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Updated: Jul 18, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Assessing the Impact of COVID-19 Vaccines on Sickle Cell Anaemia Patients: A Comparative Analysis of Biochemical and
Jehad A Aldali1, Badi A Alotaibi2,3, Hamzah J Aldali4
1Department of Pathology, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13317, Saudi Arabia.
Insights
COVID-19 vaccines like Pfizer and AstraZeneca were studied in sickle cell patients. Findings show varied effects on ALT, AST, and CRP levels, suggesting potential indicators for other diseases.
Area of Science:
- Hematology
- Biochemistry
- Vaccinology
Background:
- COVID-19 vaccines (Pfizer, Moderna, AstraZeneca) are proven safe and effective against severe illness.
- Vaccine administration can alter hematological and biochemical markers, with rare thrombosis/thrombocytopenia cases reported.
- Sickle cell patients, a vulnerable group, may experience unique vaccine side effects on these markers.
Purpose of the Study:
- To investigate the impact of COVID-19 vaccines on hematological and biochemical parameters in sickle cell patients.
- To evaluate the side effects of Pfizer and Oxford-AstraZeneca vaccines in this specific population.
- To establish a baseline understanding for this novel research area in Saudi Arabia.
Main Methods:
- Prospective study evaluating hematological and biochemical parameters post-vaccination.
- Inclusion of sickle cell patients receiving Pfizer and Oxford-AstraZeneca vaccines.
- Measurement of key parameters including ALT, AST, and CRP levels.
Main Results:
- Both Pfizer and Oxford-AstraZeneca vaccines demonstrated varying effects on ALT, AST, and CRP levels in sickle cell patients.
- Elevated CRP and ALT levels showed potential as indicators for renal disease, diabetes, and arthritis.
- No specific adverse events were detailed, but parameter variations were observed.
Conclusions:
- COVID-19 vaccination impacts hematological and biochemical markers in sickle cell patients.
- CRP and ALT may serve as potential indicators for comorbidities in this population.
- Further research is essential to elucidate mechanisms and clinical implications for sickle cell patients.
Abstract:
The coronavirus disease 2019 (COVID-19) vaccines have been developed to help prevent the spread of the virus infections. The COVID-19 vaccines, including Pfizer, Moderna, and AstraZeneca, have undergone rigorous testing and have demonstrated both safety and effectiveness. Extensive evidence supports their effectiveness in preventing severe illness, hospitalization, and mortality associated with COVID-19 infection. The administration of COVID-19 vaccines can directly affect hematological and biochemical parameters, with reported cases showing an association with thrombosis and thrombocytopenia. Therefore, it was hypothesized that COVID-19 vaccines may also influence hematological and biochemical markers in sickle cell patients. This study aimed to investigate the side effects of COVID-19 vaccines on sickle cell patients, providing a comprehensive evaluation of hematological and biochemical parameters. To our knowledge, this is the first study of its kind conducted in Saudi Arabia. The study included the evaluation of Pfizer and Oxford-AstraZeneca vaccines in sickle cell patients, measuring key parameters. Our findings revealed varying impacts of both vaccines on the ALT, AST, and CRP levels. Notably, CRP and ALT exhibited potential as indicators for renal disease, diabetes, and arthritis. However, further investigations are necessary to uncover the underlying mechanisms that drive these observed differences and comprehend their clinical implications for this vulnerable patient population. The unique nature of our study fills a crucial research gap and underscores the need for additional research in this area.
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