Lok Sabha Question No. 4051 (UNSTARRED), answered on 2023-03-24
Subject: Adverse Events Following Immunization (AEFI)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kuruva Gorantla Madhav

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4051 TO BE ANSWERED ON 24 TH  MARCH  2023

## ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI)

## 4051.  SHRI KURUVA GORANTLA MADHAV:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the  details  of  the  mechanism  set-up  to  report  COVID-19  vaccine-related  Adverse  Events Following Immunization (AEFI);
- (b) the  State-wise  number  of  AEFI  cases  reported  from  Government  Hospitals  and  Private Hospitals including minor, severe, and serious cases and the number of AEFI related deaths;
- (c) the steps taken/proposed to be taken by the Government to sensitize the common public and hospitals, in the private and government sector, regarding timely reporting of AEFI; and
- (d) the steps taken/proposed to be taken by the Government to curb the under-reporting of AEFI related cases?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## ANSWER (DR. BHARATI PRAVIN PAWAR)

- (a) Adverse  Event  Following  Immunization  (AEFI)  of  COVID-19  vaccines  are  reported  and monitored through a well-structured and robust AEFI surveillance system under the Universal Immunization Program.

For  the  reporting  of  COVID-19  vaccination  related  AEFIs,  the  SAFEVAC  (a  web  based application for AEFI) is integrated into Co-WIN and reporting of AEFIs is done through the Co-WIN SAFEVAC. The Co-WIN SAFEVAC has the provision of reporting AEFIs by the vaccinator, district immunization officer and the beneficiary themselves.

- (b) State-wise  number  of  AEFI  cases  including  minor,  severe,  and  serious  cases  and  deaths reported is placed at Annexure-I & II respectively.

## (c) & (d)

- 1) Information to sensitize public on Adverse events following COVID-19 vaccine and its reporting have been detailed in the COVID-19 Vaccination Operational Guidelines and COVID-19 Vaccines Communication Strategy and are available at MoHFW website.
- 2) Guidelines  have  been  issued  to  States/UTs  to  direct  district  immunization  officers  to strengthen  reporting  of  AEFIs  following  COVID-19  vaccination  by  networking  with hospitals and medical colleges in the Private and Government sector. Covid vaccination program managers in the Government and private Covid Vaccination Centers (CVCs) including hospitals have also been oriented on it.
- 3) Information regarding reporting of AEFI is displayed prominently on the COWIN home page.
- 4) Vaccinators have been trained to inform beneficiaries visiting for vaccination on the likely benefits and risks associated with the COVID-19 vaccines as a part of four key messages provided to beneficiaries.
- 5) To enable reporting of adverse events, IEC material (posters) with information related to AEFI reporting have been shared with the States/UTs for translation into local language and display at the vaccination session sites.
- 6) Awareness on AEFI related information and messages are also amplified through social media and engagement of various immunization partners.

