sequence":"additional","affiliation":[{"name":"U.O.C. Radiodiagnostics, Magna Graecia University, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Anzivino","sequence":"additional","affiliation":[{"name":"Otolaryngology Unit, Di Venere Hospital, 70131 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9829-2229","authenticated-orcid":false,"given":"Giuseppe","family":"Chiarella","sequence":"additional","affiliation":[{"name":"Unit of Audiology, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"415","DOI":"10.3892\/ijmm.2020.4828","article-title":"An integrative look at SARS-CoV-2 (Review)","volume":"47","author":"Ortega","year":"2021","journal-title":"Int. J. Mol. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.physrep.2021.02.001","article-title":"Non-pharmaceutical interventions during the COVID-19 pandemic: A review","volume":"913","author":"Perra","year":"2021","journal-title":"Phys. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e006653","DOI":"10.1136\/bmjgh-2021-006653","article-title":"Is the cure really worse than the disease? The health impacts of lockdowns during COVID-19","volume":"6","author":"Bhatt","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1038\/s41541-021-00292-w","article-title":"SARS-CoV-2 vaccines strategies: A comprehensive review of phase 3 candidates","volume":"6","author":"Kyriakidis","year":"2021","journal-title":"NPJ Vaccines"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"579297","DOI":"10.3389\/fgeed.2020.579297","article-title":"The Current Status of COVID-19 Vaccines","volume":"2","author":"Lundstrom","year":"2020","journal-title":"Front. Genome Ed."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2508","DOI":"10.1016\/j.csbj.2021.04.061","article-title":"An overview of current COVID-19 vaccine platforms","volume":"19","author":"Nagy","year":"2021","journal-title":"Comput. Struct. Biotechnol. J."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Calzetta, L., Ritondo, B.L., Coppola, A., Matera, M.G., Di Daniele, N., and Rogliani, P. (2021). Factors Influencing the Efficacy of COVID-19 Vaccines: A Quantitative Synthesis of Phase III Trials. Vaccines, 9.","DOI":"10.3390\/vaccines9040341"},{"key":"ref_8","unstructured":"Government of UK (2022, February 14). Approval of COVID-19 Vaccine, Available online: https:\/\/www.gov.uk\/government\/news\/uk-medicines-regulator-gives-approval-for-first-uk-covid-19-vaccine."},{"key":"ref_9","unstructured":"European Commission (2022, February 14). Questions and Answers: Conditional Marketing Authorisation of COVID-19 Vaccines in the EU*. Available online: https:\/\/ec.europa.eu\/commission\/presscorner\/detail\/en\/qanda_20_2390."},{"key":"ref_10","unstructured":"U.S. Food and Drug Administration (2022, February 02). FDA Takes Key Action in Fight Against COVID-19 By Issuing Emergency Use Authorization for First COVID-19 Vaccine, Available online: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-takes-key-action-fight-against-covid-19-issuing-emergency-use-authorization-first-covid-19."},{"key":"ref_11","first-page":"1","article-title":"Compulsory vaccination against COVID-19: A legal and ethical perspective on public good versus personal reticence","volume":"25","author":"Dunne","year":"2022","journal-title":"Ir. J. Med. Sci."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Roberts, H.A., Clark, D.A., Kalina, C., Sherman, C., Brislin, S., Heitzeg, M.M., and Hicks, B.M. (2022). To vax or not to vax: Predictors of anti-vax attitudes and COVID-19 vaccine hesitancy prior to widespread vaccine availability. PLoS ONE, 17.","DOI":"10.31234\/osf.io\/8qgre"},{"key":"ref_13","unstructured":"European Medicines Agency (2022, February 02). Safety of COVID-19 Vaccine. Available online: https:\/\/www.ema.europa.eu\/en\/human-regulatory\/overview\/public-health-threats\/coronavirus-disease-covid-19\/treatments-vaccines\/vaccines-covid-19\/safety-covid-19-vaccines."},{"key":"ref_14","unstructured":"EudraVigilance (2022, February 03). European Database of Suspected Adverse Drug Reaction Reports. Available online: https:\/\/www.adrreports.eu\/."},{"key":"ref_15","unstructured":"U.S. Food and Drug Administration (2022, February 03). Vaccines Safety Surveillance, Available online: https:\/\/www.fda.gov\/vaccines-blood-biologics\/safety-availability-biologics\/covid-19-vaccine-safety-surveillance."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/0264-410X(94)90315-8","article-title":"The Vaccine Adverse Event Reporting System (VAERS)","volume":"12","author":"Chen","year":"1994","journal-title":"Vaccine"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.toxrep.2021.04.003","article-title":"Safety of COVID-19 vaccines administered in the EU: Should we be concerned?","volume":"8","author":"Calina","year":"2021","journal-title":"Toxicol. Rep."