PMID- 35002372 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231105 IS - 1319-0164 (Print) IS - 2213-7475 (Electronic) IS - 1319-0164 (Linking) VI - 30 IP - 2 DP - 2022 Feb TI - Analyzing the U.S. Post-marketing safety surveillance of COVID-19 vaccines. PG - 180-184 LID - 10.1016/j.jsps.2021.12.008 [doi] AB - INTRODUCTION: Since December 2020, three COVID-19 vaccines have been authorized in the United States (U.S.) and were proceeded by large immunization programs. The aim of this study was to characterize the U.S. post-marketing safety (PMS) profiles of these vaccines with an in-depth analysis of mortality data. METHODS: This was a retrospective database analysis study. Details of the U.S. PMS reports (15 December 2020 to 19 March 2021) of the three vaccines (Pfizer-BioNTech, Moderna, and Janssen Ad26.COV2.S) were retrieved from the U.S. Vaccine Adverse Event Reporting System (VAERS). A descriptive analysis was conducted to characterize the reported adverse events (AEs). A comparative (Pfizer-BioNTech vs. Moderna) analysis of mortality was conducted. The mean count ratio of death between the two vaccines was estimated using a negative binomial regression model adjusting for the measured confounders. RESULTS: A total of 44,451 AE reports were retrieved (corresponding to 0.05% of the U.S. population who received at least one dose). The most commonly reported AEs were injection site reactions (30.4% of the reports), pain (reported in 26.7% of the reports), and headache (18.6% of the reports). Serious AEs were reported in only 14.6% of the reports with 4,108 hospitalizations. The total number of deaths was 1,919 with a mean count ratio of Moderna (n = 997) vs. Pfizer-BioNTech (n = 899) of 1.07 (95% confidence interval 0.86 to 1.33). CONCLUSIONS: The vast majority of PMS AEs in the U.S. were non-serious, and the number of serious AEs is very low given the total number of vaccinated U.S. population. CI - (c) 2021 The Author(s). FAU - Albalawi, Omar M AU - Albalawi OM AD - Research and Studies, Saudi Food and Drug Authority, Riyadh, Saudi Arabia. FAU - Alomran, Maha I AU - Alomran MI AD - Research and Studies, Saudi Food and Drug Authority, Riyadh, Saudi Arabia. FAU - Alsagri, Ghada M AU - Alsagri GM AD - Research and Studies, Saudi Food and Drug Authority, Riyadh, Saudi Arabia. FAU - Althunian, Turki A AU - Althunian TA AD - Research and Studies, Saudi Food and Drug Authority, Riyadh, Saudi Arabia. FAU - Alshammari, Thamir M AU - Alshammari TM AD - Research and Studies, Saudi Food and Drug Authority, Riyadh, Saudi Arabia. AD - College of Pharmacy, Riyadh Elm University, Riyadh, Saudi Arabia. AD - Medication Safety Research Chair, King Saud University, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20211231 PL - Saudi Arabia TA - Saudi Pharm J JT - Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society JID - 9705695 PMC - PMC8719360 OTO - NOTNLM OT - Adverse events following immunization OT - COVID-19 OT - Janssen Ad26.COV2.S OT - Moderna OT - Pfizer-BioNTech OT - Vaccine safety COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/01/11 06:00 MHDA- 2022/01/11 06:01 PMCR- 2021/12/31 CRDT- 2022/01/10 09:05 PHST- 2021/08/04 00:00 [received] PHST- 2021/12/27 00:00 [accepted] PHST- 2022/01/11 06:00 [pubmed] PHST- 2022/01/11 06:01 [medline] PHST- 2022/01/10 09:05 [entrez] PHST- 2021/12/31 00:00 [pmc-release] AID - S1319-0164(21)00257-7 [pii] AID - 10.1016/j.jsps.2021.12.008 [doi] PST - ppublish SO - Saudi Pharm J. 2022 Feb;30(2):180-184. doi: 10.1016/j.jsps.2021.12.008. Epub 2021 Dec 31.