| State/UT wise Minor, Severe &Serious AEFI cases following COVID-19 vaccination reported till 15 th March 2023   | State/UT wise Minor, Severe &Serious AEFI cases following COVID-19 vaccination reported till 15 th March 2023   | State/UT wise Minor, Severe &Serious AEFI cases following COVID-19 vaccination reported till 15 th March 2023   | State/UT wise Minor, Severe &Serious AEFI cases following COVID-19 vaccination reported till 15 th March 2023   | State/UT wise Minor, Severe &Serious AEFI cases following COVID-19 vaccination reported till 15 th March 2023   |
|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|
| States                                                                                                          | Minor                                                                                                           | Severe                                                                                                          | Serious                                                                                                         | Grand Total                                                                                                     |
| Andaman and Nicobar Islands                                                                                     | 21                                                                                                              | 0                                                                                                               | 0                                                                                                               | 21                                                                                                              |
| Andhra Pradesh                                                                                                  | 2608                                                                                                            | 0                                                                                                               | 49                                                                                                              | 2657                                                                                                            |
| Arunachal Pradesh                                                                                               | 341                                                                                                             | 1                                                                                                               | 5                                                                                                               | 347                                                                                                             |
| Assam                                                                                                           | 441                                                                                                             | 0                                                                                                               | 20                                                                                                              | 461                                                                                                             |
| Bihar                                                                                                           | 1229                                                                                                            | 1                                                                                                               | 79                                                                                                              | 1309                                                                                                            |
| Chandigarh                                                                                                      | 245                                                                                                             | 0                                                                                                               | 8                                                                                                               | 253                                                                                                             |
| Chhattisgarh                                                                                                    | 1261                                                                                                            | 3                                                                                                               | 83                                                                                                              | 1347                                                                                                            |
| Dadra and Nagar Haveli                                                                                          | 113                                                                                                             | 0                                                                                                               | 0                                                                                                               | 113                                                                                                             |
| Daman and Diu                                                                                                   | 85                                                                                                              | 0                                                                                                               | 0                                                                                                               | 85                                                                                                              |
| Delhi                                                                                                           | 2151                                                                                                            | 11                                                                                                              | 84                                                                                                              | 2246                                                                                                            |
| Goa                                                                                                             | 613                                                                                                             | 15                                                                                                              | 76                                                                                                              | 704                                                                                                             |
| Gujarat                                                                                                         | 10065                                                                                                           | 9                                                                                                               | 53                                                                                                              | 10127                                                                                                           |
| Haryana                                                                                                         | 1818                                                                                                            | 7                                                                                                               | 51                                                                                                              | 1876                                                                                                            |
| Himachal Pradesh                                                                                                | 1029                                                                                                            | 1                                                                                                               | 27                                                                                                              | 1057                                                                                                            |
| Jammu and Kashmir                                                                                               | 547                                                                                                             | 0                                                                                                               | 13                                                                                                              | 560                                                                                                             |
| Jharkhand                                                                                                       | 3609                                                                                                            | 4                                                                                                               | 25                                                                                                              | 3638                                                                                                            |
| Karnataka                                                                                                       | 6425                                                                                                            | 6                                                                                                               | 197                                                                                                             | 6628                                                                                                            |
| Kerala                                                                                                          | 4903                                                                                                            | 33                                                                                                              | 461                                                                                                             | 5397                                                                                                            |
| Ladakh                                                                                                          | 78                                                                                                              | 0                                                                                                               | 2                                                                                                               | 80                                                                                                              |
| Lakshadweep                                                                                                     | 54                                                                                                              | 0                                                                                                               | 0                                                                                                               | 54                                                                                                              |
| Madhya Pradesh                                                                                                  | 10306                                                                                                           | 53                                                                                                              | 154                                                                                                             | 10513                                                                                                           |
| Maharashtra                                                                                                     | 7982                                                                                                            | 16                                                                                                              | 214                                                                                                             | 8212                                                                                                            |
| Manipur                                                                                                         | 209                                                                                                             | 0                                                                                                               | 3                                                                                                               | 212                                                                                                             |
| Meghalaya                                                                                                       | 380                                                                                                             | 1                                                                                                               | 12                                                                                                              | 393                                                                                                             |
| Mizoram                                                                                                         | 1582                                                                                                            | 0                                                                                                               | 3                                                                                                               | 1585                                                                                                            |
| Nagaland                                                                                                        | 97                                                                                                              | 0                                                                                                               | 3                                                                                                               | 100                                                                                                             |
| Odisha                                                                                                          | 1552                                                                                                            | 3                                                                                                               | 77                                                                                                              | 1632                                                                                                            |
| Puducherry                                                                                                      | 37                                                                                                              | 3                                                                                                               | 11                                                                                                              | 51                                                                                                              |
| Punjab                                                                                                          | 1083                                                                                                            | 15                                                                                                              | 41                                                                                                              | 1139                                                                                                            |
| Rajasthan                                                                                                       | 1650                                                                                                            | 5                                                                                                               | 82                                                                                                              | 1737                                                                                                            |
| Sikkim                                                                                                          | 531                                                                                                             | 0                                                                                                               | 22                                                                                                              | 553                                                                                                             |
| Tamil Nadu                                                                                                      | 1545                                                                                                            | 2                                                                                                               | 118                                                                                                             | 1665                                                                                                            |
| Telangana                                                                                                       | 10279                                                                                                           | 4                                                                                                               | 87                                                                                                              | 10370                                                                                                           |
| Tripura                                                                                                         | 570                                                                                                             | 0                                                                                                               | 34                                                                                                              | 604                                                                                                             |
| Uttar Pradesh                                                                                                   | 5452                                                                                                            | 11                                                                                                              | 149                                                                                                             | 5612                                                                                                            |
| Uttarakhand                                                                                                     | 997                                                                                                             | 0                                                                                                               | 14                                                                                                              | 1011                                                                                                            |
| West Bengal                                                                                                     | 7791                                                                                                            | 57                                                                                                              | 282                                                                                                             | 8130                                                                                                            |

(Data Source: CoWIN-SAFEVAC)

## ANNEXURE-II

| State/UT wise death cases reported following COVID-19 vaccination till 15 th March 2023   | State/UT wise death cases reported following COVID-19 vaccination till 15 th March 2023   |
|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| States                                                                                    | Death cases                                                                               |
| Andhra Pradesh                                                                            | 37                                                                                        |
| Arunachal Pradesh                                                                         | 4                                                                                         |
| Assam                                                                                     | 14                                                                                        |
| Bihar                                                                                     | 62                                                                                        |
| Chandigarh                                                                                | 1                                                                                         |
| Chhattisgarh                                                                              | 40                                                                                        |
| Delhi                                                                                     | 28                                                                                        |
| Goa                                                                                       | 19                                                                                        |
| Gujarat                                                                                   | 15                                                                                        |
| Haryana                                                                                   | 23                                                                                        |
| Himachal Pradesh                                                                          | 11                                                                                        |
| Jammu and Kashmir                                                                         | 9                                                                                         |
| Jharkhand                                                                                 | 13                                                                                        |
| Karnataka                                                                                 | 75                                                                                        |
| Kerala                                                                                    | 244                                                                                       |
| Madhya Pradesh                                                                            | 85                                                                                        |
| Maharashtra                                                                               | 102                                                                                       |
| Manipur                                                                                   | 3                                                                                         |
| Meghalaya                                                                                 | 5                                                                                         |
| Mizoram                                                                                   | 3                                                                                         |
| Odisha                                                                                    | 50                                                                                        |
| Puducherry                                                                                | 5                                                                                         |
| Punjab                                                                                    | 11                                                                                        |
| Rajasthan                                                                                 | 36                                                                                        |
| Sikkim                                                                                    | 12                                                                                        |
| Tamil Nadu                                                                                | 44                                                                                        |
| Telangana                                                                                 | 37                                                                                        |
| Tripura                                                                                   | 3                                                                                         |
| Uttar Pradesh                                                                             | 86                                                                                        |
| Uttarakhand                                                                               | 9                                                                                         |
| West Bengal                                                                               | 70                                                                                        |

(Data Source: CoWIN-SAFEVAC)