GLOBAL COVID VACCINE SAFETY PROJECT - SCI & TECH

News: Global study quantifies rise in blood clots, heart inflammation following COVID-19 vaccination

 

What's in the news?

       One of the largest assessments of its kind, spanning 99 million people and investigating reports of adverse reactions following COVID-19 vaccination, found that instances of Guillain Barre Syndrome, myocarditis, pericarditis and cerebral venous sinus thrombosis (CVST) were at least 1.5 times more than expected following inoculation with mRNA and ChadOX1 vaccines.

       This is in line with previous observations by the World Health Organization and the European Medicines Agency, and was what led to these being classified as ‘rare’ side effects following the vaccination for COVID-19.

 

Key takeaways:

       The data set spanning 99 million people did not include patients from India.

       Majority of Indians were administered the ChAdOX1 or Covishield vaccines during the pandemic.

 

Global COVID Vaccine Safety (GCoVS):

       The simultaneous development of so many vaccines for COVID-19 and their anticipated deployment in both high and low-middle income countries to meet the global need is unprecedented.

       If a true rare safety issue with one of these COVID-19 vaccine candidates exists, it is likely to only be detected post-introduction, when millions of people (including at-risk subpopulations) will have been vaccinated.

 

Objective:

       To address the need for very large, coordinated safety assessments of COVID-19 vaccines in different populations around the world.

 

Funded by:

       The U.S. Centers for Disease Control and Prevention (CDC) funded the Global Vaccine Data Network for three-years to conduct a programme of activities.

       The Global COVID Vaccine Safety (GCoVS) project uses the GVDN and its Global Coordinating Centre to manage and work with the global data partners that have experience in the analyses of vaccine safety surveillance using electronic databases and vaccine safety evaluation to evaluate and compare COVID-19 vaccine safety.

       In August 2022, the U.S. Centers for Disease Control and Prevention granted additional funding to extend the GCoVS project by two years and expand the number of sites participating globally.

 

Activities under the Project:

       Develop background rates for adverse events of special interest for each partner site and display these on a publicly available dashboard.

       Develop a common data dictionary for all studies.

       Conduct observed over expected assessments for selected adverse events of special interest.

       Conduct association studies for events that have been identified as likely associated with COVID-19 vaccines such as

       Myocarditis and pericarditis and mRNA vaccines.

       Thrombosis with thrombocytopenia syndrome/vaccine-induced immune thrombotic thrombocytopenia (TTS/VITT) and viral vector vaccines.

       Guillain-Barré syndrome (GBS) and viral vector vaccines.

       Assess risk of vaccine mediated enhanced disease.

       Assess safety in pregnancy.

       Conduct genomic assessments for cases and controls for myocarditis, TTS/VITT and GBS.

       Develop communications to support vaccine confidence.