Evidence map›Paper›PMID 37993548›Full record

ArticleScientific reports2023

Thrombocytopenia and venous thromboembolic events after BNT162b2, CoronaVac, ChAdOx1 vaccines and SARS-CoV-2 infection: a self-controlled case series study.

Norazida Ab Rahman, Ming Tsuey Lim, Fei Yee Lee, Wee Kee Wo, Hee Sheong Yeoh, Kalaiarasu M Peariasamy, Sheamini Sivasampu, SAFECOVAC Study Group

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. 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

8 authors at 8 institutions in 1 country.

Norazida Ab RahmanInstitute for Clinical Research, National Institutes of Health, Block B4, No 1, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia. norazida@crc.gov.my.ORCID 0000-0001-6439-2005
Ming Tsuey LimInstitute for Clinical Research, National Institutes of Health, Block B4, No 1, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.ORCID 0000-0001-5275-9236
Fei Yee LeeClinical Research Centre, Selayang Hospital, Ministry of Health, Kepong, Selangor, Malaysia.ORCID 0000-0002-5731-4276
Wee Kee WoNational Pharmaceutical Regulatory Agency, Ministry of Health, Shah Alam, Selangor, Malaysia.
Hee Sheong YeohNational Pharmaceutical Regulatory Agency, Ministry of Health, Shah Alam, Selangor, Malaysia.
Kalaiarasu M PeariasamyInstitute for Clinical Research, National Institutes of Health, Block B4, No 1, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.ORCID 0000-0001-9279-3498
Sheamini SivasampuInstitute for Clinical Research, National Institutes of Health, Block B4, No 1, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.ORCID 0000-0003-2314-6048
SAFECOVAC Study Group
Ministry of Health · MYHospital Tengku Ampuan Afzan · MYHospital Kuala Lumpur · MYNational Stroke Association of Malaysia · MYSarawak General Hospital · MYHospital Selayang · MYQueen Elizabeth Hospital · MYNational Institutes of Biotechnology Malaysia · MY

Funding

Kementerian Kesihatan Malaysia NMRR-21-822-59745
6 · The paper itself

Abstract

This study assessed the association between COVID-19 vaccines, SARS-CoV-2 infection and the risk of thrombocytopenia and venous thromboembolism (VTE). This self-controlled case series study used hospital records between 1st February 2021 and 28th February 2022 linked to the national immunisation registry and COVID-19 surveillance data in Malaysia. Conditional Poisson regression was used to estimate incidence rate ratios (IRR) of events in the risk period (day 1-21 post-exposure) relative to control period with the corresponding 95% confidence interval (CI) adjusted for calendar period. We found no significant increased risk of thrombocytopenia in 1-21 days following BNT162b2, CoronaVac and ChAdOx1 vaccines while the risk was increased following SARS-CoV-2 infection (IRR 15.52, 95% CI 13.38-18.00). Similarly, vaccination with BNT162b2, CoronaVac, or ChAdOx1 was not associated with an increased risk of VTE during the 1-21 days risk period. SARS-CoV-2 infection was associated with increased risk of VTE (IRR 39.84, 95% CI 27.45-32.44). Our findings showed low event rates of thrombocytopenia and VTE following booster vaccination with comparable safety profiles between those who received homologous and heterologous booster combinations. Our findings showed the risk of thrombocytopenia and VTE was not increased after COVID-19 vaccination while the risks were substantially higher after SARS-CoV-2 infection.

Indexed as

COVID-19COVID-19 VaccinesThrombocytopeniaVenous ThromboembolismBNT162 VaccineHumansImmunization, SecondaryMalaysiaResearch DesignSARS-CoV-2VaccinationVaccines, InactivatedBNT162 VaccineCOVID-19 Vaccinessinovac COVID-19 vaccineVaccines, Inactivated

Identifiers

PMID37993548
PMCPMC10665324
OpenAlexW4388903999

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.