PMID- 38512919 OWN - NLM STAT- MEDLINE DCOM- 20240325 LR - 20240325 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 19 IP - 3 DP - 2024 TI - AE-GPT: Using Large Language Models to extract adverse events from surveillance reports-A use case with influenza vaccine adverse events. PG - e0300919 LID - 10.1371/journal.pone.0300919 [doi] LID - e0300919 AB - Though Vaccines are instrumental in global health, mitigating infectious diseases and pandemic outbreaks, they can occasionally lead to adverse events (AEs). Recently, Large Language Models (LLMs) have shown promise in effectively identifying and cataloging AEs within clinical reports. Utilizing data from the Vaccine Adverse Event Reporting System (VAERS) from 1990 to 2016, this study particularly focuses on AEs to evaluate LLMs' capability for AE extraction. A variety of prevalent LLMs, including GPT-2, GPT-3 variants, GPT-4, and Llama2, were evaluated using Influenza vaccine as a use case. The fine-tuned GPT 3.5 model (AE-GPT) stood out with a 0.704 averaged micro F1 score for strict match and 0.816 for relaxed match. The encouraging performance of the AE-GPT underscores LLMs' potential in processing medical data, indicating a significant stride towards advanced AE detection, thus presumably generalizable to other AE extraction tasks. CI - Copyright: (c) 2024 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Li, Yiming AU - Li Y AUID- ORCID: 0009-0009-8784-1745 AD - McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States of America. FAU - Li, Jianfu AU - Li J AD - Department of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL, United States of America. FAU - He, Jianping AU - He J AD - McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States of America. FAU - Tao, Cui AU - Tao C AUID- ORCID: 0000-0002-4267-1924 AD - Department of Artificial Intelligence and Informatics, Mayo Clinic, Jacksonville, FL, United States of America. LA - eng PT - Journal Article DEP - 20240321 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Influenza Vaccines) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Humans MH - *Influenza Vaccines/adverse effects MH - Adverse Drug Reaction Reporting Systems MH - *Influenza, Human/prevention & control MH - Alanine Transaminase MH - Disease Outbreaks PMC - PMC10956752 COIS- The authors have declared that no competing interests exist. EDAT- 2024/03/21 18:45 MHDA- 2024/03/25 06:43 PMCR- 2024/03/21 CRDT- 2024/03/21 13:53 PHST- 2023/10/12 00:00 [received] PHST- 2024/03/06 00:00 [accepted] PHST- 2024/03/25 06:43 [medline] PHST- 2024/03/21 18:45 [pubmed] PHST- 2024/03/21 13:53 [entrez] PHST- 2024/03/21 00:00 [pmc-release] AID - PONE-D-23-33399 [pii] AID - 10.1371/journal.pone.0300919 [doi] PST - epublish SO - PLoS One. 2024 Mar 21;19(3):e0300919. doi: 10.1371/journal.pone.0300919. eCollection 2024.