免疫接种后自身免疫性疾病的立即发病特征

Darrell O. Ricke
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引用次数: 1

摘要

严重的不良事件,包括自身免疫性疾病,在一些个体接种疫苗后已被注意到。目前尚不清楚这些自身免疫性疾病不良事件(ADAE)的一部分是否由免疫触发,而不是背景偶发事件。只有一小部分疫苗接种者所经历的不良事件被报告到疫苗不良事件报告系统(VAERS)数据库。在本研究中,研究了VAERS中的adae。接种疫苗后立即报告的自身免疫性疾病不良反应频率与背景人群不良事件频率进行比较。从VAERS中提取的疫苗接种后发生的立即发生的自身免疫性疾病的频率超过了预期的背景发生率。在第一次接种后3周接受第二次COVID-19 mRNA疫苗接种的疫苗接种者似乎经历了ADAE数量的增加。此外,人乳头瘤病毒(HPV)、甲型肝炎和乙型肝炎疫苗显示出与自身免疫性疾病相关的独特模式。不能排除这些疫苗中包含的疫苗铝佐剂在ADAE中的潜在作用。VAERS数据说明了多种自身免疫性疾病在不同疫苗中的即时发病相关性。预计在所有mRNA和腺病毒疫苗和治疗方法中,在COVID-19 mRNA和腺病毒疫苗接种后发生的自身免疫性疾病的即时发病关联发生的频率相似。综上所述,应该考虑从HPV、甲型肝炎和乙型肝炎疫苗中去除铝佐剂,以减少立即发病的自身免疫性疾病的发生。
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Immediate onset signatures of autoimmune diseases after vaccination
Severe adverse events, including autoimmune diseases, have been noted in some individuals following vaccination. It is still unknown whether a subset of these autoimmune disease adverse events (ADAE) is triggered by the immunization and is not background chance occurrences. Only a small fraction of adverse events experienced by vaccinees has been reported to the Vaccine Adverse Event Reporting System (VAERS) database. In this study, ADAEs within VAERS are examined. The frequency of autoimmune disease adverse reactions reported immediately following vaccination was compared to the background population adverse event frequency. The frequency of immediate-onset autoimmune diseases, extracted from VAERS, arisen after vaccination was found to exceed the expected background occurrences. Vaccinees who receive a second COVID-19 mRNA vaccination dose 3 weeks after the first dose appear to experience an increased number of ADAE. Furthermore, human papillomavirus (HPV), hepatitis A, and hepatitis B vaccines exhibit distinctive patterns of associations with autoimmune diseases. The potential role of vaccine aluminum adjuvant, included in these vaccines, cannot be ruled out as contributing to ADAE. VAERS data illustrate immediate onset correlations for multiple autoimmune diseases across various vaccines. Autoimmune diseases immediate temporal onset associations that occur following COVID-19 mRNA and adenoviral vaccinations are predicted to occur with similar frequencies for all mRNA and adenoviral vaccines and therapeutics. Taken together, removal of aluminum adjuvants from HPV, hepatitis A, and hepatitis B vaccines, among others, should be considered in the effort to reduce the occurrence of immediate-onset autoimmune diseases.
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