FDA | Biologics Effectiveness and Safety (BEST)

Publications & Presentations

Transparency is a fundamental principle of the operations of the CBER Surveillance Program including the BEST Initiative, Sentinel System, CMS collaboration, and others. Knowledge acquired from the surveillance activities is placed in the public domain. To accomplish this aim, information concerning surveillance activities will be made available on the BEST website and other locations when appropriate.

Most Recent Publications & Presentations Assessments

Title

Date

Risk of neurologic or immune-mediated adverse events after COVID-19 diagnosis in the United States

PLoS One. 2025 Nov 24 (website)

11/24/2025

Safety monitoring of health outcomes following influenza vaccination during the 2023-2024 season among U.S. Commercially-insured individuals aged 6 months through 64 years: Self-controlled case series analyses

Vaccine. 2025 Sep 17 (website)

09/17/2025

Safety Monitoring of Bivalent COVID-19 mRNA Vaccines Among Recipients 6 Months and Older in the United States

Pharmacoepidemiol Drug Saf. 2025 May 6 (website)

05/06/2025

Effectiveness over time of a primary series of the original monovalent COVID-19 vaccines in adults in the United States

PLoS One. 2025 May 6 (website)

05/06/2025

Safety monitoring of health outcomes following influenza vaccination during the 2023–2024 season among U.S. Medicare beneficiaries aged 65 years and older

Vaccine. 2025 Apr 19 (website)

04/19/2025

Differences in influenza testing and treatment in micropolitan versus metropolitan areas in the U.S. using medicare claims data from 2010 to 2016

BMC Public Health. 2025 Jan 23 (website)

01/23/2025

Lessons Learned From Characterizing Long COVID Among US Medicare Beneficiaries

Pharmacoepidemiol Drug Saf. 2025 Jan 22 (website)

01/22/2025

A Computable Phenotype Algorithm for Postvaccination Myocarditis/Pericarditis Detection Using Real-World Data: Validation Study

J Med Internet Res. 2024 Nov 25 (website)

11/25/2024

Relative Effectiveness and Waning of a Third Dose of mRNA COVID-19 Vaccine in Medicare Beneficiaries Aged 65 Years and Older during the BA.1/BA.2 Omicron Period

The Journal of Infectious Diseases. 2024 Oct 15 (website)

10/15/2024

Stroke After Influenza Vaccines in Older Adults in the US, 2016 to 2019

JAMA Network Open. 2024 Jul 22 (website)

07/22/2024

Development of Interoperable Computable Phenotype Algorithms for Adverse Events of Special Interest to Be Used for Biologics Safety Surveillance: Validation Study

JMIR Public Health Surveill. 2024 Jul 15 (website)

07/15/2024

Data quality and timeliness analysis for post-vaccination adverse event cases reported through healthcare data exchange to FDA BEST pilot platform

Frontiers in Public Health. 2024 Jul 07 (website)

07/07/2024

Assessment of potential adverse events following the 2022–2023 seasonal influenza vaccines among U.S. adults aged 65 years and older

Vaccine. 2024 May 03 (website)

05/03/2024

Patterns of red blood cell utilization: Harnessing electronic health records data from the Information Standard for Blood and Transplant (ISBT) 128 system within the Biologics Effectiveness and Safety (BEST) initiative

Transfusion. 2024 Apr 30 (website)

04/30/2024

Effectiveness of BNT162b2 COVID-19 primary series vaccination in children aged 5–17 years in the United States: a cohort study

BMC Pediatrics. 2024 Apr 26 (website)

04/26/2024

Safety of Ancestral Monovalent BNT162b2, mRNA-1273, and NVX-CoV2373 COVID-19 Vaccines in US Children Aged 6 Months to 17 Years

JAMA Network Open. 2024 Apr 24 (website)

04/24/2024

Stroke Risk After COVID-19 Bivalent Vaccination Among US Older Adults

JAMA. 2024 Mar 19 (website)

03/19/2024

Real-world Effectiveness of mRNA COVID-19 Vaccines Among US Nursing Home Residents Aged ≥65 Years in the Pre-Delta and High Delta Periods

