TY - JOUR AU - Bota, A Brianne AU - Bettinger, Julie A AU - Sarfo-Mensah, Shirley AU - Lopez, Jimmy AU - Smith, David P AU - Atkinson, Katherine M AU - Bell, Cameron AU - Marty, Kim AU - Serhan, Mohamed AU - Zhu, David T AU - McCarthy, Anne E AU - Wilson, Kumanan PY - 2023 DA - 2023/5/8 TI - Comparing the Use of a Mobile App and a Web-Based Notification Platform for Surveillance of Adverse Events Following Influenza Immunization: Randomized Controlled Trial JO - JMIR Public Health Surveill SP - e39700 VL - 9 KW - active participant–centered reporting KW - health technology KW - adverse event reporting KW - mobile apps KW - immunization KW - vaccine KW - safety KW - influenza KW - campaign KW - apps KW - mobile KW - surveillance KW - pharmacovigilance AB - 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 SN - 2369-2960 UR - https://publichealth.jmir.org/2023/1/e39700 UR - https://doi.org/10.2196/39700 UR - http://www.ncbi.nlm.nih.gov/pubmed/37155240 DO - 10.2196/39700 ID - info:doi/10.2196/39700 ER -