Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review

Introduction: Localised swelling at sites of filler injections has been reported in the Moderna mRNA-1273 coronavirus disease 2019 (COVID-19) vaccine trial. Methods: We conducted a review of the existing data and literature on the potential pathophysiology for this adverse event and its potential ma...

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Main Authors: Chew Lip Ng, Evelyn Yuxin Tay, Alwyn Ray D’Souza
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-12-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-157
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author Chew Lip Ng
Evelyn Yuxin Tay
Alwyn Ray D’Souza
author_facet Chew Lip Ng
Evelyn Yuxin Tay
Alwyn Ray D’Souza
author_sort Chew Lip Ng
collection DOAJ
description Introduction: Localised swelling at sites of filler injections has been reported in the Moderna mRNA-1273 coronavirus disease 2019 (COVID-19) vaccine trial. Methods: We conducted a review of the existing data and literature on the potential pathophysiology for this adverse event and its potential management. Results: Data from the Moderna and Pfizer COVID-19 vaccine Phase 3 trial and one case series were available. Three out of 30,400 subjects developed possible filler reaction in the Moderna trial. Two other cases were reported after emergency use authorisation. Reactions occurred at a mean of 1.4 days post-vaccination. Fillers were injected at a mean of 14.1 months before vaccination. Areas involved included lips, infraorbital areas and tear troughs. Treatment included observation, corticosteroids, antihistamine, hyaluronidase and 5-fluorouracil. Conclusion: Rare, self-limiting adverse reactions to dermal fillers have been reported following COVID-19 vaccination. Clinicians should be aware of this clinical phenomenon and its management, as vaccination is carried out globally.
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institution Kabale University
issn 0037-5675
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publishDate 2024-12-01
publisher Wolters Kluwer – Medknow Publications
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spelling doaj-art-0ea5d127eda8472ca80363c19d3a20392025-02-09T10:28:25ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-12-01651266566810.4103/singaporemedj.SMJ-2021-157Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic reviewChew Lip NgEvelyn Yuxin TayAlwyn Ray D’SouzaIntroduction: Localised swelling at sites of filler injections has been reported in the Moderna mRNA-1273 coronavirus disease 2019 (COVID-19) vaccine trial. Methods: We conducted a review of the existing data and literature on the potential pathophysiology for this adverse event and its potential management. Results: Data from the Moderna and Pfizer COVID-19 vaccine Phase 3 trial and one case series were available. Three out of 30,400 subjects developed possible filler reaction in the Moderna trial. Two other cases were reported after emergency use authorisation. Reactions occurred at a mean of 1.4 days post-vaccination. Fillers were injected at a mean of 14.1 months before vaccination. Areas involved included lips, infraorbital areas and tear troughs. Treatment included observation, corticosteroids, antihistamine, hyaluronidase and 5-fluorouracil. Conclusion: Rare, self-limiting adverse reactions to dermal fillers have been reported following COVID-19 vaccination. Clinicians should be aware of this clinical phenomenon and its management, as vaccination is carried out globally.https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-157dermal fillerscovid-19local swellingvaccination
spellingShingle Chew Lip Ng
Evelyn Yuxin Tay
Alwyn Ray D’Souza
Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
Singapore Medical Journal
dermal fillers
covid-19
local swelling
vaccination
title Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
title_full Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
title_fullStr Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
title_full_unstemmed Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
title_short Localised swelling at sites of dermal filler injections following administration of Covid-19 vaccines: a systematic review
title_sort localised swelling at sites of dermal filler injections following administration of covid 19 vaccines a systematic review
topic dermal fillers
covid-19
local swelling
vaccination
url https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-157
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AT evelynyuxintay localisedswellingatsitesofdermalfillerinjectionsfollowingadministrationofcovid19vaccinesasystematicreview
AT alwynraydsouza localisedswellingatsitesofdermalfillerinjectionsfollowingadministrationofcovid19vaccinesasystematicreview