Evidence map›Paper›PMID 40358138›Full record

ArticleHuman vaccines & immunotherapeutics2025

Detection of S1 spike protein in CD16+ monocytes up to 245 days in SARS-CoV-2-negative post-COVID-19 vaccine syndrome (PCVS) individuals.

Bruce K Patterson, Ram Yogendra, Edgar B Francisco, Jose Guevara-Coto, Emily Long, Amruta Pise, Eric Osgood, John Bream, Mark Kreimer, Devon Jeffers and 3 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
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  9. The Central Role of Macrophages in Long COVID Pathophysiology.International journal of molecular sciences · 2025
    Review
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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

13 authors.

Bruce K PattersonResearch and Development Department, IncellDx Inc, Hayward, CA, USA.
Ram YogendraDepartment of Anesthesiology, Lawrence General Hospital, Lawrence, MA, USA.ORCID 0000-0001-7966-4093
Edgar B FranciscoResearch and Development Department, IncellDx Inc, Hayward, CA, USA.
Jose Guevara-CotoLab of Tumor Chemosensitivity, CIET/DC Lab, Faculty of Microbiology, Universidad de Costa Rica, San Jose, Costa Rica.
Emily LongResearch and Development Department, IncellDx Inc, Hayward, CA, USA.
Amruta PiseResearch and Development Department, IncellDx Inc, Hayward, CA, USA.
Eric OsgoodDepartment of Medicine, St. Francis Medical Center, Trenton, NJ, USA.
John BreamDepartment of Emergency Medicine, Novant Health Kernersville Medical Center, Kernersville, NC, USA.
Mark KreimerDepartment of Emergency Medicine, New York Presbyterian Hospital, Brooklyn, NY, USA.
Devon JeffersDepartment of Anesthesiology, Stamford Hospital, Stamford, CT, USA.
Christopher BeatyResearch and Development Department, IncellDx Inc, Hayward, CA, USA.
Richard Vander HeideDepartment of Pathology, Marshfield Medical Center, Marshfield, WI, USA.
Rodrigo A Mora-RodríguezLab of Tumor Chemosensitivity, CIET/DC Lab, Faculty of Microbiology, Universidad de Costa Rica, San Jose, Costa Rica.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite over 13 billion SARS-CoV-2 vaccine doses administered globally, persistent post-vaccination symptoms, termed post-COVID-19 vaccine syndrome (PCVS), resemble post-acute sequelae of COVID-19 (PASC). Symptoms like cardiac, vascular, and neurological issues often emerge shortly after vaccination and persist for months to years, mirroring PASC. We previously showed the S1 subunit of the SARS-CoV-2 spike protein persists in CD16+ monocytes after infection, potentially driving PASC. Approved vaccines (Pfizer, Moderna, Janssen, AstraZeneca) deliver synthetic S1 to elicit immunity, suggesting a shared mechanism. We hypothesized that vaccine-derived S1 persistence in CD16+ monocytes sustains inflammation akin to PASC, contributing to PCVS. We studied 50 individuals with PCVS symptoms lasting over 30 days post-vaccination and 26 asymptomatic controls, using (1) machine learning-based immune profiling to compare cytokine signatures with PASC, (2) flow cytometry to detect S1 in CD16+ monocytes, and (3) LC-MS to confirm S1 across vaccine types. We correlated S1 persistence with symptom duration and inflammation. Prior infection was excluded via clinical history, anti-nucleocapsid antibody tests, and T-detect assays, though definitive tests are lacking. Preliminary findings suggest S1 persistence in CD16+ monocytes and an associated inflammatory profile may contribute to PCVS. Further studies are needed to confirm causality and prevalence.

Indexed as

COVID-19COVID-19 VaccinesMonocytesReceptors, IgGSARS-CoV-2Spike Glycoprotein, CoronavirusAdultAgedCytokinesFemaleGPI-Linked ProteinsHumansMaleMiddle AgedCOVID-19 VaccinesCytokinesFCGR3B protein, humanGPI-Linked ProteinsReceptors, IgGSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2CCR5COVID-19fractalkinenon-classical monocytesPASCSARS CoV-2 S1 protein

Identifiers

PMID40358138
PMCPMC12077440

What OpenQuestion holds

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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.