Reporting rates for VAERS death reports following COVID‐19 vaccination, December 14, 2020–November 17, 2021

Author:

Day Brendan1ORCID,Menschik David1,Thompson Deborah1,Jankosky Christopher1,Su John2,Moro Pedro2,Zinderman Craig1,Welsh Kerry1,Dimova Rositsa B.1,Nair Narayan1

Affiliation:

1. Office of Biostatistics and Pharmacovigilance, Center for Biologics Evaluation and Research, US Food and Drug Administration Silver Spring Maryland USA

2. Immunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention Atlanta Georgia USA

Abstract

AbstractPurposeDespite widely available safety information for the COVID‐19 vaccines, vaccine hesitancy remains a challenge. In some cases, vaccine hesitancy may be related to concerns about the number of reports of death to the Vaccine Adverse Event Reporting System (VAERS). We aimed to provide information and context about reports of death to VAERS following COVID‐19 vaccination.MethodsThis is a descriptive study evaluating reporting rates for VAERS death reports for COVID‐19 vaccine recipients in the United States between December 14, 2020, and November 17, 2021. Reporting rates were calculated as death events per million persons vaccinated and compared to expected all‐cause (background) death rates.Results9201 death events were reported for COVID‐19 vaccine recipients aged 5 years and older (or age unknown). Reporting rates for death events increased with increasing age, and males generally had higher reporting rates than females. For death events within 7 days and 42 days of vaccination, respectively, observed reporting rates were lower than the expected all‐cause death rates. Reporting rates for Ad26.COV2.S vaccine were generally higher than for mRNA COVID‐19 vaccines, but still lower than the expected all‐cause death rates. Limitations of VAERS data include potential reporting bias, missing or inaccurate information, lack of a control group, and reported diagnoses, including deaths, are not causally verified diagnoses.ConclusionsReporting rates for death events were lower than the all‐cause death rates expected in the general population. Trends in reporting rates reflected known trends in background death rates. These findings do not suggest an association between vaccination and overall increased mortality.

Publisher

Wiley

Subject

Pharmacology (medical),Epidemiology

Reference42 articles.

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2. Centers for Disease Control and Prevention.COVID‐19 Vaccination Demographics in the United States National.2021.https://data.cdc.gov/Vaccinations/COVID‐19‐Vaccination‐Demographics‐in‐the‐United‐St/km4m‐vcsb

3. HoltkampN KolbeAK BelecheT.COVID‐19 Vaccination Associated with Reductions in COVID‐19 Mortality and Morbidity in the United States and an Approach to Valuing these Benefits: Office of the Assistant Secretary for Planning and Evaluation.2021.https://aspe.hhs.gov/reports/economic-health-benefits-covid-19-vaccination

4. Vaccine hesitancy in the era of COVID-19

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