Two cases of adult onset ‘Still disease’ after the Pfizer mRNA COVID-19 vaccine raises a flag for clinicians to consider, involving fever and associated symptoms after mRNA vaccination; Dr. McCullough

A 43-year-old healthy man complained of headache, malaise, sore throat, and a high-grade fever (39-40 °C) started ten days after receiving the second dose of the Pfizer mRNA Covid-19 Vaccine (Pfizer) [1], Pfizer’s COVID-19 vaccine.

A 56-year-old woman was complaining of shortness of breath, chest pain, weakness, high spiking fever up to 39.5 c, sore throat, pain and swelling of metacarpo-phalangeal (MCP), proximal inter-phalangeal joints, and both knees and ankles, started seven days after receiving the second dose of the BNT162b2 mRNA vaccine against Covid-19 (Pfizer).

‘It is important to recognize that a constellation of symptoms in addition to fever should prompt recognition of Still’s Disease. Adult onset Still disease, also known as systemic onset juvenile idiopathic arthritis, is a systemic inflammatory disorder characterized by inflammatory polyarthritis, daily fever, and a transient salmon-pink maculopapular rash. A serum ferritin level of more than 1000 ng/ml is common in this condition.’ (McCullough)
‘Both cases were serious, involved myopericarditis, and required hospitalization and and treatment with pulsed corticosteroids.’

SOURCE:
https://www.sciencedirect.com/science/article/pii/S1521661621002151?via%3Dihub
I think Dr. McCullough for pointing to this publication and I decided to write about it.
Dr. McCullough’s substack:

Steroid Responsive Still’s Disease after COVID-19 Vaccination
By Peter A. McCullough, MD, MPH Approximately a third of COVID-19 vaccine recipients develop transient fever. It is important to recognize that a constellation of symptoms in addition to fever should prompt recognition of Still’s Disease. Adult onset Still disease, also known as systemic onset juvenile idiopathic arthritis, is a systemic inflammatory …
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4 days ago · 140 likes · 10 comments · Peter A. McCullough, MD, MPH™

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Author: Dr. Paul Alexander