Cerebral venous thrombosis after BNT162b2 mRNA SARS-CoV-2 vaccine

L Dias, R Soares-dos-Reis, J Meira, D Ferrão… - Journal of Stroke and …, 2021 - Elsevier
L Dias, R Soares-dos-Reis, J Meira, D Ferrão, PR Soares, A Pastor, G Gama, L Fonseca…
Journal of Stroke and Cerebrovascular Diseases, 2021Elsevier
The development of SARS-CoV-2 vaccines has raised several concerns regarding venous
thromboembolism, namely cerebral venous thrombosis. Although cerebral venous
thrombosis has been reported after administration of a viral vector vaccine, due to a possible
auto-immune mechanism inducing thrombocytopenia, the same has not happened in mRNA
vaccines. We report two cases of cerebral venous thrombosis, shortly after administration of
mRNA vaccine. In both patients, there was no evidence of thrombocytopenia or antiplatelet …
Abstract
The development of SARS-CoV-2 vaccines has raised several concerns regarding venous thromboembolism, namely cerebral venous thrombosis. Although cerebral venous thrombosis has been reported after administration of a viral vector vaccine, due to a possible auto-immune mechanism inducing thrombocytopenia, the same has not happened in mRNA vaccines. We report two cases of cerebral venous thrombosis, shortly after administration of mRNA vaccine. In both patients, there was no evidence of thrombocytopenia or antiplatelet antibodies, and alternative causes for cerebral venous thrombosis were found. As such, despite the temporal relation of both cases to vaccine administration, these types of cerebral venous thrombosis do not seem to be pathophysiological different from cerebral venous thrombosis not associated to SARS-CoV-2 vaccination. Continuous pharmacovigilance is necessary to monitor possible new events and clarify this association.
Elsevier