PMID- 37362835 OWN - NLM STAT- Publisher LR - 20230701 IS - 1576-9887 (Print) IS - 1578-8857 (Electronic) IS - 1576-9887 (Linking) DP - 2023 May 18 TI - Adverse events following COVID-19 vaccination among pregnant women attending primary health centers: An active-surveillance study. LID - 10.1016/j.vacun.2023.05.003 [doi] AB - INTRODUCTION: Vaccine safety is a major barrier to the uptake of the COVID-19 vaccine by pregnant women. To bring confidence among pregnant women towards vaccine intake, there is a need to synthesize evidence on safety profile of vaccination. OBJECTIVE: To assess adverse events (AEs) following COVID-19 vaccination among pregnant women. MATERIALS AND METHODS: A vaccine safety surveillance was conducted at 2 rural primary health centers (PHC) located in Anantapur District, India. A total of 420 pregnant women were monitored for AEs following COVID-19 vaccination for a period of 30 min and followed for 1 month for late reactions through telephonic interviews. All AEs were subjected to causality and severity assessment. Descriptive statistics were used to represent adverse events. RESULTS: The COVID-19 vaccine acceptance rate among pregnant women was 64.4%. A total of 420 pregnant women received 670 vaccine doses (Covishield = 372, Covaxin = 298) against COVID-19. Majority of vaccine intake was observed during the second trimester. The incidence rate of AEs following the COVID-19 vaccine among pregnant women was 93.8%, and the majority include injection site pain (28.4%, 29.6%), fever (25.5%, 19.0%), myalgia (8.21%, 12.3%), and malaise (13.6%, 8.4%). Most AEs notified are probable and mild in nature. CONCLUSION: The COVID-19 vaccine acceptance rate among pregnant women was 64.4%. A 30 days incidence rate of AEs following COVID-19 vaccination among pregnant women was 93.8%, with the most common mild events like injection site pain, and fever. A further follow-up cohort study by taking an adequate sample size was recommended to capture fetal-maternal outcomes. CI - (c) 2023 Elsevier Espana, S.L.U. All rights reserved. FAU - Goruntla, Narayana AU - Goruntla N AD - Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, Kampala International University, Western Campus, Uganda. FAU - Karisetty, Basappa AU - Karisetty B AD - Department of Pharmacy Practice, Raghavendra Institute of Pharmaceutical Education and Research (RIPER) - Autonomous, Anantapur, Andhra Pradesh, India. FAU - Nandini, Nandini AU - Nandini N AD - Department of Pharmacy Practice, Raghavendra Institute of Pharmaceutical Education and Research (RIPER) - Autonomous, Anantapur, Andhra Pradesh, India. FAU - Bhupasamudram, Bharadwaj AU - Bhupasamudram B AD - Department of Pharmacy Practice, Raghavendra Institute of Pharmaceutical Education and Research (RIPER) - Autonomous, Anantapur, Andhra Pradesh, India. FAU - Gangireddy, Himaja Reddy AU - Gangireddy HR AD - Department of Pharmacy Practice, Raghavendra Institute of Pharmaceutical Education and Research (RIPER) - Autonomous, Anantapur, Andhra Pradesh, India. FAU - Veerabhadrappa, Kasturi Vishwanathasetty AU - Veerabhadrappa KV AD - Department of Pharmacognosy and Pharmaceutical Chemistry, School of Pharmacy, Kampala International University, Western Campus, Uganda. FAU - Ezeonwumelu, Joseph Obiezu Chukwujekwu AU - Ezeonwumelu JOC AD - Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, Kampala International University, Western Campus, Uganda. FAU - Bandaru, Vishnuvandana AU - Bandaru V AD - Department of Pharmaceutical Analysis, Balaji College of Pharmacy, Anantapur, Andhra Pradesh, India. LA - eng PT - Journal Article DEP - 20230518 PL - Spain TA - Vacunas JT - Vacunas JID - 101528857 PMC - PMC10192595 OTO - NOTNLM OT - Adverse events OT - Coronavirus disease 2019 OT - Covaxin OT - Covishield OT - Pregnancy COIS- The authors declare that they have no conflicts of interest. EDAT- 2023/06/26 19:07 MHDA- 2023/06/26 19:07 PMCR- 2023/05/18 CRDT- 2023/06/26 13:10 PHST- 2023/04/24 00:00 [received] PHST- 2023/05/02 00:00 [revised] PHST- 2023/05/05 00:00 [accepted] PHST- 2023/06/26 19:07 [medline] PHST- 2023/06/26 19:07 [pubmed] PHST- 2023/06/26 13:10 [entrez] PHST- 2023/05/18 00:00 [pmc-release] AID - S1576-9887(23)00037-7 [pii] AID - 10.1016/j.vacun.2023.05.003 [doi] PST - aheadofprint SO - Vacunas. 2023 May 18. doi: 10.1016/j.vacun.2023.05.003.