Evidence map›Paper›PMID 34344867›Full record

ArticleCell death & disease2021

Thromboembolism after COVID-19 vaccine in patients with preexisting thrombocytopenia.

Alessandro Mauriello, Manuel Scimeca, Ivano Amelio, Renato Massoud, Antonio Novelli, Francesca Di Lorenzo, Susanna Finocchiaro, Carolina Cimino, Rossana Telesca, Marcello Chiocchi and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Cell death & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Immune response in COVID-19: what is next?Cell death and differentiation · 2022
    Review
  10. Review
  11. Review
  12. Review
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

15 authors at 5 institutions in 6 countries.

Alessandro MaurielloDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy. alessandro.mauriello@uniroma2.it.ORCID 0000-0002-7351-5676
Manuel ScimecaDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0003-0585-1309
Ivano AmelioDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0003-0739-325X
Renato MassoudDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0001-7971-0715
Antonio NovelliLaboratory of Medical Genetics, Translational Cytogenomics Research Unit, Bambino Gesù Children Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-5671-9220
Francesca Di LorenzoDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0001-8574-337X
Susanna FinocchiaroDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0002-8684-4831
Carolina CiminoDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0002-5793-9727
Rossana TelescaDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0002-5365-7167
Marcello ChiocchiDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID 0000-0001-6041-4166
Qiang SunLaboratory of Cell Engineering, Institute of Biotechnology; Research Unit of Cell Death Mechanism, Chinese Academy of Medical Science, 2020RU009, 20 Dongda Street, Beijing, 100071, China.ORCID 0000-0001-8094-2214
Ying WangInstitute of Nutrition and Health Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China.ORCID 0000-0002-2571-9367
Yufang ShiInstitute of Nutrition and Health Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China.ORCID 0000-0001-8964-319X
Giuseppe NovelliDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133, Rome, Italy. novelli@med.uniroma2.it.ORCID 0000-0002-7781-602X
Gerry MelinoDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy. melino@uniroma2.it.ORCID 0000-0001-9428-5972
University of Rome Tor Vergata · ITBambino Gesù Children's Hospital · ITChinese Academy of Medical Sciences & Peking Union Medical College · CNJohnson University · USShanghai Institute of Nutrition and Health · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While vaccination is the single most effective intervention to drastically reduce severe disease and death following SARS-CoV-2 infection, as shown in UK and Israel, some serious concerns have been raised for an unusual adverse drug reaction (ADR), including vaccine-induced immune thrombotic thrombocytopenia (VITT) with concurrent low platelets as well as capillary leak syndrome. In fact, the overall safety of the vaccine is highlighted by the low frequency of ADR considering that in UK, by the early June, 40 million first doses and 29 million second doses have been injected; nonetheless, 390 thrombotic events, including 71 fatal events have been reported. Interestingly, the cases reported low platelet counts with the presence of anti-platelet factor-4 (PF4) antibodies, indicating an abnormal clotting reaction. Here, out of three referred cases, we report a post-vaccine clinical case of fatal thrombosis with postmortem examination and whole exome sequencing (WES) analysis, whose pathogenesis appeared associated to a preexisting condition of thrombocytopenia due to myelodysplasia.

Indexed as

Bone MarrowChAdOx1 nCoV-19COVID-19COVID-19 VaccinesFatal OutcomeFemaleHumansLungMiddle AgedMyelodysplastic SyndromesSARS-CoV-2ThrombocytopeniaThromboembolismChAdOx1 nCoV-19COVID-19 Vaccines

Identifiers

PMID34344867
PMCPMC8328816
OpenAlexW3189262260

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.