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e12565","DOI":"10.1002\/emp2.12565","article-title":"Characteristics and outcomes of adverse events after COVID-19 vaccination","volume":"2","author":"Kewan","year":"2021","journal-title":"J. Am. Coll. Emerg. Physicians Open"},{"key":"ref_19","unstructured":"World Health Organization (2022, February 15). WHO Coronavirus (COVID-19) Dashboard. Available online: https:\/\/covid19.who.int."},{"key":"ref_20","first-page":"S1","article-title":"Clinical Practice Guideline: Sudden Hearing Loss (Update)","volume":"161","author":"Chandrasekhar","year":"2019","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e1213","DOI":"10.1097\/MAO.0000000000003275","article-title":"Otologic Manifestations After COVID-19 Vaccination: The House Ear Clinic Experience","volume":"42","author":"Wichova","year":"2021","journal-title":"Otol Neurotol."},{"key":"ref_22","first-page":"e17435","article-title":"Sudden Sensorineural Hearing Loss Following the Second Dose of COVID-19 Vaccine","volume":"13","author":"Tsetsos","year":"2021","journal-title":"Cureus"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.ijid.2021.10.025","article-title":"Sudden sensorineural hearing loss after COVID-19 vaccination","volume":"113","author":"Jeong","year":"2021","journal-title":"Int. J. Infect. Dis."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"100384","DOI":"10.1016\/j.xocr.2021.100384","article-title":"Sudden sensorineural hearing loss after covid-19 vaccine; A possible adverse reaction?","volume":"21","author":"Pisani","year":"2021","journal-title":"Otolaryngol. Case Rep."},{"key":"ref_25","first-page":"e20906","article-title":"Tinnitus, Sudden Sensorineural Hearing Loss, and Vestibular Neuritis As Complications of the Astra Zeneca COVID-19 Vaccine","volume":"14","year":"2022","journal-title":"Cureus"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.vaccine.2021.11.091","article-title":"Adverse event of Sinovac Coronavirus vaccine: Deafness","volume":"40","author":"Zhao","year":"2022","journal-title":"Vaccine"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e0578","DOI":"10.1097\/CCE.0000000000000578","article-title":"Multisystem Inflammation and Organ Dysfunction After BNT162b2 Messenger RNA Coronavirus Disease 2019 Vaccination","volume":"3","author":"Kahn","year":"2021","journal-title":"Crit. Care Explor."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1093\/qjmed\/hcab210","article-title":"The reversible tinnitus and cochleopathy followed first-dose AstraZeneca COVID-19 vaccination","volume":"114","author":"Tseng","year":"2021","journal-title":"QJM Int. J. Med."},{"key":"ref_29","first-page":"1","article-title":"Tinnitus following COVID-19 vaccination: Report of three cases","volume":"13","author":"Parrino","year":"2021","journal-title":"Int. J. Audiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"5126","DOI":"10.1080\/21645515.2021.2013085","article-title":"Vestibular neuritis after COVID-19 vaccination","volume":"17","author":"Jeong","year":"2021","journal-title":"Hum. Vaccin Immunother."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"790931","DOI":"10.3389\/fmed.2021.790931","article-title":"Acute Vertigo After COVID-19 Vaccination: Case Series and Literature Review","volume":"8","author":"Cocuzza","year":"2022","journal-title":"Front. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s00296-021-04792-9","article-title":"SARS-CoV-2 vaccines and autoimmune diseases amidst the COVID-19 crisis","volume":"41","author":"Velikova","year":"2021","journal-title":"Rheumatol. Int."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1089\/mab.2013.0090","article-title":"Molecular mimicry: Its evolution from concept to mechanism as a cause of autoimmune diseases","volume":"33","author":"Oldstone","year":"2014","journal-title":"Monoclon. Antibodies Immunodiagn. Immunother."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"108480","DOI":"10.1016\/j.clim.2020.108480","article-title":"Potential antigenic cross-reactivity between SARS-CoV-2 and human tissue with a possible link to an increase in autoimmune diseases","volume":"217","author":"Vojdani","year":"2020","journal-title":"Clin. Immunol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1007\/s12026-020-09152-6","article-title":"Molecular mimicry between SARS-CoV-2 spike glycoprotein and mammalian proteomes: Implications for the vaccine","volume":"68","author":"Kanduc","year":"2020","journal-title":"Immunol. