[Illuminating the shadows – perspectives on mRNA vaccine adverse events – mechanisms, risks and management]: A review.

Publication date: Jun 05, 2025

Apparently, mRNA vaccines have played a pivotal role in curbing the further spread of COVID-19. However, their deployment has been accompanied by reports of adverse events (AEs), including cardiovascular and neurological symptoms. The comprehensive review proposes a conceptual framework to better characterize AEs, elucidate the underlying mechanisms, and outline therapeutic strategies. It also profiles AEs into a three-axe mechanism classification: host susceptibility, delivery system interactions, and mRNA component immunogenicity, thereby advancing current understanding of their etiology. Finally, the analysis integrates these axes with critical perspectives – mRNA molecular design, platform-specific toxicity, and human nature – to provide a comprehensive roadmap for addressing above issues.

Concepts Keywords
Axe Adverse event
Host Mechanism
Mrna mRNA vaccine
Roadmap
Vaccine

Semantics

Type Source Name
disease IDO role
disease MESH COVID-19
drug DRUGBANK Tropicamide
disease IDO host
disease IDO susceptibility
disease MESH etiology

Original Article

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