Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?

Background: To build immunity against the pandemic severe acute respiratory syndrome coronavirus-2 infection in adolescents, wide-ranging immunization with BioNTech (BNT) vaccine was initiated in September 2021 in Taiwan. Some adverse events are, therefore, reported after vaccination. Herein, we sta...

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Main Authors: Shen-Hao Lai, Sui-Ling Liao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-04-01
Series:Pediatric Respirology and Critical Care Medicine
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Online Access:https://journals.lww.com/10.4103/prcm.prcm_6_23
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author Shen-Hao Lai
Sui-Ling Liao
author_facet Shen-Hao Lai
Sui-Ling Liao
author_sort Shen-Hao Lai
collection DOAJ
description Background: To build immunity against the pandemic severe acute respiratory syndrome coronavirus-2 infection in adolescents, wide-ranging immunization with BioNTech (BNT) vaccine was initiated in September 2021 in Taiwan. Some adverse events are, therefore, reported after vaccination. Herein, we stated a case series with uncommon pneumomediastinum after BNT vaccination.Materials and Methods: This study retrospectively enrolled adolescents, who being diagnosed to have pneumomediastinum, during the 3-month period (between September 22, 2021, and December 22, 2021). Clinical information, such as clinical symptoms, radiographic characteristics, and clinical outcomes, were further analyzed.Results: A total of eight adolescents developed pneumomediastinum during the 3-month period after BNT vaccination. The time interval between pneumomediastinum and vaccination showed bimodal peak (around 10 and 60 days after BNT vaccination). Significant Macklin effect can be sketched in radiographic images of six patients.Conclusion: Several cases of pneumomediastinum were found in adolescents after BNT vaccination. The precise association is needed for further investigation.
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spelling doaj-art-72680e8deef84ba2b553cf757dd8a19c2025-08-20T02:17:32ZengWolters Kluwer Medknow PublicationsPediatric Respirology and Critical Care Medicine2543-03432543-03512023-04-0172333610.4103/prcm.prcm_6_23Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?Shen-Hao LaiSui-Ling LiaoBackground: To build immunity against the pandemic severe acute respiratory syndrome coronavirus-2 infection in adolescents, wide-ranging immunization with BioNTech (BNT) vaccine was initiated in September 2021 in Taiwan. Some adverse events are, therefore, reported after vaccination. Herein, we stated a case series with uncommon pneumomediastinum after BNT vaccination.Materials and Methods: This study retrospectively enrolled adolescents, who being diagnosed to have pneumomediastinum, during the 3-month period (between September 22, 2021, and December 22, 2021). Clinical information, such as clinical symptoms, radiographic characteristics, and clinical outcomes, were further analyzed.Results: A total of eight adolescents developed pneumomediastinum during the 3-month period after BNT vaccination. The time interval between pneumomediastinum and vaccination showed bimodal peak (around 10 and 60 days after BNT vaccination). Significant Macklin effect can be sketched in radiographic images of six patients.Conclusion: Several cases of pneumomediastinum were found in adolescents after BNT vaccination. The precise association is needed for further investigation.https://journals.lww.com/10.4103/prcm.prcm_6_23bnt vaccinecovid-19pneumomediastinumsars-cov-2
spellingShingle Shen-Hao Lai
Sui-Ling Liao
Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
Pediatric Respirology and Critical Care Medicine
bnt vaccine
covid-19
pneumomediastinum
sars-cov-2
title Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
title_full Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
title_fullStr Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
title_full_unstemmed Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
title_short Pneumomediastinum following immunization of BioNTech COVID-19 vaccine: A coincidence?
title_sort pneumomediastinum following immunization of biontech covid 19 vaccine a coincidence
topic bnt vaccine
covid-19
pneumomediastinum
sars-cov-2
url https://journals.lww.com/10.4103/prcm.prcm_6_23
work_keys_str_mv AT shenhaolai pneumomediastinumfollowingimmunizationofbiontechcovid19vaccineacoincidence
AT suilingliao pneumomediastinumfollowingimmunizationofbiontechcovid19vaccineacoincidence