%0 Journal Article %@ 2369-2960 %I JMIR Publications %V 9 %N %P e39700 %T Comparing the Use of a Mobile App and a Web-Based Notification Platform for Surveillance of Adverse Events Following Influenza Immunization: Randomized Controlled Trial %A Bota,A Brianne %A Bettinger,Julie A %A Sarfo-Mensah,Shirley %A Lopez,Jimmy %A Smith,David P %A Atkinson,Katherine M %A Bell,Cameron %A Marty,Kim %A Serhan,Mohamed %A Zhu,David T %A McCarthy,Anne E %A Wilson,Kumanan %+ Clinical Epidemiology Program, Ottawa Hospital Research Institute, 1053 Carling Avenue, Administrative Service Building, Box 684, Ottawa, ON, K1Y 4E9, Canada, 1 6137985555 ext 17921, kwilson@toh.ca %K active participant–centered reporting %K health technology %K adverse event reporting %K mobile apps %K immunization %K vaccine %K safety %K influenza %K campaign %K apps %K mobile %K surveillance %K pharmacovigilance %D 2023 %7 8.5.2023 %9 Original Paper %J JMIR Public Health Surveill %G English %X Background: Vaccine safety surveillance is a core component of vaccine pharmacovigilance. In Canada, active, participant-centered vaccine surveillance is available for influenza vaccines and has been used for COVID-19 vaccines. Objective: The objective of this study is to evaluate the effectiveness and feasibility of using a mobile app for reporting participant-centered seasonal influenza adverse events following immunization (AEFIs) compared to a web-based notification system. Methods: Participants were randomized to influenza vaccine safety reporting via a mobile app or a web-based notification platform. All participants were invited to complete a user experience survey. Results: Among the 2408 randomized participants, 1319 (54%) completed their safety survey 1 week after vaccination, with a higher completion rate among the web-based notification platform users (767/1196, 64%) than among mobile app users (552/1212, 45%; P<.001). Ease-of-use ratings were high for the web-based notification platform users (99% strongly agree or agree) and 88.8% of them strongly agreed or agreed that the system made reporting AEFIs easier. Web-based notification platform users supported the statement that a web-based notification-only approach would make it easier for public health professionals to detect vaccine safety signals (91.4%, agreed or strongly agreed). Conclusions: Participants in this study were significantly more likely to respond to a web-based safety survey rather than within a mobile app. These results suggest that mobile apps present an additional barrier for use compared to the web-based notification–only approach. Trial Registration: ClinicalTrials.gov NCT05794113; https://clinicaltrials.gov/show/NCT05794113 %M 37155240 %R 10.2196/39700 %U https://publichealth.jmir.org/2023/1/e39700 %U https://doi.org/10.2196/39700 %U http://www.ncbi.nlm.nih.gov/pubmed/37155240