Predicted and Observed Incidence of Thromboembolic Events among Koreans Vaccinated with ChAdOx1 nCoV-19 Vaccine

J Korean Med Sci. 2021 Jul 12;36(27):e197. doi: 10.3346/jkms.2021.36.e197.

Abstract

We used the nationwide claims database to calculate the incidence of thrombotic events and predict their overall 2-week incidence. From 2006 to 2020, the incidence of deep vein thrombosis (DVT), pulmonary embolism (PE), and disseminated intravascular coagulation (DIC) tended to increase. Unlike intracranial venous thrombosis (ICVT) and intracranial thrombophlebitis (ICTP), which showed no age difference, other venous embolism, and thrombosis (OVET), DIC, DVT, and PE were significantly more common in over 65 years. The overall 2-week incidence of ICVT was 0.21/1,000,000 (95% confidence interval [CI], 0.11-0.32). ICTP, OVET, DIC, DVT and PE were expected to occur in 0.08 (95% CI, 0.02-0.14), 7.66 (95% CI, 6.08-9.23), 5.95 (95% CI, 4.88-7.03), 13.28 (95% CI, 11.92-14.64), 14.09 (95% CI, 12.80-15.37) per 1,000,000, respectively. To date, of 8,548,231 patients vaccinated with ChAdOx1 nCoV-19 in Korea, two had confirmed thrombosis with thrombocytopenia syndrome within 2 weeks. The observed incidence of ICVT after vaccination was 0.23/1,000,000.

Keywords: COVID-19; Thrombosis with Thrombocytopenia Syndrome; Vaccination; Vaccine Adverse Events.

MeSH terms

  • Aged
  • COVID-19 Vaccines / adverse effects*
  • Causality
  • Cerebrovascular Disorders / epidemiology
  • ChAdOx1 nCoV-19
  • Disseminated Intravascular Coagulation / chemically induced*
  • Disseminated Intravascular Coagulation / epidemiology
  • Female
  • Humans
  • Incidence
  • Intracranial Thrombosis / epidemiology
  • Male
  • Middle Aged
  • Models, Theoretical
  • Pulmonary Embolism / chemically induced*
  • Pulmonary Embolism / epidemiology
  • Republic of Korea / epidemiology
  • Thrombocytopenia / chemically induced
  • Thrombocytopenia / epidemiology
  • Thromboembolism / chemically induced*
  • Thromboembolism / epidemiology
  • Vaccination / adverse effects*
  • Venous Thrombosis / chemically induced*
  • Venous Thrombosis / epidemiology

Substances

  • COVID-19 Vaccines
  • ChAdOx1 nCoV-19