Evidence map›Paper›PMID 35533526›Full record

SynthesisThrombosis research2022

Thrombotic thrombocytopenic purpura (TTP) after COVID-19 vaccination: A systematic review of reported cases.

Prachi Saluja, Nitesh Gautam, Sisira Yadala, Anand N Venkata

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Thrombosis research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  2. Pooled it
  3. Acute Kidney Injury Following Vaccine-Induced Thrombotic Microangiopathy.European journal of case reports in internal medicine · 2026
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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

4 authors at 1 institution in 1 country.

Prachi SalujaDepartment of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: psaluja@uams.edu.
Nitesh GautamDepartment of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: ngautam@uams.edu.
Sisira YadalaDepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: syadala@uams.edu.
Anand N VenkataDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: avenkata@uams.edu.
University of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the advent of COVID-19 vaccines, hospitalization rates and progression to severe COVID-19 disease have reduced drastically. Most of the adverse events reported by the vaccine recipients were minor. However, autoimmune hematological complications such as vaccine-induced immune thrombotic thrombocytopenia (VITT), immune thrombocytopenic purpura (ITP) and TTP have also been reported post-COVID-19 vaccination. Given this, we sought to reflect on the existing cases of TTP, whether de novo or relapsing, reported after COVID-19 vaccination to further gain insight into any association, if present, and outcomes.

methodsWe searched PubMed, Embase, and Ebsco databases for published individual case reports on the occurrence or relapse of TTP after receiving any COVID-19 vaccine. A total of 23 articles (27 patients) were included in this qualitative analysis.

resultsThe mean age for the patients who developed de novo TTP post-COVID-19 vaccination was 51.3 years. TTP episodes were seen mostly after BNT162b2 vaccine, followed by mRNA-1273 vaccine. All patients with immune TTP except one received plasma exchange (PLEX) and steroids. One patient passed away after two days of hospitalization, likely due to a sudden cardiovascular event.

conclusionOur review underscores the importance of in-depth anamnesis before vaccination and outlines characteristics of predisposed individuals. Evaluation of post-vaccine thrombocytopenia must include the possibility of TTP given the associated fatality with this condition.

Indexed as

COVID-19Purpura, Thrombocytopenic, IdiopathicPurpura, Thrombotic ThrombocytopenicThrombosis2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 VaccinesHumansMiddle AgedSARS-CoV-2Vaccination2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 VaccinesAd26.COV2-S vaccineBNT162b2 vaccineChAdOx1 nCoV-19 vaccineCOVID-19 vaccinemRNA-1273 vaccineThrombocytopeniaThrombotic thrombocytopenic purpuraTTP

Identifiers

PMID35533526
PMCPMC9060716
OpenAlexW4225300948

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.