TABLE 1.
Summary of VITT cases reported in literature
First Author | Case no. | Sex | Age (y) | Days after vaccination | Site of thrombosis | Platelet count (mm3) | Thrombotic risk factors | Anti‐PF4 ab testing b | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
Greinacher 34 | 1 | Female | 49 | 5 | CVT, SVT, PE, AT | 13 000 | – a | Positive | Heparin | Died |
2 | Female | 35 | 6 | PE | 107 000 | – | Positive | LMWH | Alive | |
3 | Female | 48 | 9 | CVT | 60 000 | – | Positive | NA | NA | |
4 | Female | 35 | 7 | CVT | 9000 | – | Positive | Heparin | Died | |
5 | Female | 43 | 13 | CVT, SVT, PE, DVT right intraventricular | 23 000 | FVL, ACL‐Ab | Positive | Heparin | Alive | |
6 | Female | 22 | 7 | CVT | 75 000 | – | NA | NA | Alive | |
7 | Female | 36 | 8 | CVT | 29 000 | – | NA | Heparin | Alive | |
8 | Female | 46 | 8 | CVT | 16 000 | – | Positive | ‐ | Died | |
9 | Female | 24 | 16 | CVT | 13 000 | – | Positive | ‐ | Died | |
10 | Male | NA | 11 | CVT, SVT | 8000 | – | Positive | ‐ | Died | |
11 | Male | NA | 12 | NA | NA | NA | Positive | ‐ | Died | |
Schultz 35 | 1 | Female | 37 | 8 | CVT | 22 000 | Hormonal contraception | Positive | LMWH, PLTS | Died |
2 | Female | 42 | 10 | CVT | 14 000 | Hormonal contraception | Positive | LMWH, PLTS, steroids, IVIG | Died | |
3 | Male | 32 | 7 | SVT | 10 000 | – | Positive | LMWH, PLTS, steroids, IVIG | Alive | |
4 | Female | 39 | 10 | CVT | 70 000 | – | Positive | LMWH, steroids, IVIG | Alive | |
5 | Female | 54 | 7 | CVT | 19 000 | Hormonal replacement tp | Positive | Heparin, PLTS, steroids, IVIG | Died | |
Franchini 36 | 1 | Male | 50 | 7 | CVT | 15 000 | MTHFR het | Positive | PLTS | Died |
Scully 37 | 1 | Female | 30 | 13 | CVT, SVT, PE, II | 27 000 | – c | Positive | NA | Alive |
2 | Female | 55 | 6 | SVT, AT | 11 000 | – | Positive | NA | Died | |
3 | Female | 26 | 12 | CVT | 64 000 | – | Positive | NA | Alive | |
4 | Female | 52 | 10 | CVT, PE, II | 31 000 | – | Positive | NA | Died | |
5 | Male | 38 | 14 | PE | 16 000 | – | Positive | NA | Died | |
6 | Female | 49 | 15 | CVT | 14 000 | – | Positive | NA | Alive | |
7 | Male | 25 | 9 | CVT | 19 000 | – | Positive | NA | Died | |
8 | Male | 32 | 19 | CVT | 87 000 | – | Positive | NA | Alive | |
9 | Female | 35 | 9 | CVT | 65 000 | – | Positive | NA | Alive | |
10 | Male | 77 | 8 | PE | NA | – | Positive | NA | Alive | |
11 | Male | 66 | 12 | DVT | 34 000 | – | ± d | NA | Alive | |
12 | Male | 34 | 14 | CVT | 23 000 | – | Positive | NA | Alive | |
13 | Male | 54 | 10 | SVT, MI | 71 000 | – | Positive | NA | Died | |
14 | Female | 71 | 14 | No thrombosis | 17 000 | – | Positive | NA | Alive | |
15 | Female | 22 | 10 | CVT | 100 000 | – | Positive | NA | Died | |
16 | Female | 39 | 10 | MCAI | 57 000 | – | Positive | NA | Alive | |
17 | Female | 70 | 17 | DVT, PE | 28 000 | – | Positive | NA | Alive | |
18 | Male | 21 | 10 | MCAI | 113 000 | – | Positive | NA | Alive | |
19 | Female | 46 | 14 | CVT | 7000 | – | Positive | NA | Alive | |
20 | Female | 32 | 12 | CVT | 98 000 | – | Positive | NA | Died | |
21 | Male | 48 | 14 | CVT | 16 000 | – | Positive | NA | Alive | |
22 | Female | 49 | 24 | PE | 61 000 | – | Positive | NA | Alive | |
23 | Female | 46 | 10 | CVT | 36 000 | – | Negative | NA | Alive |
Abbreviations: ab, antibody; ACL‐Ab, anticardiolipin antibodies; AT, aortic thrombosis; CVT, cerebral vein thrombosis; DVT, deep vein thrombosis; FVL, factor V Leiden; II, intestinal infarct; IVIG, intravenous immunoglobulin; LMWH, low molecular weight heparin; MCAI, middle cerebral artery infarct; MI, myocardial infarction; MTHFR het, heterozygosity for methylene tetrahydrofolate reductase C677T polymorphism; NA, data not available; PE, pulmonary embolism; PLTS, platelet concentrates; SVT, splanchnic vein thrombosis; tp, therapy.
Three out of the nine women were under hormonal contraception.
Testing for anti‐PF4 antibodies performed by means of enzyme‐linked immunosorbent assay (ELISA).
One out of the 14 women were under oral contraceptive pill. Tests for thrombophilia were negative. A test for lupus anticoagulant was positive in 5 of the 10 patients for whom results were available.
Equivocal result.