Evidence map›Paper›PMID 34719084›Full record

SynthesisJournal of cosmetic dermatology2021

Can SARS-CoV-2 vaccine increase the risk of reactivation of Varicella zoster? A systematic review.

Hardik D Desai, Kamal Sharma, Anchal Shah, Jaimini Patoliya, Anant Patil, Zahra Hooshanginezhad, Stephan Grabbe, Mohamad Goldust

Open access · bronzeAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of cosmetic dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.9field-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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Co-VAN study: COVID-19 vaccine associated neurological diseases- an experience from an apex neurosciences centre and review of the literature.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023
    Review
  8. Herpes Zoster Following COVID-19 Vaccine Booster.The American journal of case reports · 2023
    Article
  9. Article
  10. Herpes Zoster and COVID-19 Vaccination: A Narrative Review.Clinical, cosmetic and investigational dermatology · 2023
    Review
  11. Article
  12. Article
  13. COVID-19 Vaccines, Effectiveness, and Immune Responses.International journal of molecular sciences · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Varicella Zoster Virus Reactivation in Patients with COVID-19: The Possible Immunological Basis.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

8 authors at 6 institutions in 3 countries.

Hardik D DesaiGraduate Medical Education, Gujarat Adani Institute of Medical Sciences, Affiliated to K.S.K.V University, Bhuj, India.ORCID https://orcid.org/0000-0001-5373-8146
Kamal SharmaDepartment of Cardiology, UN Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Affiliated to B J Medical College, Ahmedabad, India.
Anchal ShahShah's Hair Clinic, Ahmedabad, India.
Jaimini PatoliyaDepartment of Biochemistry and Forensic science, Gujarat University, Ahmedabad, India.
Anant PatilDepartment of Pharmacology, Dr. DY Patil Medical College, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-9455-4025
Zahra HooshanginezhadShiraz University of Medical Sciences, Shiraz, Iran.
Stephan GrabbeDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Mohamad GoldustDepartment of Dermatology, University Medical Center Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0002-8646-1179
Johannes Gutenberg University Mainz · DEAhmedabad Civil Hospital · INDr. D. Y. Patil Medical College, Hospital and Research Centre · INGujarat University · INInstitute of Medical Sciences · INShiraz University of Medical Sciences · IR

Funding

Johannes Gutenberg Universitat Universitatsmedizin
6 · The paper itself

Abstract

introductionAlthough the COVID-19 vaccination is deemed safe, exact incidence and nature if adverse effects, particularly dermatological ones, are still unknown.

objectiveTo describe the demographic, clinical, morphological characteristics, outcomes, and timing of development of herpes zoster to the various COVID-19 vaccines. And to identify on whether COVID-19 vaccine has temporal relationship between development of herpes zoster (HZ).

methodsWe have performed a systemic review of articles from PubMed and Embase using MeSH and keywords like "Shingles," "Herpes zoster," "Varicella zoster," "COVID-19," "Vaccine," "SARS-CoV-2." No filters including country of publication, language, type of articles were applied. Individual case report references were filtered for any pertinent cases.

resultsA total of 54 cases consisting of 27 male and 27 female patients have been reported. There were cases with known risk factors for herpes zoster, which included age more than 50 years (n = 36), immunological disorders (n = 10), chronic disease (n = 25), metabolic disorder (n = 13), malignancy (n = 4), and psychiatric disorder (n = 2). The mean (SD) period between development of herpes zoster and COVID-19 vaccination was 7.64 (6.92) days. Majority of the cases were from the high-income and/or middle-income countries. 86.27% of the cases of HZ were reported due to mRNA vaccine. Thirty-six patients 36/45 (80%) developed herpes zoster following the priming dose of COVID-19 vaccine among those who received mRNA vaccine.

conclusionWe could not establish definite link but there may be possible association between COVID-19 vaccine and shingles. Large-scale studies may help to understand the cause-effect relationship.

Indexed as

ChickenpoxCOVID-19Herpes ZosterHerpes Zoster VaccineCOVID-19 VaccinesFemaleHumansMaleMiddle AgedSARS-CoV-2COVID-19 VaccinesHerpes Zoster VaccineCOVID-19herpes zostervaccineVaricella zoster

Identifiers

PMID34719084
PMCPMC8597588
OpenAlexW3210612340

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.