Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system

Background: Headache is the most common neurological side effect of coronavirus disease 2019 (COVID 19) vaccination. However, the underlying reason for COVID 19 postvaccine headache has not been fully understood. In this study, we addressed the potential association of vaccine related headaches with...

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Main Authors: Yilmaz, Gülcan Göçmez, Murzakhanov, Nazlican, Yildirim, Didem Derici, Baykan, Betül, Garcia-Azorin, David, Frontera, Jennifer A., Winkler, Andrea Sylvia, Özge, Aynur
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Published: Wolters Kluwer - Medknow 2023
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author Yilmaz, Gülcan Göçmez
Murzakhanov, Nazlican
Yildirim, Didem Derici
Baykan, Betül
Garcia-Azorin, David
Frontera, Jennifer A.
Winkler, Andrea Sylvia
Özge, Aynur
author_facet Yilmaz, Gülcan Göçmez
Murzakhanov, Nazlican
Yildirim, Didem Derici
Baykan, Betül
Garcia-Azorin, David
Frontera, Jennifer A.
Winkler, Andrea Sylvia
Özge, Aynur
author_sort Yilmaz, Gülcan Göçmez
collection UPM
description Background: Headache is the most common neurological side effect of coronavirus disease 2019 (COVID 19) vaccination. However, the underlying reason for COVID 19 postvaccine headache has not been fully understood. In this study, we addressed the potential association of vaccine related headaches with a history of allergy, atopic diseases, as well as other comorbid conditions to gain insight about the pathophysiology of this headache. Materials and Methods: This study analyzed the data from the Vaccine Adverse Event Reporting System database and reorganized dataset accordingly. The study included individuals aged 16–85 years who received the first or second dose of COVID 19 vaccines approved by the Food and Drug Administration. Allergy and atopic disease histories (reported food or drug allergy, allergic rhinitis, asthma, and other autoimmune diseases) and other accompanying diseases such as depression, anxiety, sleep disorders, fibromyalgia, and obesity of these subjects were examined from the revised data, and their relationship with COVID 19 vaccine related headaches was investigated. Results: We found a statistically significant positive association in patients with a history of headache after COVID 19 vaccination and reported a history of allergy (P < 0.001). In the allergy subgroup (n = 14547 [37.1%]), the frequency of headaches following COVID 19 vaccine was found to be higher in those with drug, food, and/or multiple allergies (P < 0.05). A statistically significant relationship was disclosed between asthma, autoimmune diseases, and headache, but no association was found with allergic rhinitis (P < 0.001, P = 0.160). Furthermore, the rate of headaches after vaccination was found to be higher in people with fibromyalgia and depression (P < 0.001, both). Conclusion: Significant associations between headaches triggered by the COVID 19 vaccine and histories of allergy, fibromyalgia, and depression may suggest a shared predisposing mechanism for pathophysiology. Knowledge about allergy history and related comorbid conditions can be helpful in predicting COVID 19 vaccine headache. Future prospective data may provide further enlightenment on management.
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spelling upm.eprints-1081502024-09-23T03:28:33Z http://psasir.upm.edu.my/id/eprint/108150/ Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system Yilmaz, Gülcan Göçmez Murzakhanov, Nazlican Yildirim, Didem Derici Baykan, Betül Garcia-Azorin, David Frontera, Jennifer A. Winkler, Andrea Sylvia Özge, Aynur Background: Headache is the most common neurological side effect of coronavirus disease 2019 (COVID 19) vaccination. However, the underlying reason for COVID 19 postvaccine headache has not been fully understood. In this study, we addressed the potential association of vaccine related headaches with a history of allergy, atopic diseases, as well as other comorbid conditions to gain insight about the pathophysiology of this headache. Materials and Methods: This study analyzed the data from the Vaccine Adverse Event Reporting System database and reorganized dataset accordingly. The study included individuals aged 16–85 years who received the first or second dose of COVID 19 vaccines approved by the Food and Drug Administration. Allergy and atopic disease histories (reported food or drug allergy, allergic rhinitis, asthma, and other autoimmune diseases) and other accompanying diseases such as depression, anxiety, sleep disorders, fibromyalgia, and obesity of these subjects were examined from the revised data, and their relationship with COVID 19 vaccine related headaches was investigated. Results: We found a statistically significant positive association in patients with a history of headache after COVID 19 vaccination and reported a history of allergy (P < 0.001). In the allergy subgroup (n = 14547 [37.1%]), the frequency of headaches following COVID 19 vaccine was found to be higher in those with drug, food, and/or multiple allergies (P < 0.05). A statistically significant relationship was disclosed between asthma, autoimmune diseases, and headache, but no association was found with allergic rhinitis (P < 0.001, P = 0.160). Furthermore, the rate of headaches after vaccination was found to be higher in people with fibromyalgia and depression (P < 0.001, both). Conclusion: Significant associations between headaches triggered by the COVID 19 vaccine and histories of allergy, fibromyalgia, and depression may suggest a shared predisposing mechanism for pathophysiology. Knowledge about allergy history and related comorbid conditions can be helpful in predicting COVID 19 vaccine headache. Future prospective data may provide further enlightenment on management. Wolters Kluwer - Medknow 2023 Article PeerReviewed Yilmaz, Gülcan Göçmez and Murzakhanov, Nazlican and Yildirim, Didem Derici and Baykan, Betül and Garcia-Azorin, David and Frontera, Jennifer A. and Winkler, Andrea Sylvia and Özge, Aynur (2023) Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system. Neurological Sciences and Neurophysiology, 40 (4). pp. 207-214. ISSN 2636-865X https://journals.lww.com/nsan/fulltext/2023/40040/headache_triggered_by_coronavirus_disease_2019.5.aspx 10.4103/nsn.nsn_84_23
spellingShingle Yilmaz, Gülcan Göçmez
Murzakhanov, Nazlican
Yildirim, Didem Derici
Baykan, Betül
Garcia-Azorin, David
Frontera, Jennifer A.
Winkler, Andrea Sylvia
Özge, Aynur
Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title_full Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title_fullStr Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title_full_unstemmed Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title_short Headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia: An analysis of the US vaccine adverse event reporting system
title_sort headache triggered by coronavirus disease 2019 vaccination increases in line with history of allergic disorders and comorbidities like depression and fibromyalgia an analysis of the us vaccine adverse event reporting system
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