Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data

We report the occurrence of immune thrombocytopenia (ITP) in a 77-year-old man a few days after receiving the first dose of the COVID-19 mRNA vaccine tozinameran (Comirnaty®). The patient was treated with systemic corticosteroids, intravenous immunoglobulins and eltrombopag. He elected to proceed...

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Main Authors: Raphael Battegay, Ioanna Istampoulouoglou, Andreas Holbro, Andreas Buser, Julia R. Hirsiger, Jens Eckstein, Christoph T. Berger, Sarah Koechlin, Anne B. Leuppi-Taegtmeyer
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2021-12-01
Series:Swiss Medical Weekly
Online Access:https://www.smw.ch/index.php/smw/article/view/3118
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author Raphael Battegay
Ioanna Istampoulouoglou
Andreas Holbro
Andreas Buser
Julia R. Hirsiger
Jens Eckstein
Christoph T. Berger
Sarah Koechlin
Anne B. Leuppi-Taegtmeyer
author_facet Raphael Battegay
Ioanna Istampoulouoglou
Andreas Holbro
Andreas Buser
Julia R. Hirsiger
Jens Eckstein
Christoph T. Berger
Sarah Koechlin
Anne B. Leuppi-Taegtmeyer
author_sort Raphael Battegay
collection DOAJ
description We report the occurrence of immune thrombocytopenia (ITP) in a 77-year-old man a few days after receiving the first dose of the COVID-19 mRNA vaccine tozinameran (Comirnaty®). The patient was treated with systemic corticosteroids, intravenous immunoglobulins and eltrombopag. He elected to proceed with the second dose of tozinameran 14 weeks after the first and his platelet count remained stable under a tapered eltrombopag dose. To our knowledge, this is the first case in which a second tozinameran dose has been administered to a patient who developed presumed secondary ITP after the first vaccination. We also report global pharmacovigilance data for the occurrence of ITP after vaccination with tozinameran.
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spelling doaj.art-e97f5bcbb9614c36be9f1b20e9aa52a12024-11-02T17:41:18ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972021-12-01151495010.4414/SMW.2021.w30084Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance dataRaphael BattegayIoanna IstampoulouoglouAndreas HolbroAndreas BuserJulia R. HirsigerJens EcksteinChristoph T. BergerSarah KoechlinAnne B. Leuppi-Taegtmeyer We report the occurrence of immune thrombocytopenia (ITP) in a 77-year-old man a few days after receiving the first dose of the COVID-19 mRNA vaccine tozinameran (Comirnaty®). The patient was treated with systemic corticosteroids, intravenous immunoglobulins and eltrombopag. He elected to proceed with the second dose of tozinameran 14 weeks after the first and his platelet count remained stable under a tapered eltrombopag dose. To our knowledge, this is the first case in which a second tozinameran dose has been administered to a patient who developed presumed secondary ITP after the first vaccination. We also report global pharmacovigilance data for the occurrence of ITP after vaccination with tozinameran. https://www.smw.ch/index.php/smw/article/view/3118
spellingShingle Raphael Battegay
Ioanna Istampoulouoglou
Andreas Holbro
Andreas Buser
Julia R. Hirsiger
Jens Eckstein
Christoph T. Berger
Sarah Koechlin
Anne B. Leuppi-Taegtmeyer
Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
Swiss Medical Weekly
title Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
title_full Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
title_fullStr Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
title_full_unstemmed Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
title_short Immune thrombocytopenia associated with COVID-19 mRNA vaccine tozinameran – a clinical case and global pharmacovigilance data
title_sort immune thrombocytopenia associated with covid 19 mrna vaccine tozinameran a clinical case and global pharmacovigilance data
url https://www.smw.ch/index.php/smw/article/view/3118
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