Sudden rise in adverse events following immunisation recorded in Karnataka since December 15

It has been attributed to data entry errors, mainly in BBMP limits

December 19, 2021 11:58 pm | Updated December 20, 2021 07:46 am IST - Bengaluru

COVID-19 vaccine being given to the beneficiaries, at the BBMP Dasappa Hospital, during the massive coronavirus vaccination drive in Bengaluru.

COVID-19 vaccine being given to the beneficiaries, at the BBMP Dasappa Hospital, during the massive coronavirus vaccination drive in Bengaluru.

Karnataka recorded a sudden rise in the number of adverse events following immunisation (AEFIs) since December 15. According to data from the CoWIN portal, while 101 adverse events were reported on December 15, 82 were reported on December 16, 99 on December 17, and 78 on December 18. The number has consistently been in the range of 20-30 before that.

Of the total 564 adverse events reported in December, 360 have been reported in four days since December 15.

While State health officials attributed this to data entry errors on the portal, sources said this could be late audit and verification of the adverse events, mainly because of lack of evidence to establish the adverse events from the districts.

According to data from the Health Department, the State has recorded a total of 3,066 minor, 54 severe, and 105 serious AEFIs since January 16, when COVID-19 vaccination was rolled out till December 18.

The 105 serious AEFIs include 54 deaths following COVID-19 immunisation. However, officials said there is not enough evidence to establish that the deaths were due to vaccination.

The highest number of adverse events have been reported from Dakshina Kannada and BBMP limits. While Dakshina Kannada has reported a total of 1,239 AEFIs, BBMP has seen 566 adverse events. Of the 105 serious adverse events, 33 have been reported from BBMP.

Arundathi Chandrashekar, State Mission Director, National Health Mission (NHM), told The Hindu on Sunday that the sudden rise was due to data entry errors, especially in BBMP limits.

“The data entry operators have clicked on AEFI while generating old certificates (to collate data of those who are due for second dose) on the CoWIN portal in this one zone. We will have to write to the Government of India for correction once we collate the correct details,” she said, emphasising that most of the adverse events were mild fever, headache and anxiety.

Mallesh K., chairperson of the State AEFI committee, said although the committee discusses all adverse events reported, the final conclusion to establish the cause of deaths can be done only after the districts submit detailed information about each case.

Stating that the committee has met seven times in the last one year with the last meeting on December 3, Dr. Mallesh said more than 60 AEFIs (pertaining to both COVID-19 vaccination and routine immunisation) were discussed during the recent meeting.

“Sometimes in the absence of detailed information, we only discuss the adverse events but do not give reports on the cause till all information and investigation evidence is obtained. The spike on a particular day could be due to technical glitches,” said the doctor, who heads the Department of Paediatrics at Bangalore Medical College and Research Institute (BMCRI).

Although 54 deaths following immunisation have been recorded, only 13 post-mortems have been done till last month. “This is mainly because families do not agree for post-mortems. We have been insisting on post-mortems of all deaths but have noticed that families, especially in rural areas, are reluctant,” he said.

“Unless a post-mortem is done, it is difficult to establish the cause of death, especially if the deceased has comorbidities. In case officials are unable to convince the families for the post- mortems, we get the verbal autopsies done and mention our limitations in the reports that we send to the National AEFI committee,” added Dr. Mallesh.

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