Evidence map›Paper›PMID 35094372›Full record

SynthesisJournal of endocrinological investigation2022

SARS-CoV-2 vaccine-associated subacute thyroiditis: insights from a systematic review.

S Ippolito, D Gallo, A Rossini, B Patera, N Lanzo, G F M Fazzino, E Piantanida, M L Tanda

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of endocrinological investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. How to manage subacute thyroiditis.Drugs in context · 2026
    Review
  7. Article
  8. Subacute Thyroiditis-Is it Really Linked to Viral Infection?The Journal of clinical endocrinology and metabolism · 2025
    Article
  9. Article
  10. Review
  11. Thyroid dysfunction in COVID-19.Nature reviews. Endocrinology · 2024
    Review
  12. Article
  13. Review
  14. Subacute thyroiditis after receiving the COVID-19 vaccine.Respiratory medicine case reports · 2024
    Article
  15. Article
  16. Review
  17. The Spectrum of Endocrine Pathology.Endocrine pathology · 2023
    Review
  18. COVID-19 vaccination and thyroiditis.Best practice & research. Clinical endocrinology & metabolism · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

S IppolitoEndocrine Unit, ASST dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy. silviaippolito.md@gmail.com.ORCID http://orcid.org/0000-0002-2982-3153
D GalloEndocrine Unit, ASST dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
A RossiniEndocrine and Diabetes Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
B PateraDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
N LanzoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
G F M FazzinoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
E PiantanidaEndocrine Unit, ASST dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
M L TandaEndocrine Unit, ASST dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
University of Insubria · ITATS Sardegna (Italy) · ITOspedale Filippo Del Ponte Varese · ITOspedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a systematic review on published cases of subacute thyroiditis (SAT) secondary to SARS-CoV-2 vaccination, to highlight main features and increase the awareness of this condition.

methodsOriginal reports of SAT developed after SARS-CoV-2 vaccination (mRNA, viral vector, or inactivated virus vaccines) were retrieved from a search of electronic databases. Individual patient data on demographics, medical history, type of vaccine, workup and therapies were collected. Wilcoxon rank-sum, Kruskal-Wallis and chi-squared tests were employed for comparisons.

results30 articles including 48 reports were retrieved, 3 additional cases evaluated by the Authors were described and included for analysis. Of the 51 patients, 38 (74.5%) were women, median age was 39.5 years (IQR 34-47). Patients developed SAT after a median of 10 days (IQR 4-14) after the vaccine shot. Baseline thyroid exams revealed thyrotoxicosis in 88.2% of patients, decreasing at 31.6% at follow-up. Corticosteroids were used in 56.4% of treated patients. Patients undergoing non-mRNA vaccines were most frequently Asian (p = 0.019) and reported more frequently weight loss (p = 0.021). All patients with a previous diagnosis of thyroid disease belonged to the mRNA vaccine group.

conclusionSARS-CoV-2 vaccine-associated SAT is a novel entity that should be acknowledged by physicians. Previous history of thyroid disease may predispose to develop SAT after mRNA vaccines, but further studies and larger cohorts are needed to verify this suggestion. SARS-CoV-2 vaccine-associated SAT is usually of mild/moderate severity and could be easily treated in most cases, thus it should not raise any concern regarding the need to be vaccinated.

Indexed as

COVID-19Thyroid DiseasesThyroiditis, SubacuteAdultCOVID-19 VaccinesFemaleHumansMalemRNA VaccinesSARS-CoV-2Vaccines, SyntheticCOVID-19 VaccinesmRNA VaccinesVaccines, SyntheticAdjuvantsSARS-CoV-2Subacute thyroiditisThyroidVaccine

Identifiers

PMID35094372
PMCPMC8800554
OpenAlexW4210669519

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.