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J Clin Endocrinol Metab. - Three Cases of Subacute Thyroiditis Following SARS-CoV-2 Sinovac Vaccine: Postvaccination ASIA Syndrome

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  • J Clin Endocrinol Metab. - Three Cases of Subacute Thyroiditis Following SARS-CoV-2 Sinovac Vaccine: Postvaccination ASIA Syndrome

    Sinovac.

    Autoimmune/inflammatory syndrome induced by adjuvants (ASIA syndrome) can be seen as a post-vaccination phenomenon that occurs after exposure to adjuvants in vaccines that increase the immune responses. There is very limited data regarding ASIA ...

    İremli BG, Şendur SN, Ünlütürk U. Three Cases of Subacute Thyroiditis Following SARS-CoV-2 Vaccine: Postvaccination ASIA Syndrome. J Clin Endocrinol Metab. 2021;106(9):2600-2605. doi:10.1210/clinem/dgab373

    Abstract

    Context

    Autoimmune/inflammatory syndrome induced by adjuvants (ASIA syndrome) can be seen as a post-vaccination phenomenon that occurs after exposure to adjuvants in vaccines that increase the immune responses. There is very limited data regarding ASIA syndrome following SARS-CoV-2 vaccines.

    Objectives

    This work aims to report cases of subacute thyroiditis related to the SARS-CoV-2 vaccine.

    Methods

    We describe the clinical, laboratory, and imaging features of three cases of subacute thyroiditis after inactivated SARS-CoV-2 vaccine (CoronaVac®). Three female healthcare workers have applied to our clinic with anterior neck pain and fatigue four to seven days after SARS-CoV-2 vaccination. Two of them were in the breastfeeding period. They were negative for thyroid antibodies, and there was no previous history of thyroid disease or upper respiratory tract infection, or COVID-19. Laboratory test results and imaging findings were consistent with subacute thyroiditis.

    Results

    SARS-CoV-2 vaccination can lead to subacute thyroiditis as a phenomenon of ASIA syndrome. Subacute thyroiditis may develop within a few days after the SARS-CoV-2 vaccination. Being in the postpartum period may be a facilitating factor for the development of ASIA syndrome after the SARS-CoV-2 vaccination.

    Conclusions

    This is the first report of subacute thyroiditis as a phenomenon of ASIA syndrome after inactivated COVID-19 vaccination. Clinicians should be aware that subacute thyroiditis may develop as a manifestation of ASIA syndrome after the inactive SARS-CoV-2 vaccine.


    Keywords: Subacute thyroiditis, SARS-CoV-2, COVID-19, Vaccine, ASIA Syndrome, Breastfeeding, Case report

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