Thyroid disease

Long-Term Thyroid Outcomes After COVID-19 Vaccination: A Cohort Study of 2 333 496 Patients From the TriNetX Network

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

COVID-19 vaccination was associated with a reduced risk of hyperthyroidism and an increased risk of hypothyroidism, highlighting the need for ongoing thyroid function monitoring.

Study context

Population
Individuals in the TriNetX database, January 1, 2022, to December 31, 2023propensity-score matched
Participants
1,166,748 vs 1,166,748
Exposure
COVID-19 vaccination vs no vaccination
  • Vaccinatedn = 1,166,748
  • Unvaccinatedn = 1,166,748reference
Outcome
New diagnoses of subacute thyroiditis, hyperthyroidism and hypothyroidism
Methodological detailspropensity-score matched, TriNetX database
  • Propensity-score matched
  • TriNetX database

Main finding

As reported in the abstract

New diagnoses of subacute thyroiditis, hyperthyroidism and hypothyroidism, vaccinated vs unvaccinated

Hyperthyroidism risk significantly reduced 3 to 9 months postvaccination, HRs (all 95% CIs below 1)

0.65-0.89

Hyperthyroidism at 12 months, not significant: HR

0.99

95% CI 0.92–1.06

Hypothyroidism risk significantly increased 6 to 12 months postvaccination, HR (all 95% CIs above 1)

1.14-1.30

Observational data: associations, not effects.

Further findings

Hyperthyroidism and hypothyroidism in mRNA vaccine recipients · 12 months

Risk of both significantly elevated, HR
1.16-2.13

Original publication

Long-Term Thyroid Outcomes After COVID-19 Vaccination: A Cohort Study of 2 333 496 Patients From the TriNetX Network. J Clin Endocrinol Metab. Published 30 January 2025. doi:10.1210/clinem/dgaf064

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