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10.1111/jth.15352

http://scihub22266oqcxt.onion/10.1111/jth.15352
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33909350!8237070!33909350
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suck abstract from ncbi


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pmid33909350      J+Thromb+Haemost 2021 ; 19 (7): 1813-1818
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  • An observational study to identify the prevalence of thrombocytopenia and anti-PF4/polyanion antibodies in Norwegian health care workers after COVID-19 vaccination #MMPMID33909350
  • Sorvoll IH; Horvei KD; Ernstsen SL; Laegreid IJ; Lund S; Gronli RH; Olsen MK; Jacobsen HK; Eriksson A; Halstensen AM; Tjonnfjord E; Ghanima W; Ahlen MT
  • J Thromb Haemost 2021[Jul]; 19 (7): 1813-1818 PMID33909350show ga
  • BACKGROUND: The COVID-19 vaccine from AstraZeneca (AZD1222) is one of several vaccines introduced to provide immunity against SARS-CoV-2. Recently, more than 50 cases have been reported presenting a combination of thrombosis, thrombocytopenia, and remarkably high levels of anti-platelet factor 4 (PF4)/polyanion antibodies post-AZD1222 vaccination. Now linked to the vaccine, the condition is referred to as vaccine-induced immune thrombotic thrombocytopenia. The European Medicines Agency still recommends vaccination with AZD1222, but several European countries have temporally paused and/or restricted its use because of the perceived risk of this severe side effect. Because there is no description of PF4/polyanion antibody testing in the clinical trials, knowledge about the prevalence of such antibodies in a vaccinated cohort is needed. OBJECTIVES: To investigate prevalence of thrombocytopenia and anti-PF4/polyanion antibodies in a population recently vaccinated with AZD1222. PATIENTS/METHODS: Four hundred and ninety-two health care workers recently vaccinated with the first dose of AZD1222 were recruited from two hospitals in Norway. Study individuals were screened for thrombocytopenia and the presence of anti-PF4/polyanion antibodies with a PF4/PVS immunoassay. Side effects after vaccination were registered. RESULTS: The majority of study participants had normal platelet counts and negative immunoassay. Anti-PF4/polyanion antibodies without platelet activating properties were only detected in six individuals (optical density >/=0.4, range 0.58-1.16), all with normal platelet counts. No subjects had severe thrombocytopenia. CONCLUSIONS: We found low prevalence of both thrombocytopenia and antibodies to PF4/polyanion-complexes among Norwegian health care workers after vaccination with AZD1222.
  • |*COVID-19[MESH]
  • |*Thrombocytopenia/chemically induced/diagnosis/epidemiology[MESH]
  • |COVID-19 Vaccines[MESH]
  • |ChAdOx1 nCoV-19[MESH]
  • |Europe[MESH]
  • |Health Personnel[MESH]
  • |Heparin[MESH]
  • |Humans[MESH]
  • |Norway/epidemiology[MESH]
  • |Platelet Factor 4[MESH]
  • |Polyelectrolytes[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2[MESH]


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