Menstrual Abnormalities Strongly Associated with Proximity to COVID-19 Vaccinated Individuals
DOI:
https://doi.org/10.56098/tp99wn15Keywords:
abnormal menses, COVID-19 shedding, COVID-19 transmission, COVID-19 vaccines, menses irregularities, menstrucal bleeding, mRNA spike protein, mRNAvaccinesAbstract
In Spring 2021, MyCycleStorySM launched a secure online survey to which 92.3% of 6049 respondents self-reported menstrual irregularities occurring after the rollout of the COVID-19 injectables. Each respondent served as her own control because prior to the rollout of COVID-19 vaccination, the vast majority had regular menstrual cycles. A subgroup of 3390 respondents were only indirectly exposed to COVID-19 vaccines or the SARS-CoV-2 virus. This subgroup reported 1) being unvaccinated for COVID-19; 2) having had no COVID-19 symptoms; and 3) no positive test for COVID-19, yet a substantial majority of these women, who were only indirectly exposed to COVID-19 injectables or COVID-19 infections still had many of the same menstrual abnormalities as the 2659 women who were directly exposed to a COVID-19 injection (798), or had COVID-19 symptoms (1347), or tested positive for COVID-19 (514). Generalized linear mixed modeling was used to examine the association (not assuming causation) between abnormal menses experienced after the COVID-19 vaccine rollout by respondents who were only indirectly exposed by some degree of proximity to persons. Chi-Square, Student’s t, Kruskal-Wallis or ANOVA tests were used to assess the statistical significance of the similarities of menstrual irregularities reported by the directly exposed and indirectly exposed groups. The mean age of the entire cohort was 37.8 ± 0.1 years. The percentage of the indirectly exposed participants who reported being within 6 feet of a COVID-19 vaccinated person was 85.5%. Of these, 71.7% had irregular menstrual symptoms within one week and 50.1% had irregular menstrual symptoms within ≤3 days after exposure. When comparing daily proximity to a vaccinated person, the categories of “daily within 6 feet outside the household” versus “seldom/sometimes/daily outside 6 feet” had the highest relative risk at 1.34 (p<0.01) for heavier menstrual bleeding, early menses at more than 7 days early with a relative risk at 1.28 (p=0.03), and extended bleeding for more than 7 days with relative risk at 1.26 (p=0.04). Indirect exposure to COVID-19 vaccinated persons was significantly associated with the likelihood of the onset of menstrual irregularities. This study provides additional data to complement a growing body of evidence raising concerns regarding the safety of mRNA vaccines.
References
Abu Abed, O. S. (2021). Gene therapy avenues and COVID-19 vaccines. Genes & Immunity, 22(2), 120-124. https://doi.org/10.1038/s41435-021-00136-6
Alvergne, A., Kountourides, G., Argentieri, M. A., Agyen, L., Rogers, N., Knight, D., Sharp, G. C., Maybin, J. A., & Olszewska, Z. (2023). A retrospective case-control study on menstrual cycle changes following COVID-19 vaccination and disease. iScience, 26(4), 106401. https://doi.org/10.1016/j.isci.2023.106401
Anderson, N. B., Nordal, K. C., Breckler, S., Bethune, S., Ballard, D., Bufka, L., Bossolo, L., Brownawell, A., & Kelley, K. (2010). Stress in America findings. American Psychological Association. https://www.apa.org/news/press/releases/stress/2010/national-report.pdf
Argano, C., Mallaci Bocchio, R., Natoli, G., Scibetta, S., Lo Monaco, M., & Corrao, S. (2023). Protective Effect of Vitamin D Supplementation on COVID-19-Related Intensive Care Hospitalization and Mortality: Definitive Evidence from Meta-Analysis and Trial Sequential Analysis. Pharmaceuticals, 16(1), 130. https://doi.org/10.3390/ph16010130