Open Forum Infectious Diseases. 2024 Jan 29 (website)

01/29/2024

CBER BEST IM Exchange Pilot - Biologics Effectiveness and Safety Innovative Methods

eHealth Exchange Annual Meeting Presentation. 2023 Nov 14 (pdf)

11/14/2023

Enhancing Biologics Adverse Event Surveillance via Scalable, FHIR-based Infrastructure

AABB Annual Meeting Presentation. 2023 Oct 14-17 (pdf)

10/14-17/2023

Enhancing Biologics Adverse Event Surveillance via Scalable, FHIR-based Infrastructure: Pilot

11th Annual Scientific Computing Days Presentation. 2023 Sep 12 (pdf)

09/12/2023

Evaluation of potential adverse events following COVID-19 mRNA vaccination among adults aged 65 years and older: Two self-controlled studies in the U.S.

Vaccine. 2023 Jul 19 (website)

07/19/2023

Evaluation of association of anti-PEG antibodies with anaphylaxis after mRNA COVID-19 vaccination

Vaccine. 2023 Jun 23 (website)

06/23/2023

Safety of COVID-19 vaccines during pregnancy: A systematic review and meta-analysis

Vaccine. 2023 Jun 07 (website)

06/07/2023

Safety of the BNT162b2 COVID-19 Vaccine in Children Aged 5 to 17 Years

Jama Pediatrics. 2023 May 22 (website)

05/22/2023

Use of Immunization Information Systems in Ascertainment of COVID-19 Vaccinations for Claims-Based Vaccine Safety and Effectiveness Studies

JAMA Network Open. 2023 May 16 (website)

05/16/2023

Safety, immunogenicity, and effectiveness of COVID-19 vaccines for pregnant persons: A protocol for systematic review and meta analysis

Medicine (Baltimore). 2023 Mar 03 (website)

03/03/2023

Characterization of COVID-19 Hospitalized Patients in Three United States Electronic Health Record Databases

Pathogens. 2023 Mar 01 (website)

03/01/2023

Use of Structured Electronic Health Records Data Elements for the Development of Computable Phenotypes to Identify Potential Adverse Events Associated with Intravenous Immunoglobulin Infusion

Drug Saf. 2023 Feb 24 (website)

02/24/2023

Comparison of adverse pregnancy and birth outcomes using archival medical records before and during the first wave of the COVID-19 pandemic in Kinshasa, Democratic Republic of Congo: a facility-based, retrospective cohort study

BMC Pregnancy Childbirth. 2023 Jan 16 (website)

01/16/2023

Surveillance of COVID-19 vaccine safety among elderly persons aged 65 years and older

Vaccine. 2023 Jan 09 (website)

01/09/2023

Background rates of adverse events of special interest for COVID-19 vaccine safety monitoring in the United States, 2019-2020

Vaccine. 2022 Nov 08 (website)

11/08/2022

Near real-time surveillance of safety outcomes in US COVID-19 vaccine recipients aged 12 to 64 years

Vaccine. 2022 Oct 26 (website)

10/26/2022

A Versatile and Scalable Platform That Streamlines Data Collection for Patient-Centered Studies: Usability and Feasibility Study

JMIR. 2022 Sep14 (website)

09/14/2022

Active Surveillance of Vaccine Safety: Intermediate/Advanced Topics in Vaccine Epidemiology (ICPE 2022), Hui Lee Wong, PhD

08/25/2022

Active, surveillance, vaccine

Assessment of performance characteristics of COVID-19 ICD-10-CM diagnosis code U07.1 using SARS-CoV-2 nucleic acid amplification test results

PLoS One. 2022 Aug 18 (website)

08/18/2022

Multi-center matched cohort study of convalescent plasma for hospitalized patients with COVID-19

PLoS One. 2022 Aug 18 (website)

08/18/2022

Operational lessons learned in conducting an international study on pharmacovigilance in pregnancy in resource-constrained settings: The WHO Global Vaccine safety Multi-Country collaboration project

