Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis

In Canada, vaccine safety studies are often conducted at the provincial/territorial level where the primary data on vaccination reside. Combining health services data from multiple jurisdictions using a pooled data analytic approach would reduce the amount of time needed to detect vaccine safety sig...

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Main Authors: Steven Hawken, Lindsay A. Wilson, Kumanan Wilson
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/12/9/1052
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author Steven Hawken
Lindsay A. Wilson
Kumanan Wilson
author_facet Steven Hawken
Lindsay A. Wilson
Kumanan Wilson
author_sort Steven Hawken
collection DOAJ
description In Canada, vaccine safety studies are often conducted at the provincial/territorial level where the primary data on vaccination reside. Combining health services data from multiple jurisdictions using a pooled data analytic approach would reduce the amount of time needed to detect vaccine safety signals. To determine the difference in the time it would take to identify safety signals using different proportions of the Canadian population, we conducted power and sample size calculations for a hypothetical self-controlled case series-based surveillance analysis. We used scenarios modeled after the real-world examples of myocarditis and vaccine-induced immune thrombotic thrombocytopenia (VITT) following COVID-19 vaccination as our base cases. Our calculations demonstrated that in the case of a myocarditis-type event, a pooled analysis would reduce the time needed to detect a safety signal by over 60% compared to using Ontario data alone. In the case of a VITT-type event, a pooled analysis could detect a safety signal 49 days sooner than using Ontario data alone, potentially averting as many as 30 events. Our analysis demonstrates that there is substantial value in using pan-Canadian health services data to evaluate the safety of vaccines. Efforts should be made to develop a pan-Canadian vaccine data source to allow for an earlier evaluation of suspected adverse events following immunization.
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spelling doaj-art-96b25bac49f942e1b174abe639b8aa072025-08-20T01:55:57ZengMDPI AGVaccines2076-393X2024-09-01129105210.3390/vaccines12091052Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data AnalysisSteven Hawken0Lindsay A. Wilson1Kumanan Wilson2Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, CanadaSchool of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, CanadaClinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, CanadaIn Canada, vaccine safety studies are often conducted at the provincial/territorial level where the primary data on vaccination reside. Combining health services data from multiple jurisdictions using a pooled data analytic approach would reduce the amount of time needed to detect vaccine safety signals. To determine the difference in the time it would take to identify safety signals using different proportions of the Canadian population, we conducted power and sample size calculations for a hypothetical self-controlled case series-based surveillance analysis. We used scenarios modeled after the real-world examples of myocarditis and vaccine-induced immune thrombotic thrombocytopenia (VITT) following COVID-19 vaccination as our base cases. Our calculations demonstrated that in the case of a myocarditis-type event, a pooled analysis would reduce the time needed to detect a safety signal by over 60% compared to using Ontario data alone. In the case of a VITT-type event, a pooled analysis could detect a safety signal 49 days sooner than using Ontario data alone, potentially averting as many as 30 events. Our analysis demonstrates that there is substantial value in using pan-Canadian health services data to evaluate the safety of vaccines. Efforts should be made to develop a pan-Canadian vaccine data source to allow for an earlier evaluation of suspected adverse events following immunization.https://www.mdpi.com/2076-393X/12/9/1052adverse events following immunizationCOVID-19pooled dataself-controlled case seriesvaccine safety
spellingShingle Steven Hawken
Lindsay A. Wilson
Kumanan Wilson
Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
Vaccines
adverse events following immunization
COVID-19
pooled data
self-controlled case series
vaccine safety
title Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
title_full Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
title_fullStr Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
title_full_unstemmed Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
title_short Using Vaccine Safety Data to Demonstrate the Potential of Pooled Data Analysis
title_sort using vaccine safety data to demonstrate the potential of pooled data analysis
topic adverse events following immunization
COVID-19
pooled data
self-controlled case series
vaccine safety
url https://www.mdpi.com/2076-393X/12/9/1052
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AT lindsayawilson usingvaccinesafetydatatodemonstratethepotentialofpooleddataanalysis
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