{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T23:27:39Z","timestamp":1767482859440,"version":"3.48.0"},"reference-count":17,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpedhc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Health Care"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.pedhc.2025.07.003","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T03:51:51Z","timestamp":1755057111000},"page":"142-146","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine"],"prefix":"10.1016","volume":"40","author":[{"given":"Arjun","family":"Gampala","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Minnaganti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0960-2863","authenticated-orcid":false,"given":"Darcy","family":"Weidemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedhc.2025.07.003_bib0001","doi-asserted-by":"crossref","first-page":"697","DOI":"10.2147\/IMCRJ.S286335","article-title":"Severe immune thrombocytopenia following MMR vaccination with rapid recovery: A case report and review of literature","volume":"13","author":"Akbik","year":"2020","journal-title":"International Medical Case Reports Journal"},{"issue":"5","key":"10.1016\/j.pedhc.2025.07.003_bib0002","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.4161\/hv.23601","article-title":"Vaccine administration and the development of immune thrombocytopenic purpura in children","volume":"9","author":"Cecinati","year":"2013","journal-title":"Human Vaccines & Immunotherapeutics"},{"year":"2022","series-title":"Pneumococcal vaccination: Information for healthcare professionals","key":"10.1016\/j.pedhc.2025.07.003_bib0003"},{"year":"2024","series-title":"Pneumococcal polysaccharide vaccine (PPSV23) information for healthcare providers","key":"10.1016\/j.pedhc.2025.07.003_bib0004"},{"issue":"9","key":"10.1016\/j.pedhc.2025.07.003_bib0005","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1001\/jamainternmed.2023.2146","article-title":"Reports of injection site necrosis after 23-valent pneumococcal vaccine use","volume":"183","author":"Day","year":"2023","journal-title":"JAMA Internal Medicine"},{"issue":"3","key":"10.1016\/j.pedhc.2025.07.003_bib0006","doi-asserted-by":"crossref","first-page":"e687","DOI":"10.1542\/peds.2007-1578","article-title":"Risk of immune thrombocytopenic purpura after measles-mumps-rubella immunization in children","volume":"121","author":"France","year":"2008","journal-title":"Pediatrics"},{"issue":"1","key":"10.1016\/j.pedhc.2025.07.003_bib0007","doi-asserted-by":"crossref","first-page":"92","DOI":"10.4274\/tjh.galenos.2021.2020.0664","article-title":"Severe inflammatory response in myelodysplastic syndrome and trisomy 8 following 23-valent polysaccharide pneumococcal vaccine administration","volume":"38","author":"Fujikawa","year":"2021","journal-title":"Turkish Journal of Hematology"},{"key":"10.1016\/j.pedhc.2025.07.003_bib0008","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.thromres.2022.09.017","article-title":"Vaccine-associated thrombocytopenia","volume":"220","author":"Gan","year":"2022","journal-title":"Thrombosis Research"},{"issue":"5","key":"10.1016\/j.pedhc.2025.07.003_bib0009","article-title":"Immune thrombocytopenic purpura following COVID-19 infection: A case report and literature review","volume":"15","author":"Nguyen","year":"2023","journal-title":"Cureus"},{"issue":"2","key":"10.1016\/j.pedhc.2025.07.003_bib0010","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/01.inf.0000109846.59440.a1","article-title":"Thrombocytopenic purpura after hepatitis B vaccine: Case report and review of the literature","volume":"23","author":"Nuevo","year":"2004","journal-title":"The Pediatric Infectious Disease Journal"},{"issue":"2","key":"10.1016\/j.pedhc.2025.07.003_bib0011","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1542\/peds.2011-1111","article-title":"The risk of immune thrombocytopenic purpura after vaccination in children and adolescents","volume":"129","author":"O'Leary","year":"2012","journal-title":"Pediatrics"},{"issue":"5","key":"10.1016\/j.pedhc.2025.07.003_bib0012","first-page":"1631","article-title":"Severe necrotic reaction to 23-valent polysaccharide pneumococcal vaccine in a patient with STAT3 deficiency","volume":"7","author":"Pi\u00f1ones","year":"2019","journal-title":"Journal of Allergy and Clinical Immunology: In Practice"},{"issue":"22","key":"10.1016\/j.pedhc.2025.07.003_bib0013","doi-asserted-by":"crossref","first-page":"3780","DOI":"10.1182\/bloodadvances.2019000812","article-title":"Updated international consensus report on the investigation and management of primary immune thrombocytopenia","volume":"3","author":"Provan","year":"2019","journal-title":"Blood Advances"},{"issue":"6","key":"10.1016\/j.pedhc.2025.07.003_bib0014","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1177\/0961203313499959","article-title":"Immune thrombocytopenic purpura: An autoimmune cross-link between infections and vaccines","volume":"23","author":"Rinaldi","year":"2014","journal-title":"Lupus"},{"issue":"1","key":"10.1016\/j.pedhc.2025.07.003_bib0015","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.vaccine.2023.11.053","article-title":"Immune thrombocytopenic purpura and Guillain-Barr\u00e9 syndrome after 23-valent pneumococcal polysaccharide vaccination in Japan: The vaccine effectiveness, networking, and universal safety (VENUS) study","volume":"42","author":"Sato","year":"2024","journal-title":"Vaccine"},{"issue":"2","key":"10.1016\/j.pedhc.2025.07.003_bib0016","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5483\/BMBRep.2022.55.2.183","article-title":"Emerging role of bystander T cell activation in autoimmune diseases","volume":"55","author":"Shim","year":"2022","journal-title":"BMB Reports"},{"issue":"2","key":"10.1016\/j.pedhc.2025.07.003_bib0017","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/IIO.0000000000000502","article-title":"Terson syndrome: A review of the literature","volume":"64","author":"Stevanovic","year":"2024","journal-title":"International Ophthalmology Clinics"}],"container-title":["Journal of Pediatric Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524525001956?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524525001956?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T23:25:15Z","timestamp":1767482715000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0891524525001956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S0891524525001956"],"URL":"https:\/\/doi.org\/10.1016\/j.pedhc.2025.07.003","relation":{},"ISSN":["0891-5245"],"issn-type":[{"type":"print","value":"0891-5245"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Health Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedhc.2025.07.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2025 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}