Baena-García, L., Aparicio, V. A., Molina-López, A., Aranda, P., Cámara-Roca, L., & Ocón-Hernández, O. (2022). Premenstrual and menstrual changes reported after COVID-19 vaccination: the EVA project. Women's Health (London, England), 18, 1-8. https://doi.org/10.1177/17455057221112237
Banoun, H. (2022). Current state of knowledge on the excretion of mRNA and spike produced by anti-COVID-19 mRNA vaccines; possibility of contamination of the entourage of those vaccinated by these products. Infectious Diseases Research, 3(4). https://doi.org/10.53388/IDR20221125022
Banoun, H. (2023). mRNA: vaccine or gene therapy? Regulatory issues. [Preprint]. Qeios. https://doi.org/10.32388/WW4UEN
Bansal, S., Perincheri, S., Fleming, T., Poulson, C., Tiffany, B., Bremner, R. M., & Mohanakumar, T. (2021). Cutting edge: circulating exosomes with COVID spike protein are induced by BNT162b2 (Pfizer-BioNTech) vaccination prior to development of antibodies:a novel mechanism for immune activation by mRNA vaccines. Journal of Immunology, 207(10), 2405–2410. https://doi.org/10.4049/jimmunol.2100637
Berild, J. D., Larsen, V. B., Thiesson, E. M., Lehtonen, T., Grøsland, M., Helgeland, J., Wolhlfahrt, J., Hansen, J. V., Palmu, A. A., & Hviid, A. (2022). Analysis of thromboembolic and thrombocytopenic events after the AZD1222, BNT162b2, and MRNA-1273 covid-19 vaccines in 3 Nordic countries. JAMA Network Open, 5(6), e2217375-e2217375. https://doi.org/10.1001/jamanetworkopen.2022.17375
Blix, K., Laake, I., Juvet, L., Robertson, A. H., Caspersen, I. H., Mjaaland, S., Skodvin, S. N., Magnus, P., Feiring, B., & Trogstad, L. (2023). Unexpected vaginal bleeding and COVID-19 vaccination in nonmenstruating women. Science Advances, 9(38), eadg1391. https://doi.org/10.1126/sciadv.adg1391
Brogna, C., Cristoni, S., Marino, G., Montano, L., Viduto, V., Fabrowski, M., Lettieri, G., & Piscopo, M. (2023). Detection of recombinant Spike protein in the blood of individuals vaccinated against SARS-CoV-2: Possible molecular mechanisms. Proteomics Clinical Applications, 17(6), e2300048. https://doi.org/10.1002/prca.202300048
Butters, D., & Whitehouse, M. (2021). COVID-19 and nutriceutical therapies, especially using zinc to supplement antimicrobials. Inflammopharmacology, 29, 101-105. https://doi.org/https://doi.org/10.1007/s10787-020-00774-8
Castruita, J. A. S., Schneider, U. V., Mollerup, S., Leineweber, T. D., Weis, N., Bukh, J., Pedersen, M. S., & Westh, H. (2023). SARS-CoV-2 spike mRNA vaccine sequences circulate in blood up to 28 days after COVID-19 vaccination. APMIS: acta pathologica, microbiologica, et immunologica Scandinavica, 131(3), 128-132. https://doi.org/10.1111/apm.13294
Center for Biologics Evaluation and Research. (2013). Preclinical assessment of investigational cellular and gene therapy products. (Docket No. FDA–2012–D–1038). US Food and Drug Administration Retrieved from https://www.fda.gov/media/87564/download
Center for Biologics Evaluation and Research. (2015). Design and analysis of shedding studies for virus or bacteria-based gene therapy and oncolytic products: guidance for industry. US Food and Drug Administration, Retrieved from https://www.fda.gov/media/89036/download
Chow, M. Y., Qiu, Y., & Lam, J. K. (2020). Inhaled RNA therapy: from promise to reality. Trends in pharmacological sciences, 41(10), 715-729. https://doi.org/10.1016/j.tips.2020.08.002
Commitee for Medicinal Products for Human Use CHMP. (2006). Guideline on clinical evaluation of new vaccines. (EMEA/CHMP/VWP/164653/2005). European Medicines Agency, Retrieved from https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-evaluation-new-vaccines_en.pdf
