• Internal medicine · Nov 2022

    Case Reports

    Medium-vessel Vasculitis Presenting with Myalgia Following COVID-19 Moderna Vaccination: A Case Report.

    • Shin-Ichiro Ohmura, Yusuke Ohkubo, Ryuhei Ishihara, Yoshiro Otsuki, and Toshiaki Miyamoto.
    • Department of Rheumatology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
    • Intern. Med. 2022 Nov 15; 61 (22): 345334573453-3457.

    AbstractCoronavirus disease 2019 (COVID-19) vaccines have been delivered worldwide to prevent the spread of the disease, and almost all Japanese have received the mRNA vaccines "BNT162b2" (Pfizer-BioNTech) or "mRNA-1273" (Moderna). These vaccines have shown efficacy and safety with only minor adverse drug reactions. However, some patients develop severe adverse drug reactions, including autoimmune reactions. In addition, systemic vasculitis, mainly small-vessel vasculitis, following COVID-19 vaccination, has been reported. However, only a few investigators have reported medium-vessel vasculitis following vaccination. We herein report a case of medium-vessel vasculitis presenting with myalgia as the initial clinical manifestation following COVID-19 Moderna vaccination.

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