Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease

Vaccines against acute respiratory syndrome Coronavirus 2(SARS-CoV2) are critical weapons to control the spread of the deadly Coronavirus 2019(COVId-19) virus worldwide. Although these vaccines are generally safe, their widespread use has produced reports of rare complications, including vaccine-ind...

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Main Authors: Salam Alkindi, Refaat Abdullah Elsadek, Anil V Pathare
Format: Article
Language:English
Published: Mattioli1885 2021-09-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://mjhid.org/index.php/mjhid/article/view/4708
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author Salam Alkindi
Refaat Abdullah Elsadek
Anil V Pathare
author_facet Salam Alkindi
Refaat Abdullah Elsadek
Anil V Pathare
author_sort Salam Alkindi
collection DOAJ
description Vaccines against acute respiratory syndrome Coronavirus 2(SARS-CoV2) are critical weapons to control the spread of the deadly Coronavirus 2019(COVId-19) virus worldwide. Although these vaccines are generally safe, their widespread use has produced reports of rare complications, including vaccine-induced immune thrombotic thrombocytopenia (VIITT), particularly in connection with ChAdOx1 nCov-19. We have identified three cases of sickle cell disease (SCD) experiencing a severe vaso-occlusive crisis (VOC) shortly after the vaccine. Despite being stable for a long time, they had fever with tachycardia, along with a significant rise in WBC, liver enzymes, particularly alkaline phosphate, with a remarkable drop in hemoglobin, and platelets and one of them probably had fatal TTP like syndrome. Given these findings, physicians and patients should exercise caution when taking this type of vaccine and be aware of these safety concerns.
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spelling doaj.art-9652ed4bd21045f4b7f6702169d4ba0d2022-12-21T17:23:09ZengMattioli1885Mediterranean Journal of Hematology and Infectious Diseases2035-30062021-09-0113110.4084/MJHID.2021.059Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell diseaseSalam Alkindi0Refaat Abdullah Elsadek Anil V Pathare Prof. Salam Alkindi, MD, BA, MB, BCh, BAO, MSc, DME, FRCP Consultant Haematologist , Department of Haematology,College of Medicine and Health Sciences,Sultan Qaboos University,P. O. Box 35,Muscat 123,Sultanate of Oman.Phone:+96824144736.Fax: +96824413419.E-mail:sskindi@yahoo.comVaccines against acute respiratory syndrome Coronavirus 2(SARS-CoV2) are critical weapons to control the spread of the deadly Coronavirus 2019(COVId-19) virus worldwide. Although these vaccines are generally safe, their widespread use has produced reports of rare complications, including vaccine-induced immune thrombotic thrombocytopenia (VIITT), particularly in connection with ChAdOx1 nCov-19. We have identified three cases of sickle cell disease (SCD) experiencing a severe vaso-occlusive crisis (VOC) shortly after the vaccine. Despite being stable for a long time, they had fever with tachycardia, along with a significant rise in WBC, liver enzymes, particularly alkaline phosphate, with a remarkable drop in hemoglobin, and platelets and one of them probably had fatal TTP like syndrome. Given these findings, physicians and patients should exercise caution when taking this type of vaccine and be aware of these safety concerns.http://mjhid.org/index.php/mjhid/article/view/4708SARS-CoV2, ChAdOx1 nCov-19 vaccine, sickle cell disease, Vaso-occlusive crisis, vaccine induced immune thrombotic thrombocytopenia
spellingShingle Salam Alkindi
Refaat Abdullah Elsadek
Anil V Pathare
Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
Mediterranean Journal of Hematology and Infectious Diseases
SARS-CoV2, ChAdOx1 nCov-19 vaccine, sickle cell disease, Vaso-occlusive crisis, vaccine induced immune thrombotic thrombocytopenia
title Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
title_full Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
title_fullStr Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
title_full_unstemmed Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
title_short Possible side effects of ChAdOx1 nCov-19 vaccine in patients with sickle cell disease
title_sort possible side effects of chadox1 ncov 19 vaccine in patients with sickle cell disease
topic SARS-CoV2, ChAdOx1 nCov-19 vaccine, sickle cell disease, Vaso-occlusive crisis, vaccine induced immune thrombotic thrombocytopenia
url http://mjhid.org/index.php/mjhid/article/view/4708
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