Committee for Medicinal Products for Human Use. (2021). Assessment Report COVID-19 Vaccine Moderna. European Medicines Agency. https://www.ema.europa.eu/en/documents/assessment-report/spikevax-previously-covid-19-vaccine-moderna-epar-public-assessment-report_en.pdf
Darney, B. G., Boniface, E. R., Van Lamsweerde, A., Han, L., Matteson, K. A., Cameron, S., Male, V., Acuna, J., Benhar, E., Pearson, J. T., & Edelmann, A. (2023). Impact of coronavirus disease 2019 (COVID‐19) vaccination on menstrual bleeding quantity: An observational cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 130(7), 803-812. https://doi.org/10.1111/1471-0528.17471
Diblasi, L., Monteverde, M., Nonis, D., & Sangorrín, M. (2024). At Least 55 Undeclared Chemical Elements Found in COVID-19 Vaccines from AstraZeneca, CanSino, Moderna, Pfizer, Sinopharm and Sputnik V, with Precise ICP-MS. International Journal of Vaccine Theory, Practice, and Research, 3(2), 1367-1393. https://doi.org/https://doi.org/10.56098/mt1njj52
Edelman, A., Boniface, E. R., Male, V., Cameron, S. T., Benhar, E., Han, L., Matteson, K. A., Van Lamsweerde, A., Pearson, J. T., & Darney, B. G. (2022). Association between menstrual cycle length and covid-19 vaccination: global, retrospective cohort study of prospectively collected data. BMJ Med, 1(1), e000297. https://doi.org/10.1136/bmjmed-2022-000297
Fertig, T. E., Chitoiu, L., Marta, D. S., Ionescu, V.-S., Cismasiu, V. B., Radu, E., Angheluta, G., Dobre, M., Serbanescu, A., & Hinescu, M. E. (2022). Vaccine mRNA can be detected in blood at 15 days post-vaccination. Biomedicines, 10(7), 1538. https://doi.org/10.3390/biomedicines10071538
Flam, F. (2021, May 19, 2021). Blood clots aren’t the only vaccine side effects worth studying. Bloomberg Markets. Retrieved 06/09/23 from https://www.bloomberg.com/opinion/articles/2021-05-19/changes-in-menstruation-after-covid-19-vaccines-should-be-studied
Halma, M. T., Plothe, C., Marik, P., & Lawrie, T. A. (2023). Strategies for the Management of Spike Protein-Related Pathology. Microorganisms, 11(5), 1308. https://doi.org/10.3390/microorganisms11051308
Hanna, N., Heffes-Doon, A., Lin, X., De Mejia, C. M., Botros, B., Gurzenda, E., & Nayak, A. (2022). Detection of messenger RNA COVID-19 vaccines in human breast milk. JAMA pediatrics, 176(12), 1268-1270. https://doi.org/10.1001/jamapediatrics.2022.3581
Hanna, N., Manzano De Majia, C., Heffes-Doon, A., Lin, X., Botros, B., Gurzenda, E., Clauss-Pascarelli, C., & Nayak, A. (2023). Biodistribution of mRNA COVID-19 vaccines in human breast milk. eBioMedicine, 96(104800), 104800. https://doi.org/10.1016/j.ebiom.2023.104800
Jahanfar, S., Awang, C. H. C., Abd Rahman, R., Samsuddin, R. D., & See, C. P. (2007). Is 3α-androstenol pheromone related to menstrual synchrony? BMJ Sexual & Reproductive Health, 33(2), 116-118. https://doi.org/10.1783/147118907780254042
Kajiwara, S., Akiyama, N., Baba, H., & Ohta, M. (2023). Association between COVID-19 vaccines and the menstrual cycle in young Japanese women. Journal of Infection and Chemotherapy: official journal of the Japan Society of Chemotherapy. https://doi.org/10.1016/j.jiac.2023.01.003
Kedl, R. M., Hsieh, E. W. Y., Morrison, T. E., Samayoa-Reyes, G., Flaherty, S., Jackson, C. L., & Rochford, R. (2023). Evidence for Aerosol Transfer of SARS-CoV-2–Specific Humoral Immunity. ImmunoHorizons, 7(5), 307-309. https://doi.org/10.4049/immunohorizons.2300027
