Evidence map›Paper›PMID 34986404›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

Vaccine-induced massive pulmonary embolism and thrombocytopenia following a single dose of Janssen Ad26.COV2.S vaccination.

Rosa Curcio, Vito Gandolfo, Riccardo Alcidi, Luciano Giacomino, Tommaso Campanella, Genni Casarola, Rachele Rossi, Lorenzo Chiatti, Marco D'Abbondanza, Rita Commissari and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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

13 authors at 1 institution in 1 country.

Rosa CurcioDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Vito GandolfoDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Riccardo AlcidiDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Luciano GiacominoDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Emergency, 'Santa Maria' Terni University Hospital, Terni, Italy.
Tommaso CampanellaDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Genni CasarolaDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Rachele RossiDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Lorenzo ChiattiDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Marco D'AbbondanzaDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
Rita CommissariDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Emergency, 'Santa Maria' Terni University Hospital, Terni, Italy.
Paolo GreseleDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Giacomo PucciDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy. Electronic address: giacomo.pucci@unipg.it.
Gaetano VaudoDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy; Unit of Internal Medicine, 'Santa Maria' Terni University Hospital, Terni, Italy.
University of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccine-induced immune thrombotic thrombocytopenia (VITT) has emerged as a rare side effect of adenoviral vector-based vaccines against coronavirus disease 2019 (COVID-19), and is most frequently reported after use of the Vaxzevria (AstraZeneca) vaccine. This report describes a case of severe thrombocytopenia associated with massive pulmonary embolism and portal vein thrombosis occurring 13 days after the administration of the single-dose adenoviral vector-based vaccine Ad26.COV2.S (Janssen Vaccines). Based on early clinical suspicion, the patient quickly received treatment with corticosteroids and intravenous immunoglobulin, followed by a rapid increase in platelet count that allowed timely administration of full-dose anticoagulation. Treatment with intravenous immunoglobulin, however, could mask the ability of anti-platelet factor 4-heparin antibodies to bind and activate platelets in the presence of heparin, leading to false-negative results on the immunoassay functional test. Therefore, if VITT is suspected, blood samples for diagnostic confirmation should be collected prior to any treatment to improve diagnostic performance.

Indexed as

COVID-19Pulmonary EmbolismThrombocytopeniaVaccinesAd26COVS1COVID-19 VaccinesHumansSARS-CoV-2VaccinationAd26COVS1COVID-19 VaccinesVaccinesAD26.COV2.SCOVID-19JanssenPulmonary embolismVaccinationVaccine-induced thrombosis with thrombocytopenia

Identifiers

PMID34986404
PMCPMC8720302
OpenAlexW4205630570

What OpenQuestion holds

Textmetadata
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.