Autoimmune disorders reported following COVID-19 vaccination: A disproportionality analysis using the WHO database.

Adverse events Autoimmune disorders Coronavirus disease (COVID-19) vaccines Pharmacovigilance Reporting odds ratio

Journal

European journal of clinical pharmacology
ISSN: 1432-1041
Titre abrégé: Eur J Clin Pharmacol
Pays: Germany
ID NLM: 1256165

Informations de publication

Date de publication:
12 Jan 2024
Historique:
received: 30 08 2023
accepted: 30 12 2023
medline: 12 1 2024
pubmed: 12 1 2024
entrez: 11 1 2024
Statut: aheadofprint

Résumé

Owing to adverse event following immunization (AEFI) related to autoimmune disorders and coronavirus disease 2019 (COVID-19) vaccines sharing common biological mechanisms, identifying the risk of AEFIs associated with COVID-19 vaccines remains a critical unmet need. We aimed to assess the potential safety signals for 16 AEFIs and explore co-reported adverse events (AEs) and drugs using the global database of the World Health Organization, VigiBase. We assessed the occurrence of 16 AEFIs following COVID-19 vaccination through the Standardized MedDRA Queries group "Immune-mediated/Autoimmune Disorders" from MedDRA and performed a disproportionality analysis using reporting odds ratio (ROR) and information component (IC) with 95% confidence intervals (CIs). We identified 25,219 events associated with COVID-19 vaccines in VigiBase. Although rare, we detected four potential safety signals related to autoimmune disorders following COVID-19 vaccination, including ankylosing spondylitis or psoriatic arthritis (ROR 1.86; 95% CI 1.53-2.27), inflammatory bowel disease (ROR 1.77; 95% CI 1.60-1.96), polymyalgia rheumatica (ROR 1.42; 95% CI 1.30-1.55), and thyroiditis (ROR 1.40; 95% CI 1.30-1.50), with positive IC In addressing the imperative to comprehend AEFI related to autoimmune disorders following COVID-19 vaccination, our study identified four potential safety signals. Thus, our research underscores the importance of proactive safety monitoring for the identification of the four AEFIs following COVID-19 vaccination, considering the associated advantages.

Identifiants

pubmed: 38212538
doi: 10.1007/s00228-023-03618-w
pii: 10.1007/s00228-023-03618-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : the Ministry of Food and Drug Safety of South Korea
ID : 21153MFDS607, 22183MFDS433

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Seohyun Kim (S)

Department of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, South Korea.

Sungho Bea (S)

School of Pharmacy, Sungkyunkwan University, 2066 Seobu-ro, Jangan-gu, Suwon-si, Gyeonggi-do 16419, South Korea.

Seung-Ah Choe (SA)

Department of Preventive Medicine, Korea University College of Medicine, Seoul, South Korea.

Nam-Kyong Choi (NK)

Department of Health Convergence, College of Science & Industry Convergence, Ewha Womans University, Seoul, Korea.

Ju-Young Shin (JY)

Department of Biohealth Regulatory Science, Sungkyunkwan University, Suwon, South Korea. shin.jy@skku.edu.
School of Pharmacy, Sungkyunkwan University, 2066 Seobu-ro, Jangan-gu, Suwon-si, Gyeonggi-do 16419, South Korea. shin.jy@skku.edu.
Department of Clinical Research Design & Evaluation, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul, South Korea. shin.jy@skku.edu.

Classifications MeSH