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. 2021 Aug 11:NEJMoa2109908. doi: 10.1056/NEJMoa2109908

Table 1. Case Definition Criteria for Vaccine-Induced Immune Thrombocytopenia and Thrombosis (VITT), According to an Expert Hematology Panel.*.

Type of VITT Description
Definite VITT
  • All five of the following criteria:

  • Onset of symptoms 5–30 days after vaccination against SARS-CoV-2 (or ≤42 days in patients with isolated deep-vein thrombosis or pulmonary embolism)

  • Presence of thrombosis

  • Thrombocytopenia (platelet count <150,000 per cubic millimeter)

  • d-dimer level >4000 FEU

  • Positive anti-PF4 antibodies on ELISA

Probable VITT d-dimer level >4000 FEU but one criterion not met (timing, thrombosis, thrombocytopenia, or anti-PF4 antibodies) or d-dimer level unknown or 2000–4000 FEU and all other criteria met
Possible VITT d-dimer level unknown or 2000–4000 FEU with one other criterion not met, or two other criteria not met (timing, thrombosis, thrombocytopenia, or anti-PF4 antibodies)
Unlikely VITT Platelet count <150,000 per cubic millimeter without thrombosis with d-dimer level <2000 FEU, or thrombosis with platelet count >150,000 per cubic millimeter and d-dimer level <2000 FEU, regardless of anti-PF4 antibody result, and alternative diagnosis more likely
*

ELISA denotes enzyme-linked immunosorbent assay, FEU fibrinogen-equivalent unit, PF4 platelet factor 4, and SARS-CoV-2 severe acute respiratory syndrome coronavirus 2.