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Peer reviewedOpen accessCOVID-19InfluenzaSARS

From program suspension to the pandemic: A qualitative examination of Australia’s vaccine pharmacovigilance system over 10 years

Vaccine·

Anastasia Phillips, Samantha Carlson, Margie Danchin, Frank Beard, Kristine Macartney

DOI
10.1016/j.vaccine.2021.07.059
PMID
34376308
PMCID
PMC8445694
OpenAlex
W3191152922
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

The findings address readiness for COVID-19 vaccine safety monitoring and identify opportunities to enhance pharmacovigilance systems that could contribute to both local and global vaccine safety surveillance. Transparent communication was emphasized as essential for addressing vaccine safety concerns during the pandemic.

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Structured evidence summary

Research question

The study evaluated expert views on Australia's vaccine pharmacovigilance system capacity to detect, examine, and communicate safety signals, conducted in advance of COVID-19 vaccine rollout and ten years after the 2010 seasonal influenza vaccine suspension in children.

Study design

Qualitative study using semi-structured interviews with seventeen vaccine safety experts in Australia, conducted between July and October 2020. Thematic analysis applied a deductive coding approach to verbatim transcripts guided by Australian and international frameworks.

Population and setting

Seventeen individuals with vaccine safety expertise in Australia were interviewed. The evaluation took place in the context of Australia's national vaccine pharmacovigilance system, referencing a 2010 program suspension for children under five years and preparations for COVID-19 immunization.

Main findings

Participants described improvements and innovation in Australia's vaccine pharmacovigilance over the decade, particularly through a new active cohort event monitoring system using SMS surveys. Experts expressed confidence in the system's foundation for COVID-19 vaccine safety surveillance and identified the pandemic program as a driver for further enhancement through better integration of active and spontaneous reporting systems, population-level active surveillance via data linkage, and transparent communication.

Public-health relevance

The findings address readiness for COVID-19 vaccine safety monitoring and identify opportunities to enhance pharmacovigilance systems that could contribute to both local and global vaccine safety surveillance. Transparent communication was emphasized as essential for addressing vaccine safety concerns during the pandemic.

Important limitations

This summary relies on the supplied single-article abstract and metadata. Access to the full paper is required for decision-grade interpretation, including details on participant selection, interview methodology, and complete thematic findings.

GIDS interpretation

This article was classified under surveillance, vaccination, and vaccine safety topics with links to COVID-19, influenza, and Australia. It describes expert perspectives on pharmacovigilance system capacity rather than reporting a specific safety signal. The paper provides context on system readiness and enhancement opportunities identified before COVID-19 vaccine deployment.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 13 auditable classifier relationships to diseases, places, topics, and study design.

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