دورية أكاديمية

Adverse Events of COVID-19 Vaccines in the United States: Temporal and Spatial Analysis.

التفاصيل البيبلوغرافية
العنوان: Adverse Events of COVID-19 Vaccines in the United States: Temporal and Spatial Analysis.
المؤلفون: Li Y; McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, United States., Li J; Department of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL, United States., Dang Y; McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, United States., Chen Y; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States., Tao C; Department of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL, United States.
المصدر: JMIR public health and surveillance [JMIR Public Health Surveill] 2024 Jul 15; Vol. 10, pp. e51007. Date of Electronic Publication: 2024 Jul 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101669345 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-2960 (Electronic) Linking ISSN: 23692960 NLM ISO Abbreviation: JMIR Public Health Surveill Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications, [2015]-
مواضيع طبية MeSH: COVID-19 Vaccines*/adverse effects , COVID-19 Vaccines*/administration & dosage, Humans ; United States/epidemiology ; Retrospective Studies ; Male ; Female ; Middle Aged ; Adult ; Adverse Drug Reaction Reporting Systems/statistics & numerical data ; Drug-Related Side Effects and Adverse Reactions/epidemiology ; Aged ; COVID-19/prevention & control ; COVID-19/epidemiology ; Spatial Analysis ; Spatio-Temporal Analysis ; Young Adult ; Adolescent
مستخلص: Background: The COVID-19 pandemic, caused by SARS-CoV-2, has had a profound impact worldwide, leading to widespread morbidity and mortality. Vaccination against COVID-19 is a critical tool in controlling the spread of the virus and reducing the severity of the disease. However, the rapid development and deployment of COVID-19 vaccines have raised concerns about potential adverse events following immunization (AEFIs). Understanding the temporal and spatial patterns of these AEFIs is crucial for an effective public health response and vaccine safety monitoring.
Objective: This study aimed to analyze the temporal and spatial characteristics of AEFIs associated with COVID-19 vaccines in the United States reported to the Vaccine Adverse Event Reporting System (VAERS), thereby providing insights into the patterns and distributions of the AEFIs, the safety profile of COVID-19 vaccines, and potential risk factors associated with the AEFIs.
Methods: We conducted a retrospective analysis of administration data from the Centers for Disease Control and Prevention (n=663,822,575) and reports from the surveillance system VAERS (n=900,522) between 2020 and 2022. To gain a broader understanding of postvaccination AEFIs reported, we categorized them into system organ classes (SOCs) according to the Medical Dictionary for Regulatory Activities. Additionally, we performed temporal analysis to examine the trends of AEFIs in all VAERS reports, those related to Pfizer-BioNTech and Moderna, and the top 10 AEFI trends in serious reports. We also compared the similarity of symptoms across various regions within the United States.
Results: Our findings revealed that the most frequently reported symptoms following COVID-19 vaccination were headache (n=141,186, 15.68%), pyrexia (n=122,120, 13.56%), and fatigue (n=121,910, 13.54%). The most common symptom combination was chills and pyrexia (n=56,954, 6.32%). Initially, general disorders and administration site conditions (SOC 22) were the most prevalent class reported. Moderna exhibited a higher reporting rate of AEFIs compared to Pfizer-BioNTech. Over time, we observed a decreasing reporting rate of AEFIs associated with COVID-19 vaccines. In addition, the overall rates of AEFIs between the Pfizer-BioNTech and Moderna vaccines were comparable. In terms of spatial analysis, the middle and north regions of the United States displayed a higher reporting rate of AEFIs associated with COVID-19 vaccines, while the southeast and south-central regions showed notable similarity in symptoms reported.
Conclusions: This study provides valuable insights into the temporal and spatial patterns of AEFIs associated with COVID-19 vaccines in the United States. The findings underscore the critical need for increasing vaccination coverage, as well as ongoing surveillance and monitoring of AEFIs. Implementing targeted monitoring programs can facilitate the effective and efficient management of AEFIs, enhancing public confidence in future COVID-19 vaccine campaigns.
(©Yiming Li, Jianfu Li, Yifang Dang, Yong Chen, Cui Tao. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 15.07.2024.)
فهرسة مساهمة: Keywords: ADE; AEFI; COVID-19; COVID-19 vaccine; VAERS; Vaccine Adverse Event Reporting System; adverse drug event; adverse event following immunization; vaccine
المشرفين على المادة: 0 (COVID-19 Vaccines)
تواريخ الأحداث: Date Created: 20240715 Date Completed: 20240715 Latest Revision: 20240716
رمز التحديث: 20240716
DOI: 10.2196/51007
PMID: 39008362
قاعدة البيانات: MEDLINE
الوصف
تدمد:2369-2960
DOI:10.2196/51007