Evidence map›Paper›PMID 37008615›Full record

ArticleJournal of clinical and translational science2023

COVID-19 vaccination and venous thromboembolism risk in older veterans.

Peter L Elkin, Steven H Brown, Skyler Resendez, Wilmon McCray, Melissa Resnick, Kendria Hall, Gillian Franklin, Jean M Connors, Mary Cushman

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and translational science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Advancing regulatory science through real-world data and real-world evidence.Journal of clinical and translational science · 2024
    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

9 authors at 4 institutions in 1 country.

Peter L ElkinDepartment of Biomedical Informatics, University at Buffalo, NY, USA.ORCID https://orcid.org/0000-0001-9616-6811
Steven H BrownDepartment of Veterans Affairs, Knowledge based Systems and WNY VA, USA.
Skyler ResendezDepartment of Biomedical Informatics, University at Buffalo, NY, USA.
Wilmon McCrayDepartment of Biomedical Informatics, University at Buffalo, NY, USA.
Melissa ResnickDepartment of Biomedical Informatics, University at Buffalo, NY, USA.
Kendria HallDepartment of Biomedical Informatics, University at Buffalo, NY, USA.
Gillian FranklinDepartment of Biomedical Informatics, University at Buffalo, NY, USA.
Jean M ConnorsHematology Division Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Mary CushmanLarner College of Medicine at the University of Vermont, Burlington, VT, USA.
University at Buffalo, State University of New York · USKnowledge Based Systems (United States) · USBrigham and Women's Hospital · USUniversity of Vermont · US

Funding

University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
National Library of Medicine Conference 2022T15LM012495 · NLM · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PETER L. ELKIN · 2017 to 2026
$4.3M
Pain Medication Prescriptions and Misuse Following Treatment for Alcohol Use DisordersR21AA026954 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI ELKIN, PETER L., LEONARD, KENNETH E · 2018 to 2019
$386k
NCATS NIH HHS UL1 TR001412NIAAA NIH HHS R21 AA026954NLM NIH HHS T15 LM012495
6 · The paper itself

Abstract

Introduction: It is important for SARS-CoV-2 vaccine providers, vaccine recipients, and those not yet vaccinated to be well informed about vaccine side effects. We sought to estimate the risk of post-vaccination venous thromboembolism (VTE) to meet this need. Methods: We conducted a retrospective cohort study to quantify excess VTE risk associated with SARS-CoV-2 vaccination in US veterans age 45 and older using data from the Department of Veterans Affairs (VA) National Surveillance Tool. The vaccinated cohort received at least one dose of a SARS-CoV-2 vaccine at least 60 days prior to 3/06/22 (N = 855,686). The control group was those not vaccinated ( Results: Vaccinated persons had a VTE rate of 1.3755 (CI: 1.3752-1.3758) per thousand, which was 0.1 percent over the baseline rate of 1.3741 (CI: 1.3738-1.3744) per thousand in the unvaccinated patients, or 1.4 excess cases per 1,000,000. All vaccine types showed a minimal increased rate of VTE (rate of VTE per 1000 was 1.3761 (CI: 1.3754-1.3768) for Janssen; 1.3757 (CI: 1.3754-1.3761) for Pfizer, and for Moderna, the rate was 1.3757 (CI: 1.3748-1.3877)). The tiny differences in rates comparing either Janssen or Pfizer vaccine to Moderna were statistically significant ( Conclusion: The results provide reassurance that there is only a trivial increased risk of VTE with the current US SARS-CoV-2 vaccines used in veterans older than age 45. This risk is significantly less than VTE risk among hospitalized COVID-19 patients. The risk-benefit ratio favors vaccination, given the VTE rate, mortality, and morbidity associated with COVID-19 infection.

Indexed as

data scienceEHR datainformaticsVaccinationvenous thromboembolism

Identifiers

PMID37008615
PMCPMC10052419
OpenAlexW4318823624

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.