DIC-Like Syndrome Following Administration of ChAdOx1 nCov-19 Vaccination

Viruses. 2021 Jun 1;13(6):1046. doi: 10.3390/v13061046.

Abstract

In recent weeks, adverse reactions have been reported after administration of Oxford-AstraZeneca chimpanzee adenovirus vectored vaccine ChAdOx1 nCoV-19 (AZD1222), in particular thrombus formation, which has led several European Countries to discontinue administration of this vaccine. On March 8, 2021, the European Medicines Agency Safety Committee did not confirm this probable association. We report the case of a patient who developed disseminated intravascular coagulation after the first dose of Oxford-Astra Zeneca vaccine, which resolved in a few days with the administration of dexamethasone and enoxaparin. This work demonstrates the safety of the Oxford-Astra Zeneca vaccine and that any development of side effects can be easily managed with a prompt diagnosis and in a short time with a few commonly used drugs.

Keywords: SARS-CoV-2; chimpanzee adenovirus vectored vaccine; disseminated intravascular coagulation.

Publication types

  • Case Reports

MeSH terms

  • COVID-19 / immunology
  • COVID-19 / prevention & control*
  • COVID-19 Vaccines / adverse effects*
  • ChAdOx1 nCoV-19
  • Clinical Laboratory Techniques
  • Dexamethasone / therapeutic use
  • Disseminated Intravascular Coagulation / diagnosis*
  • Disseminated Intravascular Coagulation / drug therapy
  • Disseminated Intravascular Coagulation / etiology*
  • Enoxaparin / therapeutic use
  • Female
  • Humans
  • Middle Aged
  • SARS-CoV-2 / immunology
  • Vaccination

Substances

  • COVID-19 Vaccines
  • Enoxaparin
  • Dexamethasone
  • ChAdOx1 nCoV-19