PMID- 37914862 OWN - NLM STAT- MEDLINE DCOM- 20231103 LR - 20231108 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 13 IP - 1 DP - 2023 Nov 1 TI - Impact of the COVID-19 pandemic on the spontaneous reporting and signal detection of adverse drug events. PG - 18817 LID - 10.1038/s41598-023-46275-w [doi] LID - 18817 AB - External factors severely affecting in a short period of time the spontaneous reporting of adverse events (AEs) can significantly impact drug safety signal detection. Coronavirus disease 2019 (COVID-19) represented an enormous challenge for health systems, with over 767 million cases and massive vaccination campaigns involving over 70% of the worldwide population. This study investigates the potential masking effect on certain AEs caused by the substantial increase in reports solely related to COVID-19 vaccines within various spontaneous reporting systems (SRSs). Three SRSs were used to monitor AEs reporting before and during the pandemic, namely, the World Health Organisation (WHO) global individual case safety reports database (VigiBase(R)), the United States Food and Drug Administration Adverse Event Reporting System (FAERS) and the Japanese Adverse Drug Event Report database (JADER). Findings revealed a sudden over-reporting of 35 AEs (>/= 200%) during the pandemic, with an increment of the RRF value in 2021 of at least double the RRF reported in 2020. This translates into a substantial reduction in signals of disproportionate reporting (SDR) due to the massive inclusion of COVID-19 vaccine reports. To mitigate the masking effect of COVID-19 vaccines in post-marketing SRS analyses, we recommend utilizing COVID-19-corrected versions for a more accurate assessment. CI - (c) 2023. The Author(s). FAU - Montes-Grajales, Diana AU - Montes-Grajales D AD - Chemotargets SL, Parc Cientific de Barcelona, Baldiri Reixac 4 (TR-03), 08028, Barcelona, Catalonia, Spain. FAU - Garcia-Serna, Ricard AU - Garcia-Serna R AD - Chemotargets SL, Parc Cientific de Barcelona, Baldiri Reixac 4 (TR-03), 08028, Barcelona, Catalonia, Spain. FAU - Mestres, Jordi AU - Mestres J AD - Chemotargets SL, Parc Cientific de Barcelona, Baldiri Reixac 4 (TR-03), 08028, Barcelona, Catalonia, Spain. jordi.mestres@chemotargets.com. AD - Institut de Quimica Computacional i Catalisi, Facultat de Ciencies, Universitat de Girona, Maria Aurelia Capmany 69, 17003, Girona, Catalonia, Spain. jordi.mestres@chemotargets.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231101 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (COVID-19 Vaccines) SB - IM MH - United States/epidemiology MH - Humans MH - COVID-19 Vaccines MH - Pandemics MH - *COVID-19/epidemiology MH - Adverse Drug Reaction Reporting Systems MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology PMC - PMC10620227 COIS- The authors declare no competing interests. EDAT- 2023/11/02 06:42 MHDA- 2023/11/03 06:43 PMCR- 2023/11/01 CRDT- 2023/11/02 00:37 PHST- 2023/07/26 00:00 [received] PHST- 2023/10/30 00:00 [accepted] PHST- 2023/11/03 06:43 [medline] PHST- 2023/11/02 06:42 [pubmed] PHST- 2023/11/02 00:37 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - 10.1038/s41598-023-46275-w [pii] AID - 46275 [pii] AID - 10.1038/s41598-023-46275-w [doi] PST - epublish SO - Sci Rep. 2023 Nov 1;13(1):18817. doi: 10.1038/s41598-023-46275-w.