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Covid-19 vaccine: four years later, the list of persistent symptoms is growing

  • Appendicitis (signal in some early datasets)

    • What: Appendicitis was flagged in some early surveillance as a potential signal, though later evidence did not confirm a causal link.

    • Which vaccines: Mixed/uncertain.

    • How common: No consistent increased incidence established — area of ongoing study. Taylor & Francis Online

  • Autoimmune or auto-inflammatory flares (e.g., IBD, rheumatologic reactions)

    • What: Flare-ups of preexisting autoimmune conditions have been reported anecdotally; studies show most people with autoimmune disease tolerate vaccines well.

    • Which vaccines: Reported across types; causality is often unclear.

    • How common: Uncommon; benefits of vaccination typically outweigh small flare risk for most patients. Taylor & Francis Online

  • Rare dermatologic reactions (e.g., erythema multiforme, severe cutaneous reactions)

    • What: A variety of skin reactions ranging from mild rash to rare severe reactions.

    • Which vaccines: Reported across vaccine platforms; most are mild.

    • How common: Rare. PMC

  • Other very rare vascular/hematologic signals (e.g., other clotting disorders)

    • What: Small safety signals for rare blood-clotting conditions and related hematologic issues in very large datasets.

    • Which vaccines: Some signals seen more with adenoviral-vector vaccines, other signals appear across platforms but with low absolute numbers.

    • How common: Extremely rare, detected only because surveillance datasets included tens of millions of people. PubMed+1

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