Evidence map›Paper›PMID 40796716›Full record

ArticleClinical drug investigation2025

Spontaneous Reports of Adverse Reactions with Fatal Outcomes After COVID-19 Vaccination During the National Vaccination Campaign in Sweden.

Marja-Leena Nurminen, Per Lindemo, Anders Sundström, Björn Zethelius, Maria Larsson, Sofia Attelind, Nicklas Pihlström, Rickard Ljung, Veronica Arthurson

Abstract read
In one paragraph

Article in Clinical drug investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marja-Leena NurminenUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0009-0008-4681-5180
Per LindemoUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0009-0006-9431-4319
Anders SundströmUppsala Monitoring Centre, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-2337-3371
Björn ZetheliusUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden. bjorn.zethelius@lakemedelsverket.se.ORCID http://orcid.org/0000-0002-1738-0834
Maria LarssonUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0009-0004-3496-8922
Sofia AttelindUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-7631-7376
Nicklas PihlströmUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-6812-0971
Rickard LjungUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-0654-4530
Veronica ArthursonUse and Information Division, Swedish Medical Products Agency, PO Box 26, 751 03, Uppsala, Sweden.ORCID http://orcid.org/0009-0007-6603-224X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesReports of suspected adverse drug reactions are of a great importance for the safety monitoring of new vaccines to identify potential safety risks promptly and to ensure necessary measures for risk mitigation. We reviewed the reports of fatal adverse drug reactions after coronavirus disease 2019 (COVID-19) vaccination with Comirnaty

methodsSwedish reports of suspected adverse drug reactions with fatal outcomes after COVID-19 vaccines were retrieved from the EudraVigilance database. Vaccination data were obtained from the National vaccination register. Reporting rates were calculated by dividing the number of adverse drug reaction reports with fatal outcomes by the number of people exposed to at least one dose of the COVID-19 vaccines or by the number of vaccine doses given. A causality assessment of adverse drug reaction reports was performed by clinically qualified reviewers.

resultsMore than 26 million doses of COVID-19 vaccines were administered and 456 reports of suspected adverse drug reactions with fatal outcomes were reported during 27 December, 2020-31 May, 2023. The reporting rate was 5.7 fatal outcomes per 100,000 persons vaccinated with at least one dose of any COVID-19 vaccine or 1.7 per 100,000 vaccine doses given. Most of the fatalities were related to patients' pre-existing conditions, predominantly among people aged 70 years or older. Only ten of the reported fatalities (0.1 per 100,000 persons vaccinated) were assessed as consistent with a causal association to COVID-19 vaccination.

conclusionsAdverse drug reactions with fatal outcomes after COVID-19 vaccines in Sweden were very rare. No new safety concerns were observed in this study.

Indexed as

Adverse Drug Reaction Reporting SystemsCOVID-19COVID-19 VaccinesDrug-Related Side Effects and Adverse ReactionsVaccinationAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedCOVID-19 Vaccines

Identifiers

PMID40796716
PMCPMC12420738

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.