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Guide

A buyer’s checklist for AI in pharmacovigilance

The questions to ask any vendor about scope, validation, explainability, oversight, integration, security and proof, with a scoring model you can use in your selection.

vGenix Ai·7 min read·November 2026

Why a structured evaluation matters

An AI platform for pharmacovigilance will hold your safety data, shape your processes and be examined by inspectors for years. Demonstrations are designed to impress; they rarely show how a system behaves on your documents, under your SOPs, with your volumes. A structured evaluation protects you from choosing on presentation quality.

STAGE 1ShortlistScope andregulatory fitSTAGE 2DemoOn your documents,not theirsSTAGE 3Due diligenceValidation, securityand data useSTAGE 4PilotMeasured againstyour baselineSTAGE 5DecideScore, take referencesand contractA five-stage evaluation that tests evidence, not slidesTypical elapsed time: [__] to [__] weeks, depending on your procurement and validation process
The evaluation journey. Each stage should eliminate vendors that cannot show evidence.

The nine areas to test

1. Scope: what is live today?

  • Which modules are in production with clients now, and which are on the roadmap?
  • Does automation cover the whole case lifecycle, or individual steps?
  • Which product types are supported: medicines, vaccines, devices, consumer products?
  • Which markets’ requirements are supported today?

2. Validation and change control

  • What is the validation approach, and what documentation will you provide?
  • How are AI model changes tested and released? How often?
  • Who is responsible for which parts of validation?
  • Which frameworks is the platform built to support, such as 21 CFR Part 11, EU Annex 11 and GAMP 5? Ask to see how, not just a list.

3. Explainability and traceability

  • Does every extracted value link to its source?
  • Can a reviewer see why a term was coded or a case was judged serious?
  • Are AI actions recorded in the audit trail with model versions?

4. Accuracy and drift

  • How is accuracy measured, on what data, and by whom?
  • Will you measure it on a sample of our data before we commit?
  • How is performance monitored after go-live, and what happens when it drifts?

5. Human oversight

  • Can review gates be set from our SOPs?
  • What happens to low-confidence results?
  • Which decisions does the AI never make on its own?

6. Fit to our processes

  • Can case rules, coding conventions, thresholds and templates be configured from our SOPs?
  • How are configuration changes versioned and approved?
  • How are local requirements handled for each market?

7. Integration and deployment

  • Which safety databases do you connect to today?
  • Do we have to replace our current system, or can you work alongside it?
  • Which deployment options and hosting regions are available?

8. Security and data use

  • Which security certifications do you hold? Can we see the reports?
  • Is our data used to train models used by other clients?
  • How are data residency, encryption and access control handled?

9. Proof

  • Will you agree baselines with us before go-live?
  • Can you show results from a referenceable client?
  • Can we run a time-boxed pilot on our own data first?
Red flag: headline percentages with no baseline, method or client behind them. Ask exactly how each number was measured, on what data, over what period.

A scorecard you can use

Score each vendor from 1 to 5 in each area, multiply by the weight and add up. Adjust the weights to your priorities, and agree them before you see any demonstrations.

AreaExample weightWhat a score of 5 looks like
Validation and change control20%Documented approach, evidence package, controlled releases
Explainability and traceability15%Every value source-linked; AI actions in the audit trail
Accuracy and drift15%Measured on your data; continuous monitoring with alerts
Fit to your processes15%Rules, gates and templates configured from your SOPs
Scope live today10%All needed modules in production with clients
Integration and deployment10%Works with your systems; your hosting choice
Security and data use10%Certifications with reports; clear written data-use terms
Proof5%Pilot on your data against an agreed baseline

Example weights for illustration. Human oversight is treated as a pass/fail requirement rather than a weighted score: a vendor that cannot keep your experts in control should not proceed.

How to run a pilot that proves something

A pilot is the single most useful step in an evaluation, but only if it is designed to produce evidence.

  1. Pick one process. Literature monitoring or a defined slice of case intake works well: contained, measurable and representative.
  2. Agree the baseline first. Measure current cycle time, effort, quality findings and timeliness before the pilot starts.
  3. Use your real data. Your documents, your products, your languages, under your SOPs.
  4. Run in parallel. Keep your current process running, and compare results case by case.
  5. Define success in advance. Write down what result would justify moving forward, and what would not.
  6. Involve QA from day one. The pilot should produce validation-style evidence, not just a dashboard.

Common mistakes

  • Choosing on the demo. Demos use the vendor’s best documents. Insist on yours.
  • Buying the roadmap. Features promised for next year do not help your inspection this year.
  • Leaving QA until the end. Validation requirements discovered late add months.
  • Skipping the baseline. Without one, nobody can say whether the investment paid off.
  • Ignoring data terms. How your data may be used should be settled before contract, not after.
What this means for executives
  • Insist on a pilot on your own data with agreed baseline measures before any multi-year commitment.
  • Make validation evidence and written data-use terms contractual, not optional.
  • Ask your QA lead to sign off the scorecard weights before demonstrations begin.
  • Prefer what is live today over what is on a roadmap.

Bring this checklist to every vendor conversation, including ours. Our answers are throughout this site, and we are happy to go through them with your team. Book a session.

Keep reading

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The S.A.F.E.T.Y. framework for AI in pharmacovigilance

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Intelligent safety should be one connected operation

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