Evidence map›Paper›PMID 33996313›Full record

ArticleCureus2021

BCG Scar Local Skin Inflammation as a Novel Reaction Following mRNA COVID-19 Vaccines in Two International Healthcare Workers.

Erika Z Lopatynsky-Reyes, Heidy Acosta-Lazo, Rolando Ulloa-Gutierrez, María L Ávila-Aguero, Enrique Chacon-Cruz

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Transient inflammation in surgical scars following Covid-19 mRNA vaccination.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Article
  6. Review
  7. Review
  8. Review
  9. Cutaneous findings following COVID-19 vaccination: review of world literature and own experience.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  16. Review
  17. Bacillus Calmette-Guérin scar flare after an mRNA SARS-CoV-2 vaccine.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Erika Z Lopatynsky-ReyesFamily Medicine and Public Health, University of California San Diego, San Diego, USA.
Heidy Acosta-LazoServicio de Infectología, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera" Centro de Ciencias Médicas, Caja Costarricense del Seguro Social (CCSS), San José, CRI.
Rolando Ulloa-GutierrezServicio de Infectología, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera" Centro de Ciencias Médicas, Caja Costarricense del Seguro Social (CCSS), San José, CRI.
María L Ávila-AgueroServicio de Infectología, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera" Centro de Ciencias Médicas, Caja Costarricense del Seguro Social (CCSS), San José, CRI.
Enrique Chacon-CruzDepartamento de Infectología, Hospital General de Tijuana, Tijuana, MEX.
University of San Diego · USTexas Center for Infectious Disease · USUniversidad de Ciencias Medicas · CRUniversidad de Tijuana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacillus Calmette-Guérin (BCG) local scar inflammatory reactions have been mostly associated with Kawasaki disease in children and less commonly with other viral infections (i.e., measles). BCG scar inflammation associated with or following vaccine administration has only been reported with the influenza vaccine. We describe the first reports in the literature of local BCG inflammation following two different available messenger ribonucleic acid (mRNA) anti-severe acute respiratory syndrome coronavirus 2 (anti-SARS-CoV-2) vaccines (mRNA-1273, and BNT162b2) in two young healthy physicians, one from Costa Rica, and another from the United States of America, with normal cell blood counts, flow cytometries, and negative for human immunodeficiency virus (HIV). In both cases, BCG scar inflammation appeared after 24 hours of vaccination of the second dose, without signs of reaction on the injection site, and resolved within four days. Dermoscopic findings in one case showed arborizing and comma-shaped vessels. Pharmacovigilance surveillance of BCG scar reactions following coronavirus disease 2019 (COVID-19) vaccines should be considered particularly in countries where BCG is part of their national immunization programs.

Indexed as

bcgbcg scar reactioncovid 19sars-cov-2 vaccine reactogenicitysars-cov-2 vaccinesvaccine adverse eventsvaccine adverse reactions

Identifiers

PMID33996313
PMCPMC8117721
OpenAlexW3153313873

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.