Jim Buttery

Sedigh Khademi, Christopher Palmer, Muhammad Javed et al.

The rapid development of COVID-19 vaccines has showcased the global communitys ability to combat infectious diseases. However, the need for post-licensure surveillance systems has grown due to the limited window for safety data collection in clinical trials and early widespread implementation. This study aims to employ Natural Language Processing techniques and Active Learning to rapidly develop a classifier that detects potential vaccine safety issues from emergency department notes. ED triage notes, containing expert, succinct vital patient information at the point of entry to health systems, can significantly contribute to timely vaccine safety signal surveillance. While keyword-based classification can be effective, it may yield false positives and demand extensive keyword modifications. This is exacerbated by the infrequency of vaccination-related ED presentations and their similarity to other reasons for ED visits. NLP offers a more accurate and efficient alternative, albeit requiring annotated data, which is often scarce in the medical field. Active learning optimizes the annotation process and the quality of annotated data, which can result in faster model implementation and improved model performance. This work combines active learning, data augmentation, and active learning and evaluation techniques to create a classifier that is used to enhance vaccine safety surveillance from ED triage notes.

Muhammad Javed, Sedigh Khademi Habibabadi, Christopher Palmer et al.

Vaccine hesitancy threatens public health, leading to delayed or rejected vaccines. Social media is a vital source for understanding public concerns, and traditional methods like topic modelling often struggle to capture nuanced opinions. Though trained for query answering, large Language Models (LLMs) often miss current events and community concerns. Additionally, hallucinations in LLMs can compromise public health communication. To address these limitations, we developed a tool (VaxPulse Query Corner) using the Retrieval Augmented Generation technique. It addresses complex queries about public vaccine concerns on various online platforms, aiding public health administrators and stakeholders in understanding public concerns and implementing targeted interventions to boost vaccine confidence. Analysing 35,103 Shingrix social media posts, it achieved answer faithfulness (0.96) and relevance (0.94).

Sedigh Khademi, Jim Black, Christopher Palmer et al.

This study evaluates fine-tuned Llama 3.2 models for extracting vaccine-related information from emergency department triage notes to support near real-time vaccine safety surveillance. Prompt engineering was used to initially create a labeled dataset, which was then confirmed by human annotators. The performance of prompt-engineered models, fine-tuned models, and a rule-based approach was compared. The fine-tuned Llama 3 billion parameter model outperformed other models in its accuracy of extracting vaccine names. Model quantization enabled efficient deployment in resource-constrained environments. Findings demonstrate the potential of large language models in automating data extraction from emergency department notes, supporting efficient vaccine safety surveillance and early detection of emerging adverse events following immunization issues.

Muhammad Javed, Sedigh Khademi, Joanne Hickman et al.

The recent vaccine-related infodemic has amplified public concerns, highlighting the need for proactive misinformation management. We describe how we enhanced the reporting surveillance system of Victoria's vaccine safety service, SAEFVIC, through the incorporation of new information sources for public sentiment analysis, topics of discussion, and hesitancies about vaccinations online. Using VaxPulse, a multi-step framework, we integrate adverse events following immunisation (AEFI) with sentiment analysis, demonstrating the importance of contextualising public concerns. Additionally, we emphasise the need to address non-English languages to stratify concerns across ethno-lingual communities, providing valuable insights for vaccine uptake strategies and combating mis/disinformation. The framework is applied to real-world examples and a case study on women's vaccine hesitancy, showcasing its benefits and adaptability by identifying public opinion from online media.