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1016\/j.vaccine.2007.12.049","article-title":"VAERS team Live attenuated measles and mumps viral strain-containing vaccines and hearing loss: Vaccine Adverse Event Reporting System (VAERS), United States, 1990--2003","volume":"26","author":"Asatryan","year":"2008","journal-title":"Vaccine"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1080\/21645515.2018.1509657","article-title":"Bilateral deafness two days following influenza vaccination: A case report","volume":"15","author":"Kolarov","year":"2019","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_38","first-page":"59","article-title":"Acute tinnitus and permanent audiovestibular damage after hepatitis B vaccination","volume":"7","author":"DeJonckere","year":"2001","journal-title":"Int. Tinnitus J."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/j.otohns.2010.05.018","article-title":"Bilateral sudden deafness following H1N1 vaccination","volume":"143","author":"Huang","year":"2010","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"327","DOI":"10.5152\/balkanmedj.2013.8465","article-title":"Sudden hearing loss after rabies vaccination","volume":"30","year":"2013","journal-title":"Balk. Med. J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"bcr2015211977","DOI":"10.1136\/bcr-2015-211977","article-title":"Sudden onset unilateral sensorineural hearing loss after rabies vaccination","volume":"2015","author":"Okhovat","year":"2015","journal-title":"BMJ Case Rep."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1016\/S0140-6736(09)62071-7","article-title":"Sudden sensorineural hearing loss","volume":"375","author":"Schreiber","year":"2010","journal-title":"Lancet"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"73","DOI":"10.4103\/0974-777X.77299","article-title":"Fundamentals of vaccine immunology","volume":"3","author":"Clem","year":"2011","journal-title":"J. Glob. Infect. Dis."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s00405-020-06252-9","article-title":"Sudden olfactory loss as an early marker of COVID-19: A nationwide Italian survey","volume":"278","author":"Spadera","year":"2021","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3725","DOI":"10.1007\/s00405-020-06440-7","article-title":"Tinnitus and equilibrium disorders in COVID-19 patients: Preliminary results","volume":"278","author":"Viola","year":"2021","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"313","DOI":"10.3390\/audiolres11030029","article-title":"Sudden Sensorineural Hearing Loss in Mild COVID-19: Case Series and Analysis of the Literature","volume":"11","author":"Ricciardiello","year":"2021","journal-title":"Audiol. Res."},{"key":"ref_47","first-page":"244","article-title":"Prevention of COVID-19 Infection in the Medical Population: Possible Help from Anosmia?","volume":"15","author":"Chiarella","year":"2020","journal-title":"Rev. Recent Clin. Trials."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.otc.2011.01.007","article-title":"Vestibular neuritis","volume":"44","author":"Goddard","year":"2011","journal-title":"Otolaryngol. Clin. N. Am."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1001\/jamaneurol.2020.1127","article-title":"Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China","volume":"77","author":"Mao","year":"2020","journal-title":"JAMA Neurol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.omtm.2021.10.002","article-title":"Digital PCR to quantify ChAdOx1 nCoV-19 copies in blood and tissues","volume":"23","author":"Badbaran","year":"2021","journal-title":"Mol. Methods Clin. Dev."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"151","DOI":"10.4081\/audiores.2016.151","article-title":"Endothelial Dysfunction in Idiopathic Sudden Sensorineural Hearing Loss: A Review","volume":"6","author":"Quaranta","year":"2016","journal-title":"Audiol. Res."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Baldi, I., Azzolina, D., Francavilla, A., Bartolotta, P., Lorenzoni, G., Vanuzzo, D., and Gregori, D. (2021). Thrombotic Events after COVID-19 Vaccination in the Over-50s: Results from a Population-Based Study in Italy. Vaccines, 9.","DOI":"10.3390\/vaccines9111307"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2865","DOI":"10.1177\/0300060519847860","article-title":"Role of viral infection in sudden hearing loss","volume":"47","author":"Chen","year":"2019","journal-title":"J. Int. Med. Res."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"756633","DOI":"10.3389\/fpubh.2021.756633","article-title":"Frequency and Associations of Adverse Reactions of COVID-19 Vaccines Reported to Pharmacovigilance Systems in the European Union and the United States","volume":"9","author":"Montano","year":"2022","journal-title":"Front. Public Health."