Evidence map›Paper›PMID 35005651›Full record

ArticleHGG advances2022

HLA-A∗03:01 is associated with increased risk of fever, chills, and stronger side effects from Pfizer-BioNTech COVID-19 vaccination.

Alexandre Bolze, Iva Neveux, Kelly M Schiabor Barrett, Simon White, Magnus Isaksson, Shaun Dabe, William Lee, Joseph J Grzymski, Nicole L Washington, Elizabeth T Cirulli

Open access · goldAbstract read
In one paragraph

Article in HGG advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. "Bridging the clinical, molecular and genetic perspectives on myocarditis in post-COVID-19 era".International journal of cardiology. Cardiovascular risk and prevention · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Human genetics of responses to vaccines.Clinical and experimental immunology · 2025
    Review
  11. An overview of HLA variants in COVID-19 vaccine-induced autoimmunity.International journal of molecular epidemiology and genetics · 2025
    Review
  12. Article
  13. Review
  14. TAFRO Syndrome and COVID-19.Biomedicines · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Vaccinomics and adversomics: key elements for a personalized vaccinology.Clinical and experimental vaccine research · 2024
    Review
  19. 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

10 authors at 3 institutions in 1 country.

Alexandre BolzeHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Iva NeveuxCenter for Genomic Medicine, Desert Research Institute, 2215 Raggio Parkway, Reno, NV 89512, USA.
Kelly M Schiabor BarrettHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Simon WhiteHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Magnus IsakssonHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Shaun DabeRenown Health, 1155 Mill Street, Reno, NV 89502, USA.
William LeeHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Joseph J GrzymskiCenter for Genomic Medicine, Desert Research Institute, 2215 Raggio Parkway, Reno, NV 89512, USA.
Nicole L WashingtonHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Elizabeth T CirulliHelix, 101 South Ellsworth Avenue, Suite 350, San Mateo, CA 94401, USA.
Helix (United States) · USDesert Research Institute · USRenown Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 vaccines are safe and highly effective, but some individuals experience unpleasant reactions to vaccination. As the majority of adults in the United States have received a COVID-19 vaccine this year, there is an unprecedented opportunity to study the genetics of reactions to vaccination via surveys of individuals who are already part of genetic research studies. Here, we have queried 17,440 participants in the Helix DNA Discovery Project and Healthy Nevada Project about their reactions to COVID-19 vaccination. Our genome-wide association study identifies an association between severe difficulties with daily routine after vaccination and HLA-A∗03:01. This association was statistically significant only for those who received the Pfizer-BioNTech vaccine (BNT162b2; n = 3,694; p = 4.70E-11; OR = 2.07 [95% CI 1.67-2.56]), and showed a smaller effect size in those who received the Moderna vaccine (mRNA-1273; n = 3,610; p = 0.005; OR = 1.32 [95% CI 1.09-1.59]). In Pfizer-BioNTech recipients, HLA-A∗03:01 was associated with a 2-fold increase in risk of self-reported severe difficulties with daily routine following vaccination. The effect was consistent across ages, sexes, and whether the person had previously had a COVID-19 infection. The reactions experienced by HLA-A∗03:01 carriers were driven by associations with chills, fever, fatigue, and generally feeling unwell.

Indexed as

COVIDCOVID-19GWASHLAHLA-AHLA-A∗03:01SARS-CoV-2vaccination

Identifiers

PMID35005651
PMCPMC8719913
OpenAlexW4206676758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.