Evidence map›Paper›PMID 40083673›Full record

ReviewHealth science reports2025

A Systematic Review of Vascular Injuries: A Review of Petechiae, Purpura, and Ecchymosis in Critical Situations Following COVID-19 Vaccination.

Yasamin Kalantari, Seyed Mohamad Sadegh Mirahmadi, Sanam Alilou, Sara Sadeghi, Zeinab Aryanian, Alireza Jafarzadeh, Azadeh Goodarzi

Abstract readReview
In one paragraph

Review in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Yasamin KalantariDepartment of Dermatology, Razi Hospital Tehran University of Medical Sciences, Razi Hospital, Vahdat-e-Eslami Square Tehran Iran.ORCID 0000-0001-8443-4591
Seyed Mohamad Sadegh MirahmadiSchool of Medicine Iran University of Medical Sciences Tehran Iran.ORCID 0000-0003-0664-2031
Sanam AlilouStudent Research Committee, Faculty of Medicine Iran University of Medical Sciences Tehran Iran.ORCID 0000-0003-1756-7380
Sara SadeghiDivision of Dermatology, Department of Pediatrics, Alberta Children's Hospital University of Calgary Calgary AB Canada.ORCID 0000-0002-1657-1487
Zeinab AryanianAutoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0001-7077-1458
Alireza JafarzadehDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine Iran University of Medical Sciences (IUMS) Tehran Iran.ORCID 0000-0001-5878-9778
Azadeh GoodarziDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine Iran University of Medical Sciences (IUMS) Tehran Iran.ORCID 0000-0002-1249-4429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Vascular injuries characterized by petechiae, purpura, and ecchymosis have been reported as potential adverse effects following COVID-19 vaccination. This study aims to identify the characteristics of patients experiencing vascular injuries postvaccination and to outline key clinical considerations. Methods: A systematic review was conducted in accordance with PRISMA guidelines. A comprehensive search of Scopus, Web of Science, and PubMed/MEDLINE databases was performed for English-language publications up to July 2024. Eligible studies included reports of vascular injuries following COVID-19 vaccination. Results: Of the 1064 articles retrieved, 35 studies met the inclusion criteria. The majority of cases presented symptoms after receiving the first doses of Pfizer-BioNTech, Moderna, AstraZeneca, and Janssen vaccines. Diagnosed conditions included thrombotic thrombocytopenic purpura (TTP), immune thrombocytopenic purpura (ITP), vasculitis, and acquired hemophilia A. None of the patients tested positive for SARS-CoV-2 at the time of diagnosis. The most commonly affected sites were the lower extremities, with petechiae, purpura, and ecchymosis being the predominant manifestations. Conclusion: Our findings suggest a possible but unconfirmed association between COVID-19 vaccination and the development of vascular injuries, including petechiae, purpura, and ecchymosis. These symptoms may serve as early indicators of critical conditions requiring urgent medical intervention. Further research and postvaccination monitoring are necessary to establish causality and assess potential risk factors.

Indexed as

COVID‐19ModernamRNA‐1273Oxford‐AstraZenecaPfizer‐BioNTechSARS‐CoV‐2

Identifiers

PMID40083673
PMCPMC11903322

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