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Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Overt Hypothyroidism Status Post Pfizer-BioNTech Vaccination: A Case Study.

Sailaja Nandennagari1, Preethi Annam2, Nithish Naidu3

  • 1Medicine, Avalon University School of Medicine, Willemstad, CUW.

Cureus
|August 1, 2023
PubMed
Summary

COVID-19 vaccination with Pfizer-BioNTech is linked to rare thyroid dysfunction. A case report details hypothyroidism developing weeks after receiving the vaccine.

Keywords:
covid 19 vaccinationcovid-19covid-19 vaccine adverse effectscovid-19 vaccine side effectshypothyroidismpandemicpfizervaccination

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Area of Science:

  • Endocrinology
  • Immunology
  • Public Health

Background:

  • COVID-19 vaccination is crucial for controlling the pandemic.
  • Several vaccine types, including Pfizer-BioNTech, have been approved.
  • While common side effects are known, rare adverse events like thyroid dysfunction are still being investigated.

Observation:

  • Thyroid dysfunction is an uncommon side effect reported post-COVID-19 vaccination.
  • Existing literature includes case reports and series on vaccination-associated thyroid dysfunction.
  • The precise mechanisms linking vaccines to thyroid issues remain unclear.

Findings:

  • This report details a case of overt hypothyroidism in a 50-year-old woman.
  • Hypothyroidism was diagnosed three weeks after Pfizer-BioNTech vaccination.
  • The patient was previously healthy, with no prior thyroid history.

Implications:

  • This case highlights a potential rare adverse effect of COVID-19 vaccines.
  • Further research is needed to understand the pathophysiology of vaccine-induced thyroid dysfunction.
  • Clinicians should remain vigilant for atypical side effects following vaccination.