Evidence map›Paper›PMID 34579245›Full record

ArticleVaccines2021

Acute Transverse Myelitis Following COVID-19 Vaccination.

Jhih-Jian Gao, Hung-Pin Tseng, Chun-Liang Lin, Jr-Shiang Shiu, Ming-Hsun Lee, Ching-Hsiung Liu

Open access · goldAbstract readCase Reports
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
6.4field-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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. An overview of HLA variants in COVID-19 vaccine-induced autoimmunity.International journal of molecular epidemiology and genetics · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. A review of neurological side effects of COVID-19 vaccination.European journal of medical research · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. SARS-CoV-2 vaccinations complicated by transverse myelitis.Human vaccines & immunotherapeutics · 2022
    Article
  20. 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

6 authors at 1 institution in 1 country.

Jhih-Jian GaoDepartment of Neurology, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.ORCID 0000-0003-3981-3028
Hung-Pin TsengDepartment of Neurology, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.
Chun-Liang LinDepartment of Neurology, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.
Jr-Shiang ShiuDepartment of Emergency Medicine, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.
Ming-Hsun LeeDepartment of Radiology, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.
Ching-Hsiung LiuDepartment of Neurology, Lotung Poh-Ai Hospital, Ilan 26546, Taiwan.ORCID 0000-0002-1174-473X
Luodong Poh-Ai Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of people are undergoing vaccination for COVID-19 because of the ongoing pandemic. The newly developed, genetically engineered mRNA vaccines are critical for controlling the epidemic disease. However, major adverse effects, including neuroimmunological disorders, are being attributed to this vaccine. For instance, several cases of acute transverse myelitis (ATM) after COVID-19 vaccination have been reported in clinical trials. Here, we report an exceedingly rare case of longitudinally extensive transverse myelitis (LETM), a rare subtype of ATM involving three or more vertebral segments, that occurred shortly after vaccination with the Moderna COVID-19 (mRNA-1273) vaccine, with a comorbidity of vitamin B12 deficiency. The findings of subsequent investigations suggest the possibility that autoimmune responses are triggered by the reactions between anti-SARS-CoV-2 spike protein antibodies and tissue proteins, as well as the interaction between spike proteins and angiotensin-converting enzyme 2 receptors.

Indexed as

COVID-19COVID-19 vaccinationLETMmRNA vaccinemyelitisvitamin B12

Identifiers

PMID34579245
PMCPMC8470728
OpenAlexW3201257380

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.