Khan, S. M., Shilen, A., Heslin, K. M., Ishimwe, P., Allen, A. M., Jacobs, E. T., & Farland, L. V. (2022). SARS-CoV-2 infection and subsequent changes in the menstrual cycle among participants in the Arizona CoVHORT study. American Journal of Obstetrics and Gynecology, 226(2), 270-273. https://doi.org/10.1016/j.ajog.2021.09.016
Krauson, A. C., FVC; Siddiquee, Z; Stone, JR. (2023). Duration of SARS-CoV-2 mRNA vaccine persistence and factors associated with cardiac involvement in recently vaccinated patients. NPJ Vaccines, 8(1), 141. https://doi.org/10.1038/s41541-023-00742-7
Lagana, A. S., Veronesi, G., Ghezzi, F., Ferrario, M. M., Cromi, A., Bizzarri, M., Garzon, S., & Cosentino, M. (2022). Evaluation of menstrual irregularities after COVID-19 vaccination: results of the MECOVAC survey. Open Medicine, 17(1), 475-484. https://doi.org/10.1515/med-2022-0452
Lauretta, R., Sansone, A., Sansone, M., Romanelli, F., & Appetecchia, M. (2019). Endocrine disrupting chemicals: effects on endocrine glands. Frontiers in endocrinology, 10, 178. https://doi.org/10.3389/fendo.2019.00178
Lee, K. M. N., Junkins, E. J., Luo, C., Fatima, U. A., Cox, M. L., & Clancy, K. B. H. (2022). Investigating trends in those who experience menstrual bleeding changes after SARS-CoV-2 vaccination. Science Advances, 8(28), eabm7201. https://doi.org/10.1126/sciadv.abm7201
Leong, E. W., & Ge, R. (2022). Lipid nanoparticles as delivery vehicles for inhaled therapeutics. Biomedicines, 10(9), 2179. https://doi.org/10.3390/biomedicines10092179
Lessans, N., Rottenstreich, A., Stern, S., Gilan, A., Saar, T. D., Porat, S., & Dior, U. P. (2022). The effect of BNT162b2 SARS-CoV-2 mRNA vaccine on menstrual cycle symptoms in healthy women. International Journal of Gynaecology and Obstetrics, 160(1), 313-318. https://doi.org/10.1002/ijgo.14356
Li, M., Al-Jamal, K. T., Kostarelos, K., & Reineke, J. (2010). Physiologically based pharmacokinetic modeling of nanoparticles. ACS nano, 4(11), 6303-6317. https://doi.org/10.1021/nn1018818
Liao, Y., Du, X., Li, J., & Lönnerdal, B. (2017). Human milk exosomes and their microRNAs survive digestion in vitro and are taken up by human intestinal cells. Molecular nutrition & food research, 61(11), 1700082. https://doi.org/https://doi.org/10.1002/mnfr.201700082
Liu, J., Li, Y., Liu, L., Hu, X., Wang, X., Hu, H., Hu, Z., Zhou, Y., & Wang, M. (2020). Infection of human sweat glands by SARS-CoV-2. Cell Discovery, 6(1), 84. https://doi.org/10.1038/s41421-020-00229-y
Lucchetti, D., Santini, G., Perelli, L., Ricciardi-Tenore, C., Colella, F., Mores, N., Macis, G., Bush, A., Sgambato, A., & Montuschi, P. (2021). Detection and characterisation of extracellular vesicles in exhaled breath condensate and sputum of COPD and severe asthma patients. European Respiratory Journal, 58(2), 2003024. https://doi.org/10.1183/13993003.03024-2020
Machhi, J., Shahjin, F., Das, S., Patel, M., Abdelmoaty, M. M., Cohen, J. D., Singh, P. A., Baldi, A., Bajwa, N., & Kumar, R. (2021). A role for extracellular vesicles in SARS-CoV-2 therapeutics and prevention. Journal of Neuroimmune Pharmacology, 16, 270-288. https://doi.org/10.1007/s11481-020-09981-0
Mikhael, S., Punjala-Patel, A., & Gavrilova-Jordan, L. (2019). Hypothalamic-pituitary-ovarian axis disorders impacting female fertility. Biomedicines, 7(1), 5. https://doi.org/10.3390/biomedicines7010005
Moderna Inc. (2018). Moderna, Inc., Amendment no. 1 to form S-1 registration statement. (Registration No. 333-228300). US Securities and Exchange Commission, Retrieved from https://www.sec.gov/Archives/edgar/data/1682852/000119312518335714/d611137ds1a.htm
Moderna Inc. (2020). Form 10-Q quarterly report for the quarterly period ended June 30, 2020 (Commission file number: 001-38753). https://www.sec.gov/Archives/edgar/data/1682852/000168285220000017/mrna-20200630.htm
