Safety of Simultaneous Administration of Bivalent mRNA COVID-19 and Influenza Vaccines in the Vaccine Adverse Event Reporting System (VAERS).

IF 4 2区医学 Q1 PHARMACOLOGY & PHARMACY Drug Safety Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI:10.1007/s40264-024-01406-8

Pedro L Moro, Carol Ennulat, Hannah Brown, Gina Woody, Bicheng Zhang, Paige Marquez, Emily Jane Woo, John R Su

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Abstract

Introduction: Bivalent mRNA coronavirus disease 2019 (COVID-19) vaccines may be simultaneously administered with other recommended vaccines, including seasonal influenza vaccines. However, few studies have evaluated the safety of co-administration of bivalent mRNA COVID-19 and seasonal influenza vaccines.

Objective: The aim was to describe reports to the Vaccine Adverse Event Reporting System (VAERS) after co-administration of bivalent mRNA COVID-19 and seasonal influenza vaccines.

Methods: We searched the VAERS database for reports of adverse events (AEs) following co-administration of bivalent mRNA COVID-19 and seasonal influenza vaccines during the period of September 1, 2022-March 31, 2023. We assessed the characteristics of these reports and described the most frequently reported AEs. Clinicians reviewed available medical records for reports of serious AEs and adverse events of special interest (AESI).

Results: During the period of 1 September 2022 through 31 March 2023, VAERS received 3689 reports of AEs following co-administration of bivalent mRNA COVID-19 and seasonal influenza vaccines. The median age of vaccinees was 59 years (interquartile range 39, 70 years); 342 reports (9.3%) were classified as serious. The most common AEs among non-serious reports were severe-acute-respiratory-syndrome-related coronavirus (SARS-CoV-2) infection (785, 23.5%), cough (592, 17.7%), and fatigue (568, 17.0%). The most common AEs among serious reports were Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection (88, 25.7%), dyspnea (81, 23.7%), and condition aggravated (55, 16.1%).

Discussion: Reports of AEs following co-administration of bivalent mRNA COVID-19 and seasonal influenza vaccines did not reveal any unusual or unexpected patterns of AEs. Increased reporting of certain events (e.g., COVID-19) was expected due to Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) reporting requirements. CDC and FDA will continue to monitor the safety of co-administration of mRNA COVID-19 and seasonal influenza vaccines.

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疫苗不良事件报告系统 (VAERS) 中同时接种双价 mRNA COVID-19 和流感疫苗的安全性。

导言：二价 mRNA 冠状病毒疾病 2019（COVID-19）疫苗可与其他推荐疫苗（包括季节性流感疫苗）同时接种。然而，很少有研究对同时接种二价 mRNA COVID-19 和季节性流感疫苗的安全性进行评估：目的：描述疫苗不良事件报告系统（VAERS）收到的关于二价 mRNA COVID-19 和季节性流感疫苗联合接种后的报告：我们在VAERS数据库中搜索了2022年9月1日至2023年3月31日期间联合接种二价mRNA COVID-19和季节性流感疫苗后的不良事件（AEs）报告。我们评估了这些报告的特征，并描述了最常报告的 AEs。临床医生审查了现有的医疗记录，以了解严重AEs和特别关注的不良事件（AESI）的报告情况：在 2022 年 9 月 1 日至 2023 年 3 月 31 日期间，VAERS 共收到 3689 份联合接种二价 mRNA COVID-19 和季节性流感疫苗后的不良反应报告。接种者的中位年龄为 59 岁（四分位数范围为 39 岁至 70 岁）；342 份报告（9.3%）被归类为严重报告。在非严重报告中，最常见的不良反应是严重急性呼吸综合征相关冠状病毒（SARS-CoV-2）感染（785 例，23.5%）、咳嗽（592 例，17.7%）和疲劳（568 例，17.0%）。在严重报告中，最常见的 AE 为严重急性呼吸系统综合征冠状病毒 2（SARS-CoV-2）感染（88 例，25.7%）、呼吸困难（81 例，23.7%）和病情加重（55 例，16.1%）：讨论：联合接种二价 mRNA COVID-19 和季节性流感疫苗后的不良反应报告未发现任何异常或意外的不良反应模式。由于食品药品管理局 (FDA) 和疾病控制与预防中心 (CDC) 的报告要求，预计某些事件（如 COVID-19）的报告会增加。CDC 和 FDA 将继续监测 mRNA COVID-19 和季节性流感疫苗联合用药的安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug Safety 医学-毒理学

CiteScore

7.60

自引率

7.10%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Drug Safety is the official journal of the International Society of Pharmacovigilance. The journal includes: Overviews of contentious or emerging issues. Comprehensive narrative reviews that provide an authoritative source of information on epidemiology, clinical features, prevention and management of adverse effects of individual drugs and drug classes. In-depth benefit-risk assessment of adverse effect and efficacy data for a drug in a defined therapeutic area. Systematic reviews (with or without meta-analyses) that collate empirical evidence to answer a specific research question, using explicit, systematic methods as outlined by the PRISMA statement. Original research articles reporting the results of well-designed studies in disciplines such as pharmacoepidemiology, pharmacovigilance, pharmacology and toxicology, and pharmacogenomics. Editorials and commentaries on topical issues. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in Drug Safety Drugs may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances.