Thrombotic events following Covid-19 vaccines compared to Influenza vaccines

Marcelo Gabriel Vallone1, Andre Luis Falcón1, Horacio Matias Castro2

  • 1Internal Medicine Section, Hospital Italiano de Buenos Aires. J.D. Perón 4190, Ciudad Autónoma de Buenos Aires, C1181ACH, Argentina.

Insights

COVID-19 vaccination was associated with a higher incidence of thrombotic events compared to influenza vaccination. This finding requires careful consideration alongside vaccine benefits and COVID-19

Area of Science:

  • Epidemiology
  • Vaccinology
  • Thrombosis Research

Background:

  • The risk of thrombotic events following COVID-19 vaccination remains an important public health question.
  • Understanding this risk is crucial for informed vaccination strategies.

Purpose of the Study:

  • To investigate the incidence of thrombotic events in individuals who received COVID-19 vaccines.
  • To compare this risk against a historical control group vaccinated with influenza vaccine.

Main Methods:

  • A retrospective cohort study was conducted comparing adults vaccinated with COVID-19 vaccines (Sputnik, AstraZeneca, Sinopharm) between January and May 2021.
  • A control group received influenza vaccine between March and July 2019.
  • The primary outcome was the cumulative incidence of symptomatic thrombotic events within 30 days post-vaccination.

Main Results:

  • The study included 29,918 patients in the COVID-19 vaccine group and 24,753 in the influenza vaccine group.
  • The incidence of thrombotic events was 12 per 10,000 for COVID-19 vaccines versus 6 per 10,000 for influenza vaccine (p=0.022).
  • A statistically significant increase in thrombotic events was observed in the COVID-19 vaccination group.

Conclusions:

  • COVID-19 vaccination showed a significant association with an increased risk of thrombotic events compared to influenza vaccination.
  • Clinical interpretation must balance these findings with the proven benefits of vaccination and the thrombotic risks of COVID-19 infection.
  • Further research may be needed to fully elucidate the implications.
Abstract

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