Moderna Inc. (2022). A phase 3, randomized, stratified, observer-blind, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of mRNA-1273 SARS-CoV-2 vaccine in adults aged 18 years and older. (ID Number NCT04470427). clinicaltrials.gov: US National Library of Medicine, Retrieved from https://clinicaltrials.gov/ct2/show/NCT04470427?term=NCT04470427&rank=1
Mohammadi, A. H., Behjati, M., Karami, M., Abari, A. H., Sobhani-Nasab, A., Rourani, H. A., Hazrati, E., Mirghazanfari, S. M., Hadi, V., & Hadi, S. (2022). An overview on role of nutrition on COVID-19 immunity: Accumulative review from available studies. Clinical Nutrition Open Science. https://doi.org/https://doi.org/10.1016/j.nutos.2022.11.001
Muhaidat, N., Alshrouf, M. A., Azzam, M. I., Karam, A. M., Al-Nazer, M. W., & Al-Ani, A. (2022). Menstrual symptoms after COVID-19 vaccine: a cross-sectional investigation in the MENA region. International Journal of Women's Health, 14, 395-404. https://doi.org/10.2147/IJWH.S352167
National Institutes of Health. (2019). NIH guidelines for research involving recombinant or synthetic nucleic acid molecules. US Department of Health and Human Services, Retrieved from https://osp.od.nih.gov/wp-content/uploads/2019_NIH_Guidelines.htm
Our World In Data. (2023). COVID-19 vaccinations in the United States. Our World in Data. Retrieved 06/09/23 from https://ourworldindata.org/grapher/covid-vaccine-doses-by-manufacturer?time=earliest..2021-02-28&country=~USA
Pantazatos, S., & Seligmann, H. (2021). COVID vaccination and age-stratified all-cause mortality risk [Preprint]. ResearchGate. https://doi.org/10.13140/RG.2.2.28257.43366/1
Parotto, T., Thorp, J. A., Hooker, B., Mills, P. J., Newman, J., Murphy, L., Geick, W., McDyer, D. C., Stricker, R. B., Peters, S., McDonnell, M., Ray, H., & Northrup, C. (2022). COVID-19 and the surge in decidual cast shedding. The Gazette of Medical Sciences, 3(1), 107-117. https://doi.org/10.46766/thegms
Patterson, B. K., Francisco, E. B., Yogendra, R., Long, E., Pise, A., Rodrigues, H., Hall, E., Herrera, M., Parikh, P., & Guevara-Coto, J. (2022). Persistence of SARS CoV-2 S1 protein in CD16+ monocytes in post-acute sequelae of COVID-19 (PASC) up to 15 months post-infection. Frontiers in immunology, 12, 746021. https://doi.org/10.3389/fimmu.2021.746021
Pfizer Inc. (2020). A phase 1/2/3, placebo-controlled, randomized, observer-blind, dose-finding study to evaluate the safety, tolerability, immunogenicity, and efficacy of the SARS-CoV-2 RNA vaccine candidates against COVID-19 in healthy individuals. Pfizer Inc. https://web.archive.org/web/20230116215816/https://cdn.pfizer.com/pfizercom/2020-11/C4591001_Clinical_Protocol_Nov2020.pdf
Pfizer Inc. (2021). SARS-CoV-2 mRNA Vaccine (BNT162, PF-07302048). https://web.archive.org/web/20210403075739/https://www.pmda.go.jp/drugs/2021/P20210212001/672212000_30300AMX00231_I100_1.pdf
Röltgen, K., Nielsen, S., Silva, O., Younes, S., Zaslavsky, M., Costales, C., Yang, F., Wirz, O., Solis, D., Hoh, R., Wang, A., Arunachalam, P., Colburg, D., Zhao, S., Haraguchi, E., Lee, A., Shah, M., Manohar, M., Chang, I., . . . Boyd, S. (2022). Immune imprinting, breadth of variant recognition, and germinal center response in human SARS-CoV-2 infection and vaccination. Cell, 185(6), 1025-1040.e1014. https://doi.org/10.1016/j.cell.2022.01.018
Sahin, U., Karikó, K., & Türeci, Ö. (2014). mRNA-based therapeutics—developing a new class of drugs. Nature reviews Drug discovery, 13(10), 759-780. https://doi.org/10.1038/nrd4278
Salkind, N. J. (2010). Encyclopedia of Research Design (Vol. 1). Sage.
