PMID- 37309116 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231010 IS - 2713-4148 (Electronic) IS - 2713-4148 (Linking) VI - 66 IP - 10 DP - 2023 Oct TI - Safety monitoring of COVID-19 vaccines: February 26, 2021, To June 4, 2022, Republic of Korea. PG - 415-423 LID - 10.3345/cep.2022.00815 [doi] AB - As of June 2022, 5 coronavirus disease 2019 (COVID-19) vaccine brands have been used in Korea's national immunization program. The Korea Disease Control and Prevention Agency has enhanced vaccine safety monitoring through a passive web-based reporting system and active text message-based monitoring. In this study, an enhanced safety monitoring system for COVID-19 vaccines is described and the frequencies and types of adverse events (AEs) associated with the 5 COVID-19 vaccine brands were analyzed. AE reports from the web-based COVID-19 Vaccination Management System and text message-based reports from recipients were analyzed. AEs were classified as nonserious or serious (e.g., death or anaphylaxis). The AE reporting rates were calculated based on the number of COVID-19 vaccine doses administered. A total of 125,107,883 doses were administered in Korea from February 26, 2021, to June 4, 2022. Among them, 471,068 AEs were reported, of which 96.1% were nonserious and 3.9% were serious. Among the 72,609 participants in the text message-based AE monitoring process, a higher AE rate of local and systemic reactions was reported for the 3rd versus 1st doses. A total of 874 cases of anaphylaxis (7.0 per 1,000,000 doses), 4 cases of thrombocytopenia syndrome (TTS), 511 cases of myocarditis (4.1 per 1,000,000 doses), and 210 cases of pericarditis (1.7 per 1,000,000 doses) were confirmed. Six fatalities were causally associated with COVID-19 vaccination (1 of TTS and 5 of myocarditis). Young adult age and female sex were related with a higher AE rate for COVID-19 vaccines. Most reported AEs were nonserious and of mild intensity. FAU - Lee, Yeon-Kyeng AU - Lee YK AD - Adverse Event Management Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Kwon, Yunhyung AU - Kwon Y AD - Adverse Event Information Analysis Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Heo, Yesul AU - Heo Y AD - Adverse Event Management Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Kim, Eun Kyoung AU - Kim EK AD - Adverse Event Investigation Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Kim, Seung Yun AU - Kim SY AD - Adverse Event Investigation Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Cho, Hoon AU - Cho H AD - Adverse Event Management Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Kim, Seontae AU - Kim S AD - Adverse Event Information Analysis Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Ko, Mijeong AU - Ko M AD - Adverse Event Information Analysis Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Lim, Dosang AU - Lim D AD - Adverse Event Management Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Seo, Soon-Young AU - Seo SY AD - Adverse Event Management Team, Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. FAU - Cho, Enhi AU - Cho E AD - Immunization Safety Group, COVID-19 Vaccination Task Force, Korea Disease Control and Prevention Agency, Cheongju, Korea. LA - eng PT - Journal Article DEP - 20230613 PL - Korea (South) TA - Clin Exp Pediatr JT - Clinical and experimental pediatrics JID - 101761234 PMC - PMC10556797 OTO - NOTNLM OT - Adverse reactions OT - COVID-19 OT - Pharmacovigilance OT - Safety OT - Vaccination COIS- Conflicts of interest No potential conflict of interest relevant to this article was reported. EDAT- 2023/06/13 06:42 MHDA- 2023/06/13 06:43 PMCR- 2023/06/13 CRDT- 2023/06/13 03:36 PHST- 2022/06/08 00:00 [received] PHST- 2023/05/31 00:00 [accepted] PHST- 2023/06/13 06:43 [medline] PHST- 2023/06/13 06:42 [pubmed] PHST- 2023/06/13 03:36 [entrez] PHST- 2023/06/13 00:00 [pmc-release] AID - cep.2022.00815 [pii] AID - cep-2022-00815 [pii] AID - 10.3345/cep.2022.00815 [doi] PST - ppublish SO - Clin Exp Pediatr. 2023 Oct;66(10):415-423. doi: 10.3345/cep.2022.00815. Epub 2023 Jun 13.