Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine

Reported vascular complications following mRNA-based COVID-19 vaccines are consisting of myocarditis, cerebral venous thrombosis, cerebral vascular thrombosis, and vaccine-induced thrombocytopenia. Here, we describe a case of a 49-year-old woman with left-sided pain above the middle common carotid a...

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Main Authors: Georgiana C. Sandu, Gregor Weisser, Stefan Krämer, Matthias Reinhard
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2023/6679200
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author Georgiana C. Sandu
Gregor Weisser
Stefan Krämer
Matthias Reinhard
author_facet Georgiana C. Sandu
Gregor Weisser
Stefan Krämer
Matthias Reinhard
author_sort Georgiana C. Sandu
collection DOAJ
description Reported vascular complications following mRNA-based COVID-19 vaccines are consisting of myocarditis, cerebral venous thrombosis, cerebral vascular thrombosis, and vaccine-induced thrombocytopenia. Here, we describe a case of a 49-year-old woman with left-sided pain above the middle common carotid artery (carotidynia) starting a few days after her second vaccination with an mRNA-based COVID-19 vaccine (Spikevax). Imaging was indicative of transient perivascular inflammation of the carotid artery (TIPIC) syndrome. The diagnostic workup for other immunologically mediated diseases was negative. The inflammation subsided after a course of prednisone and aspirin, and clinical symptoms vanished, but later mildly relapsed in the context of a viral upper respiratory tract infection other than SARS-CoV-2. Carotidynia because of TIPIC syndrome may present as an immunogenic side effect of the newly developed mRNA-based vaccinations against COVID-19. TIPIC syndrome should be considered in new-onset neck pain after vaccination.
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spelling doaj.art-74e408bff2bd40798a75cffb6eac62692024-10-03T07:27:36ZengHindawi LimitedCase Reports in Vascular Medicine2090-69942023-01-01202310.1155/2023/6679200Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 VaccineGeorgiana C. Sandu0Gregor Weisser1Stefan Krämer2Matthias Reinhard3Department of Neurology and Clinical NeurophysiologyCenter for Internal MedicineDepartment of Radiology and Nuclear MedicineDepartment of Neurology and Clinical NeurophysiologyReported vascular complications following mRNA-based COVID-19 vaccines are consisting of myocarditis, cerebral venous thrombosis, cerebral vascular thrombosis, and vaccine-induced thrombocytopenia. Here, we describe a case of a 49-year-old woman with left-sided pain above the middle common carotid artery (carotidynia) starting a few days after her second vaccination with an mRNA-based COVID-19 vaccine (Spikevax). Imaging was indicative of transient perivascular inflammation of the carotid artery (TIPIC) syndrome. The diagnostic workup for other immunologically mediated diseases was negative. The inflammation subsided after a course of prednisone and aspirin, and clinical symptoms vanished, but later mildly relapsed in the context of a viral upper respiratory tract infection other than SARS-CoV-2. Carotidynia because of TIPIC syndrome may present as an immunogenic side effect of the newly developed mRNA-based vaccinations against COVID-19. TIPIC syndrome should be considered in new-onset neck pain after vaccination.http://dx.doi.org/10.1155/2023/6679200
spellingShingle Georgiana C. Sandu
Gregor Weisser
Stefan Krämer
Matthias Reinhard
Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
Case Reports in Vascular Medicine
title Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
title_full Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
title_fullStr Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
title_full_unstemmed Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
title_short Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine
title_sort relapsing tipic syndrome after administration of an mrna based covid 19 vaccine
url http://dx.doi.org/10.1155/2023/6679200
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