Shakoor, H., Feehan, J., Al Dhaheri, A. S., Ali, H. I., Platat, C., Ismail, L. C., Apostolopoulos, V., & Stojanovska, L. (2021). Immune-boosting role of vitamins D, C, E, zinc, selenium and omega-3 fatty acids: Could they help against COVID-19? Maturitas, 143, 1-9. https://www.maturitas.org/article/S0378-5122(20)30346-7/pdf
Solis, O., Beccari, A. R., Iaconis, D., Talarico, C., Ruiz-Bedoya, C. A., Nwachukwu, J. C., Cimini, A., Castelli, V., Bertini, R., Montopoli, M., Cocetta, V., Borocci, S., Prandi, I. G., Flavahan, K., Bahr, M., Napiorkowski, A., Chillemi, G., Ooka, M., Yang, X., . . . Michaelides, M. (2022). The SARS-CoV-2 spike protein binds and modulates estrogen receptors. Science Advances, 8(48), eadd4150. https://doi.org/doi:10.1126/sciadv.add4150
Speicher, D. J., Rose, J., Gutschi, L. M., & McKernan, K. (2023). DNA fragments detected in monovalent and bivalent Pfizer/BioNTech and Moderna modRNA COVID-19 vaccines from Ontario, Canada: Exploratory dose response relationship with serious adverse events. Preprint. https://osf.io/preprints/mjc97
Therapeutic Goods Administration. (2021). Nonclinical Evaluation Report BNT162b2 [mRNA] COVID-19 vaccine (COMIRNATY) (Submission No: PM-2020-05461-1-2). Australian Government Department of Health. https://www.tga.gov.au/sites/default/files/foi-2389-06.pdf
Trogstad, L., Juvet, L., Feiring, B., & Blix, K. (2022). Covid-19 vaccines and menstrual changes. BMJ Medicine, 1(1), e000357. https://doi.org/10.1136/bmjmed-2022-000357
Trogstad, L., Laake, I., Robertson, A., Mjaaland, S., Caspersen, I. H., Juvet, L., Magnus, P., Blix, K., & Feiring, B. (2023). Heavy bleedings and other menstrual disturbances in 18-to 30-year-old women after COVID-19 vaccination [Preprint]. SSRN(Preprint). https://doi.org/10.2139/ssrn.4326798
Trougakos, I. P., Terpos, E., Alexopoulos, H., Politou, M., Paraskevis, D., Scorilas, A., Kastritis, E., Andreakos, E., & Dimopoulos, M. A. (2022). Adverse effects of COVID-19 mRNA vaccines: the spike hypothesis. Trends in Molecular Medicine, 28(7), 542-554. https://doi.org/10.1016/j.molmed.2022.04.007
UK Medicines & Healthcare Products Regulatory Agency. (2023, March 8, 2023). Research and analysis: coronavirus vaccine- summary of Yellow Card reporting. GOV.UK. Retrieved 06/10/23 from https://www.gov.uk/government/publications/coronavirus-covid-19-vaccine-adverse-reactions/coronavirus-vaccine-summary-of-yellow-card-reporting#yellow-card-reports
US Centers for Disease Control and Prevention. (2021). Understanding mRNA COVID-19 Vaccines. Retrieved 1/14/2024 from https://web.archive.org/web/20210731211219/https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/mrna.html
US Department of Health and Human Services. (2020). Explaining Operation Warp Speed. HHS.gov: HHS.gov Retrieved from https://web.archive.org/web/20200816061236/https://www.hhs.gov/sites/default/files/fact-sheet-operation-warp-speed.pdf
