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Peer-Reviewed Publication
Vaccine2026;88128821.June 15, 2026Journal Article

Incidence of outcomes relevant to vaccine safety monitoring in the general population, after influenza vaccination, and after respiratory infections: a descriptive analysis of four US claims databases, 2022-2023.

Christopher Bush1, Shaina Desai1, Huabo Wang2, Wei-Chun Hsu3, E Claire Newbern3, Astra Toyip1, Sarah Grace2, Katherine E Mues1, Brent Arakaki1, Vaishali Khamamkar3, Daina B Esposito3, Cindy Ke Zhou4
1Aetion, a Datavant Company, 1250 Broadway, New York, NY 10001, USA.
2CareJourney By Arcadia, 3865 Wilson Blvd #500, Arlington, VA 22203, USA.
3Moderna, Inc., 325 Binney Street, Cambridge, MA 02142, USA.
4Moderna, Inc., 325 Binney Street, Cambridge, MA 02142, USA. Electronic address: Cindy.Zhou@modernatx.com.

Abstract

BACKGROUND: Background incidence rates (IRs) of safety outcomes in the absence of vaccination of interest and IRs following the infection targeted by the vaccine, are integral for contextualizing vaccine benefit-risk. As new respiratory vaccines are developed, contemporaneous IR estimates for outcomes commonly assessed in vaccine safety surveillance are needed in the COVID-19 endemic era. METHODS…

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