Spontaneous Adverse Event Reporting by COVID-19 Vaccinated Healthcare Professionals Through an Electronic Form Implemented by the Hospital Pharmacy

Aim: Implementation of a web-form based pharmacovigilance plan for the spontaneous notification of adverse events to the Comirnaty® COVID-19 vaccine during its administration to hospital healthcare professionals. Methods: An electronic pharmacovigilance form was developed containing 8 pre-defined ev...

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Published in:Hospital pharmacy (Philadelphia) Vol. 57; no. 6; pp. 744 - 751
Main Authors: da Cruz, João Paulo Garcia Lopes, de Carvalho, Cristina da Conceição Ribeiro, da Cruz Silva, Paula Alexandre, Guerreiro, Luis Filipe Campos, Bento, Tatiana Vedes, Costa, Leila Vanessa Carmo Cardoso Martins, Simões, Raquel Filipa Miguel Margarido Duarte, Marques, Rui Pedro Pinheiro Gonçalves, Castro Fernandes, Ana Cristina, Galaio, Luís Miguel Costa de Mendonça, Correia, Ana Isabel B., Leite Resende, Ema Maria S., Gonçalves, João Manuel Braz
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-12-2022
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Summary:Aim: Implementation of a web-form based pharmacovigilance plan for the spontaneous notification of adverse events to the Comirnaty® COVID-19 vaccine during its administration to hospital healthcare professionals. Methods: An electronic pharmacovigilance form was developed containing 8 pre-defined event options, an open answer option for the description of other events and/or symptoms, and a question about the overall intensity of symptoms. The adverse events reports were standardized according to physiological and pathological condition. Results: A total of 4119 adverse events notifications were obtained with a 45% rate of electronic notification. The most clinically relevant events reported were:tachycardia (n = 19), dyspnea (n = 7), chest pain (n = 6), facial/labial edema (n = 6), lipothymia (n = 5), bronchospasm (n = 2), herpetic infection (n = 2), vasculitis (n = 2), arrhythmia (n = 1), difficult to control arterial hypertension (n = 1), gastritis (n = 1), and spontaneous abortion (n = 1). Regarding the intensity of symptoms (n = 2928), 70.0% were reported as mild, 25.8% as moderate, and 4.27% as severe, with higher intensity in the second dose compared to first dose. The highest frequency of severe events were reported in the groups from 40 to 59 years in both vaccination periods. During the vaccination process, no hospitalizations and no deaths were notified and/or recorded. Conclusion: In this real world study, comparing with Comirnaty clinical trials program, it was observed a higher frequency of adenomegaly and gastrointestinal disorders. Noteworthy, the notification of a case of miscarriage. The use of hospital pharmacy pharmacovigilance electronic forms, seemed to be relevant to notification adherence and to obtain a greater and faster knowledge of COVID-19 vaccine safety profile
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ISSN:0018-5787
1945-1253
DOI:10.1177/00185787221111725