Evidence map›Paper›PMID 34313952›Full record

ArticlePain and therapy2021

Headache Attributed to Vaccination Against COVID-19 (Coronavirus SARS-CoV-2) with the ChAdOx1 nCoV-19 (AZD1222) Vaccine: A Multicenter Observational Cohort Study.

Carl H Göbel, Axel Heinze, Sarah Karstedt, Mascha Morscheck, Lilian Tashiro, Anna Cirkel, Qutyaba Hamid, Rabih Halwani, Mohamad-Hani Temsah, Malte Ziemann and 3 more

Open access · goldAbstract read
In one paragraph

Article in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  7. [Potential Impact of Public Communication on Emergency Presentations due to Headache during the Covid-19 Pandemic].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
    Article
  8. Article
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  10. Observational
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  15. COVID-19 vaccination-triggered cluster headache episodes with frequent attacks.Cephalalgia : an international journal of headache · 2022
    Article
  16. Article
  17. Article
  18. Post COVID-19 vaccination headache: A clinical and epidemiological evaluation.Frontiers in pain research (Lausanne, Switzerland) · 2022
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  19. Review
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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

13 authors at 5 institutions in 3 countries.

Carl H GöbelDepartment of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. carl.goebel@neuro.uni-luebeck.de.ORCID http://orcid.org/0000-0002-4283-6936
Axel HeinzeKiel Migraine and Headache Centre, Kiel, Germany.
Sarah KarstedtKiel Migraine and Headache Centre, Kiel, Germany.
Mascha MorscheckKiel Migraine and Headache Centre, Kiel, Germany.
Lilian TashiroKiel Migraine and Headache Centre, Kiel, Germany.
Anna CirkelDepartment of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Qutyaba HamidSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Rabih HalwaniSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Mohamad-Hani TemsahCollege of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Malte ZiemannInstitute of Transfusion Medicine, University Hospital Schleswig-Holstein, Campus, Lübeck, Germany.
Siegfried GörgInstitute of Transfusion Medicine, University Hospital Schleswig-Holstein, Campus, Lübeck, Germany.
Thomas MünteDepartment of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Hartmut GöbelKiel Migraine and Headache Centre, Kiel, Germany.ORCID https://orcid.org/0000-0003-2163-112X
Clinical Research Center Kiel · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Sharjah · AEChristian-Albrechts-Universität zu Kiel · DEKing Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe most frequently reported neurological adverse event of ChAdOx1 nCoV-19 (AZD1222) vaccine is headache in 57.5%. Several cases of cerebral venous thrombosis (CVT) have developed after vaccination. Headache is the leading symptom of CVT. For the differential diagnosis of headaches attributed to this vaccine and headaches attributed to CVT, it is of central clinical importance whether and, if so, how the phenotypes and course of these headaches can be differentiated. The study aims to examine in detail the phenotype of headache attributed to this vaccine.

methodsData on the clinical features and corresponding variables were recorded using a standardized online questionnaire in this multicenter observational cohort study. The primary outcomes of this study are the clinical features of headaches after vaccination.

findingsA total of 2464 participants reported headaches after vaccination with the ChAdOx1 nCoV-19 (AZD1222) vaccine. On average, headaches occurred 14.5 ± 21.6 h after vaccination and lasted 16.3 ± 30.4 h. A bilateral location was described by 75.8% of participants. This is most often found on the forehead (40.0%) and temples (31.4%); 50.4% reported a pressing and 37.7% a dull pain character. Headache intensity was most often severe (38.7%), moderate (35.2%), or very severe (15.5%). Accompanying symptoms were most commonly fatigue (44.8%), chills (36.1%), exhaustion (34.9%), and fever (30.4%).

conclusionHeadaches attributed to COVID-19 vaccination with the ChAdOx1 nCoV-19 (AZD1222) vaccine demonstrate an extensive and characteristic complex of symptoms. The findings have several important clinical implications for the differentiation of post-vaccinal headache and other primary as well as secondary headaches.

Indexed as

Cerebral venous thrombosisChAdOx1 nCoV-19 (AZD1222) vaccineCOVID-19HeadacheICHD-3International Classification of Headache DisordersNovel coronavirus SARS-CoV-2Side effectsVaccination

Identifiers

PMID34313952
PMCPMC8314854
OpenAlexW3184360353

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.