Factors Moderating the Link between Personal Recounts of COVID-19 Vaccine Side Effects Viewed on Social Media and Viewer Postvaccination Experience

Abstract

While social media exposure is known to influence vaccine hesitancy, its impact on postvaccination experience remains relatively unknown. This retrospective cross-sectional study explored whether various psychosocial and individual factors moderate the association between social media exposure to personal recounts of COVID-19 vaccine side effects and the viewer’s subsequent postvaccination side effect experience. Adults residing in Australia, who were fully vaccinated with two COVID-19 vaccine doses (n = 280) completed an online survey. The more severe the personal recounts of post-COVID-19 vaccination side effects participants were exposed to on social media, the more severe their own postvaccination side effects were following both their first (β = 0.261, p < 0.001) and second dose (β = 0.299, p < 0.001). This association was stronger among those with greater vaccine side effect worry, elevated negative emotional states such as anxiety and stress, and a stronger proclivity for using social media over mainstream media for COVID-19 vaccine side effect information. As such, not only does social influence appear to exacerbate or trigger postvaccination side effects, but a range of psychosocial and situational factors moderate this association. Health organisations and government bodies could minimise the negative effects of social media exposure in future health outbreaks by countering treatment misperceptions on social media platforms as they arise.

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