US Food and Drug Administration. (2020). Emergency use authorization (EUA) for an unapproved product review memorandum: Moderna. (Application number: 27073). Food and Drug Administration Retrieved from https://fda.report/media/144673/Moderna.pdf
US Food and Drug Administration. (2020b). Emergency use authorization (EUA) for an unapproved product review memorandum: Pfizer-BioNTech. (Application number: 27034). US Food and Drug Administration Retrieved from https://www.fda.gov/media/144416/download
US Food and Drug Administration. (2020c, 12/18/2020). FDA takes additional action in fight against COVID-19 by issuing emergency use authorization for second COVID-19 vaccine. https://www.fda.gov/news-events/press-announcements/fda-takes-additional-action-fight-against-covid-19-issuing-emergency-use-authorization-second-covid
Wang, R., Song, B., Wu, J., Zhang, Y., Chen, A., & Shao, L. (2018). Potential adverse effects of nanoparticles on the reproductive system. International journal of nanomedicine, 13, 8487-8506. https://doi.org/10.2147/IJN.S170723
Wang, S., Mortazavi, J., Hart, J. E., Hankins, J. A., Katuska, L. M., Farland, L. V., Gaskins, A. J., Wang, Y. X., Tamimi, R. M., Terry, K. L., Rich-Edwards, J. W., Missmer, S. A., & Chavarro, J. E. (2022). A prospective study of the association between SARS-CoV-2 infection and COVID-19 vaccination with changes in usual menstrual cycle characteristics. American Journal of Obstetrics and Gynecology, 227(5), 739.e731-739.e711. https://doi.org/10.1016/j.ajog.2022.07.003
Wong, K. K., Heilig, C. M., Hause, A., Myers, T. R., Olson, C. K., Gee, J., Marquez, P., Strid, P., & Shay, D. K. (2022). Menstrual irregularities and vaginal bleeding after COVID-19 vaccination reported to v-safe active surveillance, USA in December, 2020–January, 2022: an observational cohort study. The Lancet Digital Health, 4(9), e667-e675. https://doi.org/10.1016/S2589-7500(22)00125-X
Yeo, K. T., Chia, W. N., Tan, C. W., Ong, C., Yeo, J. G., Zhang, J., Poh, S. L., Lim, A. J. M., Sim, K. H. Z., & Sutamam, N. (2022). Neutralizing activity and SARS-CoV-2 vaccine mRNA persistence in serum and breastmilk after BNT162b2 vaccination in lactating women. Frontiers in immunology, 12, 783975. https://doi.org/10.3389/fimmu.2021.783975
Yeo, W. S., & Ng, Q. X. (2021). Passive inhaled mRNA vaccination for SARS-Cov-2. Medical Hypotheses, 146, 110417. https://doi.org/https://doi.org/10.1016/j.mehy.2020.110417
Zhang, H., Leal, J., Soto, M. R., Smyth, H. D., & Ghosh, D. (2020). Aerosolizable lipid nanoparticles for pulmonary delivery of mRNA through design of experiments. Pharmaceutics, 12(11), 1042. https://doi.org/10.3390/pharmaceutics12111042
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Copyright (c) 2024 Sue E. Peters, Jill Newman , Heather Ray, James A. Thorp, Tiffany Parotto, Brian Hooker, Dan McDyer, Leonard Murphy, Ralph B Stricker, Maureen McDonnell, Paul J. Mills, Warren Gieck, Christiane Northrup
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