Evidence map›Paper›PMID 37986769›Full record

ArticlemedRxiv : the preprint server for health sciences2023

Post-Vaccination Syndrome: A Descriptive Analysis of Reported Symptoms and Patient Experiences After Covid-19 Immunization.

Harlan M Krumholz, Yilun Wu, Mitsuaki Sawano, Rishi Shah, Tianna Zhou, Adith S Arun, Pavan Khosla, Shayaan Kaleem, Anushree Vashist, Bornali Bhattacharjee and 10 more

Open access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Observational
  3. 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

20 authors at 7 institutions in 2 countries.

Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.ORCID 0000-0003-2046-127X
Yilun WuCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.
Mitsuaki SawanoCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.ORCID 0000-0003-2789-1758
Rishi ShahCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.
Tianna ZhouYale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-8170-1612
Adith S ArunYale School of Medicine, New Haven, Connecticut.ORCID 0000-0003-3675-9521
Pavan KhoslaYale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-6966-6084
Shayaan KaleemTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Anushree VashistCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.
Bornali BhattacharjeeCenter for Infection and Immunity, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-0801-1543
Qinglan DingCollege of Health and Human Sciences, Purdue University, West Lafayette, Indiana.ORCID 0000-0001-7431-0288
Yuan LuCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.ORCID 0000-0001-5264-2169
César CaraballoCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.ORCID 0000-0002-4557-9437
Frederick WarnerCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.ORCID 0000-0001-5588-7372
Chenxi HuangCenter for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut.
Jeph HerrinSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
David PutrinoRehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York.
Danice HertzIndependent Researcher, Los Angeles, California.
Brianne DressenREACT19.
Akiko IwasakiCenter for Infection and Immunity, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7824-9856
Yale New Haven Hospital · USYale University · USFilm Independent · USHoward Hughes Medical Institute · USIcahn School of Medicine at Mount Sinai · USPurdue University West Lafayette · USUniversity of Toronto · CA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale-Mayo FDA Center for Excellence in Regulatory Science and InnovationU01FD005938 · FDA · YALE UNIVERSITY · PI Joseph Solomon Ross · 2016 to 2026
$25.4M
Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
FDA HHS U01 FD005938NCATS NIH HHS UL1 TR001863NHLBI NIH HHS T35 HL007649
6 · The paper itself

Abstract

Introduction: A chronic post-vaccination syndrome (PVS) after covid-19 vaccination has been reported but has yet to be well characterized. Methods: We included 241 individuals aged 18 and older who self-reported PVS after covid-19 vaccination and who joined the online Yale Listen to Immune, Symptom and Treatment Experiences Now (LISTEN) Study from May 2022 to July 2023. We summarized their demographics, health status, symptoms, treatments tried, and overall experience. Results: The median age of participants was 46 years (interquartile range [IQR]: 38 to 56), with 192 (80%) identifying as female, 209 (87%) as non-Hispanic White, and 211 (88%) from the United States. Among these participants with PVS, 127 (55%) had received the BNT162b2 [Pfizer-BioNTech] vaccine, and 86 (37%) received the mRNA-1273 [Moderna] vaccine. The median time from the day of index vaccination to symptom onset was three days (IQR: 1 day to 8 days). The time from vaccination to symptom survey completion was 595 days (IQR: 417 to 661 days). The median Euro-QoL visual analogue scale score was 50 (IQR: 39 to 70). The five most common symptoms were exercise intolerance (71%), excessive fatigue (69%), numbness (63%), brain fog (63%), and neuropathy (63%). In the week before survey completion, participants reported feeling unease (93%), fearfulness (82%), and overwhelmed by worries (81%), as well as feelings of helplessness (80%), anxiety (76%), depression (76%), hopelessness (72%), and worthlessness (49%) at least once. Participants reported a median of 20 (IQR: 13 to 30) interventions to treat their condition. Conclusions: In this study, individuals who reported PVS after covid-19 vaccination had low health status, high symptom burden, and high psychosocial stress despite trying many treatments. There is a need for continued investigation to understand and treat this condition.

Identifiers

PMID37986769
PMCPMC10659483
OpenAlexW4388563419

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.