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In summary, the safety, tolerability, and immunogenicity results reported here support the use of BNT162b2 to prevent COVID-19 in healthy Japanese adults.
Adverse events Adverse events (AEs) from dose 1 through 1 month after dose 2 were reported by 10.1% of BNT162b2 and 7.3% of placebo recipients (Table 2). AEs reported by more than 1 participant in either group were nasopharyngitis (BNT162b2, n = 3 [2.5 %]; placebo, n = 1 [2.4 %]) and headache (BNT162b2, n = 2 [1.7 %]; placebo, n = 1 [2.4 %]). There were no immediate AEs within 30 min of vaccination. There were no serious AEs, no life-threatening AEs, and no deaths through 1 month after dose 2. There was no reported lymphadenopathy, and there were no diagnoses of COVID-19.
Between October 21, 2020, and November 10, 2020, 160 individuals were randomized at 2 sites (1 hospital and 1 clinic) in Japan; 119 received BNT162b2 and 41 received placebo (Fig. 1). More than 97% of BNT162b2 recipients received 2 doses. All participants were Japanese, 51% were male, and the mean age was 46 years (range 20–76 years); 130 participants were in the younger age group (20–64 years of age), and 30 participants were in the older age group (65–85 years of age) (Table 1). The most commonly reported comorbidities across all participants were dyslipidemia (4/119 [3.4%] BNT162b2 recipients; 2/41 [4.9%] placebo recipients) and hypertension (2/119 [1.7%] BNT162b2 recipients; 2/41 [4.9%] placebo recipients).
There was no reported lymphadenopathy, and there were no diagnoses of COVID-19.
Conclusions
In this era of COVID-19 pandemic and worldwide vaccination, medical staff should be aware that ipsilateral lymphadenopathy to the vaccine injection site may be a common side effect. COVID-19 vaccine related lymphadenopathy is associated with various clinical and sonographic features, but fortunately it shows spontaneous gradual recovery.
originally posted by: carewemust
The Blood Clots grow and begin affecting the unfortunate vaccine recipients over months and years. Blood Clots are just one of the dangerous long-term side-effects.
It is worth mentioning that we have described herein only three of many more cases of post-vaccination lymphadenopathy presenting to us within the first month of starting vaccination in our country. The number of cases was remarkable enough for us to report it.
A total of 19 studies (68 cases), including 60 (88.2%) females and eight (11.8%) males with a presentation of LAP after COVID-19 vaccination, were reviewed. LAP was identified after first or second dosages of three types of COVID-19 vaccines, including Pfizer-BioNTech (n = 30, 44.1%), Moderna (n = 17, 25%), and Oxford-AstraZeneca (n = 1, 1.5%). In 20 (29.4%) cases, vaccine type was not reported or only reported as mRNA COVID-19 vaccine.
How Common Is Vaccine-induced Axillary Lymphadenopathy?
Although unilateral lymphadenopathy is a known side effect of vaccines, it is rarely reported with vaccines such as the bacillus Calmette–Guérin, influenza, and human papillomavirus vaccines (3–5). In a larger series examining 83 recipients of the influenza vaccine, four patients had unexpected fluorodeoxyglucose axillary node accumulations on imaging (5). In addition, lymph node uptake on nuclear medicine studies after vaccination has been shown by multiple studies.
Time elapsed from the injection until the appearance of the enlarged nodes, clinical symptoms, and sonographic features differed between the patients, but in all cases gradual regression was noted in the enlarged nodes until complete resolution. Accordingly, to our knowledge, this is the first report describing post-COVID-19 vaccine lymphadenopathy detailing the clinical aspects, sonographic features, and outcomes.
Five cases of axillary lymphadenopathy are presented, which occurred after COVID-19 vaccination and mimicked metastasis in a vulnerable oncologic patient group. Initial radiologic diagnosis raised concerns for metastasis.
The authors report isolated unilateral axillary lymphadenopathy (i.e., no imaging findings outside of visible lymphadenopathy), which is ipsilateral to recent (prior 6 weeks) vaccination, as benign with no further imaging indicated. Clinical management is recommended, with ultrasound if clinical concern persists 6 weeks after the final vaccination dose.
We report a case of ipsilateral supraclavicular lymphadenopathy confirmed as reactive lymphadenopathy following administration of the Pfizer–BioNTech vaccine against COVID-19. The enlarged supraclavicular lymph nodes showed a size decrease with normalization of morphology on 1-week and 2-week serial follow-up ultrasound.
Vaccination-associated adenopathy occurs in the ipsilateral axillary and/or supraclavicular regions related to local immune response activation.3 , 5 In the Pfizer–BioNTech COVID-19 vaccine trial, the self-reported rate of ipsilateral axillary and supraclavicular lymphadenopathy was 0.3% among vaccine recipients
reactive ipsilateral axillary lymphadenopathy (ral) has been clinically and radiologically very well reported after administration of covid-19 vaccines (local reactions 2021; local reactions
COVID-19 vaccine as a cause for unilateral lymphadenopathy detected by 18F-FDG PET/CT in a patient affected by melanoma. Eur J Nucl Med Mol Imaging. 2021 Jul;48(8):2659-2660.doi: 10.1007/s00259-021-05278-3. Epub 2021 Mar 6. Author
Reports of lymphadenopathy were imbalanced with 58 more cases in the vaccine group (64) than the placebo group (6); lymphadenopathy is plausibly related to the vaccine.
originally posted by: MDDoxs
originally posted by: carewemust
The Blood Clots grow and begin affecting the unfortunate vaccine recipients over months and years. Blood Clots are just one of the dangerous long-term side-effects.
False. This is not a rolling snow ball that picks up material over a protected amount of time. If I am wrong on this please point me to some information to read.