Thyroid disease

Effect of Inactivated and mRNA COVID-19 Vaccination on Thyroid Function Among Patients Treated for Hyperthyroidism

J Clin Endocrinol MetabPublished Cohort study

Authors' conclusion

Among patients treated for hyperthyroidism, abnormal thyroid function was a factor predicting unvaccinated status. Our results should encourage patients treated for hyperthyroidism to receive COVID-19 vaccination to protect themselves from adverse outcomes and potential long-term sequelae of COVID-19.

Study context

Population
Consecutive patients treated for hyperthyroidism at a teaching-hospital thyroid clinic, Jan–Sep 2021; mean age 51.6 years, 82.1% female, 86.2% GD67.3% vaccinated
Participants
910 patients
Exposure
COVID-19 vaccination vs no vaccination
Outcome
Thyroid function instability (worsening of thyroid function/increase in antithyroid drug dosage)
Follow-up
Median 5.3 months
Methodological detailsconsecutive patients, single-centre
  • Consecutive patients
  • Single-centre

Main finding

As reported in the abstract

Thyroid function instability, all patients

15.9%

COVID-19 vaccination did not increase risks of thyroid function instability: HR

0.78

95% CI 0.56–1.09P = .151

Observational data: associations, not effects.

Further findings

Factors associated with unvaccinated status

Abnormal thyroid function and cardiovascular comorbidities independently associated with unvaccinated status

Safety

Vaccination while overtly thyrotoxic

Overtly thyrotoxic patients vaccinated without thyroid storm or difficulty in subsequent thyroid function control
27

Original publication

Effect of Inactivated and mRNA COVID-19 Vaccination on Thyroid Function Among Patients Treated for Hyperthyroidism. J Clin Endocrinol Metab. Published 1 December 2022. doi:10.1210/clinem/dgac684

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