The primary objectives of this study are: In infants of women exposed to SPIKEVAX during pregnancy, to assess: * If exposure to SPIKEVAX during pregnancy is associated with an increased birth prevalence of major congenital malformations (MCMs). * If exposure to SPIKEVAX during pregnancy is associated with an increased birth prevalence of adverse neonatal and infant outcomes, specifically neonatal encephalopathy, small for gestational age, respiratory distress in the newborn, and incidence of hospitalization due to infections including coronavirus disease 2019 (COVID-19). * In women exposed to SPIKEVAX during pregnancy, to assess whether exposure to SPIKEVAX is associated with an increased prevalence of hypertensive disorders \[e.g., pre-eclampsia, eclampsia, and gestational hypertension\] gestational diabetes, and post-partum hemorrhage; and * To assess whether exposure to SPIKEVAX during pregnancy is associated with an increased incidence of stillbirth, preterm birth, and medically attended spontaneous abortion.
Study Type
OBSERVATIONAL
Enrollment
1,192
Carelon Research
Newton, Massachusetts, United States
Number of MCMs
Time frame: Up to approximately 3 years
Number of Adverse Neonatal and Infant Outcomes
Adverse neonatal and infant outcomes include neonatal encephalopathy, small for gestational age, respiratory distress in the newborn, or incidence of hospitalization due to infections including COVID-19.
Time frame: Up to approximately 3 years
Number of Participants with Hypertensive Disorders
Hypertensive disorders include pre-eclampsia, eclampsia, and gestational hypertension, gestational diabetes, or post-partum hemorrhage
Time frame: Up to approximately 3 years
Number of Stillbirths, Preterm Births, and Medically Attended Spontaneous Abortions
Time frame: Up to approximately 3 years
Demographics: Participant Region of Residence
Time frame: Baseline
Demographics: Age at LMP
Time frame: Baseline
Demographics: Number of Overweight or Obese Participants
Time frame: Baseline
Demographics: Duration of Health Plan Enrolment Prior to Pregnancy
Time frame: Baseline
Demographics: Calendar Date of the Pregnancy Outcome
Time frame: Baseline
Demographics: Participant Race and Ethnicity
Time frame: Baseline
Demographics: Participant Socio-economic Status
Time frame: Baseline
Healthcare Utilization: Number of Office Visits, Emergency Department Visits, and Hospitalizations
Time frame: Baseline
Healthcare Utilization: Number of Distinct Medications Used
Time frame: Baseline
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