Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare but potentially serious adverse reaction that has been reported following vaccination with certain COVID-19 vaccines. It is characterized by the formation of blood clots in small blood vessels, combined with a low platelet count (thrombocytopenia). Symptoms of VITT may include shortness of breath, chest pain, leg swelling, skin discoloration, abdominal pain, and neurological symptoms such as confusion or difficulty speaking. The exact cause of VITT is not fully understood, but it is known to be mediated by the formation of anti-PF4 antibodies which cause platelet activation via FcyRIIA. 

Note that while the diagram shows that antibodies against the spike protein, data suggests it is antigens within the vector (ChAdOx1 or Ad26-CoV-2S) that generate anti-PF4 antibodies

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#Vaccine #Induced #immune #thrombotic #thrombocytopenia 
#COVID
#pathophysiology
Pravin Patel, PhD @pravinpatel_PhD · 2 years ago
Currently, I am a medical student at Drexel University College of Medicine, Class of 2024. My ambition is to become a physician-scientist and I look forward to continuing my training acquiring the full suite of research and clinical capabilities so that I can improve lives both at the bench and the bed side. My current research interests involve gaining a superior understanding of the interplay between hematology and immunology by investigating the role platelets as members of the innate immune system and their functions in immune-mediated pathologies
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