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. 2021 Oct 16;12:100136. doi: 10.1016/j.metop.2021.100136

Table 2.

Previously reported cases of subacute thyroiditis after vaccination against COVID-19.

Case 1 [9] Case 2 [9] Case 3 [9] Case 4 [11] Case 5 [10] Case 6 [8] Case 7 [13] Case 8 [7] Case 9 [12] Case 10 [12]
Age 35 34 37 67 57 42 55 75 26 49
Sex Female Female Female Male Female Female Female Male Female Female
Type of vaccine CoronaVac® CoronaVac® CoronaVac® CoronaVac® BNT162B2 BNT162B2 ChAdOx1-S ChAdOx1-S ChAdOx1-S Spikevax
Time of symptoms onset 4 days after 1st dose 4 days after 1st dose 7 days after 2nd dose 17 days after 2nd dose 1 day after 2nd dose 5 days after 2nd dose 21 days after 1st dose 14 days after 1st dose 2 days after 1st dose 7 days after 1st dose
Symptoms Neck pain, palpiyations Neck pain, fatigue, weight loss Neck pain Fever, weight loss, mild neck pain Neck pain and swelling Sore throat, palpitations Neck pain and swelling, sore throat, headache, palpitations Neck pain and tenderness, shortness of breath, intermittent palpitations, insomnia and generalized anxiety Fever, neck pain Sore throat, headaches and difficulty in concentrating
Thyroid function testsa ↓TSH, ↑fT3 ↓TSH, ↓fT4
↑fT3
↓TSH, ↑fT3 ↓TSH, ↑fT4, ↑fT3 ↓TSH, ↑fT4 ↓TSH ↓TSH, ↑fT4 ↓TSH, ↑fT4, ↑fT3 ↑fT3 Euthyroid
TPOAb Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative
TGAb Negative Negative Negative Negative Negative Negative NA Negative Negative Negative
TRAbs Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative
Thyroid scintigraphy NA NA NA NA NA NA NA ↓ uptake NA NA
Nasopharyngeal swab testing for SARS-CoV-2 Negative Negative Negative Negative Negative Negative Negative NA NA NA
Antibodies to the spike protein of SARS-CoV-2 NA NA NA NA NA NA NA ↑↑ NA NA
Outcome in reassessment Euthyroidism Thyrotoxicosis Thyrotoxicosis Euthyroidism NA Thyrotoxicosis Hypothyroidism Euthyroidism Euthyroidism Euthyroidism

Abbrevations: TGAb, anti-thyroglobulin antibody; TPOAb, thyroid peroxidise antibody; fT3, free triiodothyronine; fT4, free thyroxine; NA, not assessed; TRAB, TSH receptor antibodies; TSH, thyroid-stimulating hormone.

a

Only abnormal laboratory results are noted.