Vaccine: X. 2022 Aug (website)

08/2022

Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study

BMJ Open. 2022 Jul 08 (website)

07/08/2022

Setting The World on FHIR

HL7 Case Study. 2022 Jul (website)

07/2022

Characterization of test positivity among patients with coronavirus disease 2019 (COVID-19) in three electronic health records databases, February-November 2020

BMC Public Health. 2022 Jun 18 (website)

06/18/2022

Risk of myocarditis and pericarditis after the COVID-19 mRNA vaccination in the USA: a cohort study in claims databases

Lancet. 2022 Jun 11 (pdf)

This publication also includes a supplementary appendix and commentary.

06/11/2022

Risk, myocarditis, pericarditis, COVID-19 mRNA vaccinations, administrative claims

Benefit-risk assessment of COVID-19 vaccine, mRNA (Comirnaty) for age 16-29 years

Vaccine. 2022 Apr 26 (website)

04/26/2022

Risk Factors for COVID-19 Deaths Among Elderly Nursing Home Medicare Beneficiaries in the Prevaccine Period

J Infect Dis. 2022 Feb 15 (website)

2/15/2022

The Food and Drug Administration Biologics Effectiveness and Safety Initiative Facilitates Detection of Vaccine Administrations From Unstructured Data in Medical Records Through Natural Language Processing

Frontiers. 2021 Dec 22 (website)

12/22/2021

Risk of Guillain-Barré Syndrome Following Recombinant Zoster Vaccine in Medicare Beneficiaries

JAMA Intern Med. 2021 Dec 1 (website)

12/01/2021

Vaccine exposure during pregnancy among privately and publicly insured women in the United States, 2016–2018

Vaccine. 2021 Oct 01 (pdf)

10/01/2021

Vaccine exposure, pregnancy, Insured women

Validating Claims-Based Algorithms Determining Pregnancy Outcomes and Gestational Age Using a Linked Claims-Electronic Medical Record Database

Drug Saf. 2021 Sep 30 (website)

09/30/2021

Safety of components and platforms of COVID-19 vaccines considered for use in pregnancy: A rapid review

Vaccine. 2021 Sep 24 (website)

09/24/2021

Acute myocardial infarction: Development and application of an ICD-10-CM-based algorithm to a large U.S. healthcare claims-based database

PLoS One. 2021 Jul 01 (pdf)

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0253580

07/01/2021

Acute myocardial infarction ICD-10, administrative claims, algorithm

U.S. Population-Based background incidence rates of medical conditions for use in safety assessment of COVID-19 vaccines

Vaccine. 2021 Jun 23 (website)

06/23/2021

CBER BEST: Leveraging AI to Build an Automated Adverse Events Reporting System

2021 FDA Science Forum. 2021 May 26 (website)

Presentation begins at the 2:12:00 mark

05/26/2021

Natural History of Coronavirus Disease 2019: Risk Factors for Hospitalizations and Deaths Among >26 Million US Medicare Beneficiaries

J Infect Dis. 2021 Mar 29 (website)

03/29/2021

Development of an Application That Semi-Automates Clinician Verification and Reporting of Transfusion Allergic Reaction Cases

AABB. 2020 Oct 3-5 (website)

10/03-05/2020

Development of a SMART-on-FHIR-enabled Semi-Automated Adverse Event Validation and Reporting Application

FHIR DevDays. 2020 June (website)

06/2020

An FDA-CBER Update on Surveillance, Epidemiology and Risk Management Approaches for Biologics

DIA PV Meeting Presentation 2020 (pdf)

01/29/2020

DIA PV and Risk Management Strategies Conference

Biologics Effectiveness and Safety (BEST) Initiative: Sentinel Public Meeting 2019

Sentinel Public Meeting Presentation 2019 (pdf)

04/03/2019

Sentinel Public Meeting 2019

Biologics Effectiveness and Safety (BEST) Initiative: First Year

OHDSI Symposium Presentation 2018 (pdf)

10/12/2018

OHDSI Symposium 2018