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1080\/14740338.2021.1955101","article-title":"Thromboembolic events in younger women exposed to Pfizer-BioNTech or Moderna COVID-19 vaccines","volume":"20","author":"Sessa","year":"2021","journal-title":"Expert Opin. Drug Saf."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"327","DOI":"10.2174\/1389202919666171218163046","article-title":"X-Linked Sensorineural Hearing Loss: A Literature Review","volume":"19","author":"Corvino","year":"2018","journal-title":"Curr. Genomics"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0196-0709(99)90062-5","article-title":"Inherited susceptibility to aminoglycoside ototoxicity: Genetic heterogeneity and clinical implications","volume":"20","author":"Casano","year":"1999","journal-title":"Am. J. Otolaryngol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"102640","DOI":"10.1016\/j.amjoto.2020.102640","article-title":"Chloroquine and hydroxychloroquine ototoxicity; potential implications for SARS-CoV-2 treatment. A brief review of the literature","volume":"42","author":"Scarpa","year":"2021","journal-title":"Am. J. Otolaryngol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.heares.2012.09.010","article-title":"Tinnitus-related neural activity: Theories of generation, propagation, and centralization","volume":"295","author":"Farley","year":"2013","journal-title":"Hear. Res."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.heares.2012.02.009","article-title":"Neuronal connectivity and interactions between the auditory and limbic systems. Effects of noise and tinnitus","volume":"288","author":"Kraus","year":"2012","journal-title":"Hear. Res."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s00405-020-06147-9","article-title":"Tinnitus revival during COVID-19 lockdown: How to deal with it?","volume":"278","author":"Anzivino","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"163S","DOI":"10.1177\/0145561320980186","article-title":"The Impact of the COVID-19 Pandemic on Follow-Ups for Vertigo\/Dizziness Outpatients","volume":"100","author":"Ueda","year":"2021","journal-title":"Ear Nose Throat J."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1080\/00016489.2021.1913288","article-title":"Higher incidence of M\u00e9ni\u00e8re\u2019s disease during COVID-19 pandemic: A preliminary report","volume":"141","author":"Lovato","year":"2021","journal-title":"Acta Otolaryngol."},{"key":"ref_64","unstructured":"Monami, M., Gori, D., Guaraldi, F., Montalti, M., Nreu, B., Burioni, R., and Mannucci, E. (2021). COVID-19 Vaccine Hesitancy and Early Adverse Events Reported in a Cohort of 7,881 Italian Physicians. Ann. Ig."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Lisi, L., Ciaffi, J., Bruni, A., Mancarella, L., Brusi, V., Gramegna, P., Ripamonti, C., Quaranta, E., Borlandelli, E., and Gallo, G. (2020). Levels and Factors Associated with Resilience in Italian Healthcare Professionals during the COVID-19 Pandemic: A Web-Based Survey. Behav. Sci., 10.","DOI":"10.3390\/bs10120183"},{"key":"ref_66","unstructured":"World Health Organization (2022, February 15). Vaccine Safety Monitoring, Module 3. Available online: https:\/\/vaccine-safety-training.org\/immunization-anxiety-related-reactions.html."},{"key":"ref_67","unstructured":"(2022, February 15). Government of India, Ministry of Health and Family Welfare, Available online: https:\/\/main.mohfw.gov.in\/Organisation\/Departments-of-Health-and-Family-Welfare\/immunization\/aefi-reports."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/S1473-3099(20)30843-4","article-title":"Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine in healthy adults aged 18-59 years: A randomised, double-blind, placebo-controlled, phase 1\/2 clinical trial","volume":"21","author":"Zhang","year":"2021","journal-title":"Lancet Infect Dis."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.1093\/cid\/ciab079","article-title":"The Impact of Vaccination on Coronavirus Disease 2019 (COVID-19) Outbreaks in the United States","volume":"73","author":"Moghadas","year":"2021","journal-title":"Clin. Infect. Dis."}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4349\/12\/3\/24\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:58:02Z","timestamp":1760137082000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/12\/3\/24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,21]]},"references-count":69,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["audiolres12030024"],"URL":"https:\/\/doi.org\/10.3390\/audiolres12030024","relation":{},"ISSN":["2039-4349"],"issn-type":[{"value":"2039-4349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,21]]}}}