FOI release

Freedom of Information request on adverse reactions to COVID-19 vaccines from Northern Ireland (FOI 21-265)

Published 28 May 2021

The total number of Yellow Card Scheme Adverse Drug Reaction (ADRs) reports and registrations, MHRA has received from COVID-19 vaccine recipients in Northern Ireland only, dating from 8th December 2020 to 16th March 2021 where the brand was specified as A) the Pfizer-BioNTech vaccine B) the Oxford Astra-Zeneca vaccine C) Brand unspecified

• How many postcodes were incorrectly provided through the Yellow Card Scheme ADRs from the above COVID-19 vaccine recipients in Northern Ireland only.

I can confirm that as of the 31st March 2021, the MHRA have received 1465 Yellow Card reports associated with COVID-19 vaccinations from Northern Ireland, between the 8th December 2020 and 16th March 2021. A breakdown of these 1465 reports by brand where specified is given in Table 1. Please note that this information was extracted based on the postcode provided by the reporter.

Table 1: Suspected Adverse Drug Reaction (ADR) reports from Northern Ireland concerning COVID-19 vaccines received between the 8th December 2020-16th March 2021.

Brand Number of reports
Pfizer-BioNTech 754
Oxford AstraZeneca 708
Unspecified 3

Please note totals may differ slightly compared to those included in the published data due to the date in which data was extracted and reports of suspected ADRs are held on a purpose designed pharmacovigilance database. The database upon which Yellow Card reports are stored is a dynamic and therefore these numbers are subject to fluctuations through processes such as the merging of duplicate ADR reports received.

It is important to bear in mind the following points when interpreting Yellow Card data:

• The attached data only includes ADR reports received directly from healthcare professionals or from patients, parents and carers. Reports are also received by the MHRA from pharmaceutical companies who have a legal obligation to report serious suspected ADRs relating to their products.

• Please be aware, the reporting of a particular reaction does not necessarily mean that it has been caused by a vaccine. Many factors must be considered in assessing the relationship between a vaccine and suspected reaction including the possible contribution of other drugs being taken, and the underlying disease.

• Furthermore, the number of reports received should not be used as a basis for determining incidence of a reaction as neither the total number of reactions occurring, nor the number of patients using the drug is known.

Secondly, you asked how many postcodes were incorrectly provided from the COVID-19 vaccination recipients in Northern Ireland. Unfortunately, we cannot provide this information as it would involve reviewing the postcodes provided on every single report submitted to us. This information will only include reports where the reporter has provided the postcode correctly. Please note that postcode is a mandatory field on the Coronavirus Yellow Card reporting site and there it is likely this information captures the majority of reports received for your specific request. Please note that reports received via other routes where postcode is not provided or where it is provided incorrectly are evaluated in the same way as all other reports received via the Yellow Card scheme.

I would like to reassure you that the MHRA keeps the safety of all medicines and vaccines, under close and continual review. Any emerging evidence relating to possible risks associated with medicines or vaccines would be carefully reviewed and, if appropriate, regulatory action would be taken, and communicated to healthcare professionals and patients alike.

I hope the information provided is helpful, but if you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of this response; and can be addressed to this email address.

Yours sincerely, FOI Team, Vigilance and Risk Management of Medicines Division