Publications by authors named "Matthew Deady"

Background: Adverse events (AEs) associated with vaccination have traditionally been evaluated by epidemiological studies. More recently, they have gained attention due to the emergency use authorization of several COVID-19 vaccines. As part of its responsibility to conduct postmarket surveillance, the US Food and Drug Administration continues to monitor several AEs of interest to ensure the safety of vaccines, including those for COVID-19.

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Introduction: This study is part of the U.S. Food and Drug Administration (FDA)'s Biologics Effectiveness and Safety (BEST) initiative, which aims to improve the FDA's postmarket surveillance capabilities by using real-world data (RWD).

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Background: Adverse events associated with vaccination have been evaluated by epidemiological studies and more recently have gained additional attention with the emergency use authorization of several COVID-19 vaccines. As part of its responsibility to conduct postmarket surveillance, the US Food and Drug Administration continues to monitor several adverse events of special interest (AESIs) to ensure vaccine safety, including for COVID-19.

Objective: This study is part of the Biologics Effectiveness and Safety Initiative, which aims to improve the Food and Drug Administration's postmarket surveillance capabilities while minimizing public burden.

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Background: Transfusion-related adverse events can be unrecognized and unreported. As part of the US Food and Drug Administration's Center for Biologics Evaluation and Research Biologics Effectiveness and Safety initiative, we explored whether machine learning methods, such as natural language processing (NLP), can identify and report transfusion allergic reactions (ARs) from electronic health records (EHRs).

Study Design And Methods: In a 4-year period, all 146 reported transfusion ARs were pulled from a database of 86,764 transfusions in an academic health system, along with a random sample of 605 transfusions without reported ARs.

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Article Synopsis
  • The FDA's Center for Biologics Evaluation and Research monitors the safety and effectiveness of biologic products, including vaccines, but often misses key data in electronic health records (EHRs) due to it being found primarily in clinical notes.
  • A natural language processing (NLP) algorithm was developed to identify vaccine administrations documented in clinical notes that are not captured in structured EHR data, improving the monitoring of vaccine safety.
  • In a study, the NLP algorithm successfully identified an additional 1,183 vaccine administrations from clinical notes, indicating a 16.8% increase in total identified vaccine events compared to relying solely on structured data.
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