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Vaccination is one of the most effective interventions to substantially reduce severe disease and death due to SARS\u2010CoV\u20102 infection. Vaccination programmes are being rolled out globally, but most of these vaccines have been approved without extensive studies on their side\u2010effects and efficacy. Recently, new\u2010onset autoimmune phenomena after COVID\u201019 vaccination have been reported increasingly (e.g. immune thrombotic thrombocytopenia, autoimmune liver diseases, Guillain\u2013Barr\u00e9 syndrome, IgA nephropathy, rheumatoid arthritis and systemic lupus erythematosus). Molecular mimicry, the production of particular autoantibodies and the role of certain vaccine adjuvants seem to be substantial contributors to autoimmune phenomena. However, whether the association between COVID\u201019 vaccine and autoimmune manifestations is coincidental or causal remains to be elucidated. Here, we summarize the emerging evidence about autoimmune manifestations occurring in response to certain COVID\u201019 vaccines. Although information pertaining to the risk of autoimmune disease as a consequence of vaccination is controversial, we merely propose our current understanding of autoimmune manifestations associated with COVID\u201019 vaccine. In fact, we do not aim to disavow the overwhelming benefits of mass COVID\u201019 vaccination in preventing COVID\u201019\u00a0morbidity and mortality. These reports could help guide clinical assessment and management of autoimmune manifestations after COVID\u201019 vaccination.<\/jats:p>","DOI":"10.1111\/imm.13443","type":"journal-article","created":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T03:53:49Z","timestamp":1640577229000},"page":"386-401","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":453,"title":["New\u2010onset autoimmune phenomena post\u2010COVID\u201019 vaccination"],"prefix":"10.1111","volume":"165","author":[{"given":"Yue","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University  Hefei China"},{"name":"Inflammation and Immune Mediated Diseases Laboratory of Anhui Province  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Public Health Faculty of Medicine University of Queensland  Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Wang","sequence":"additional","affiliation":[{"name":"Teaching Center of Preventive Medicine School of Public Health Anhui Medical University  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rheumatology The First Affiliated Hospital of University of Science and Technology of China  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zong\u2010Wen","family":"Shuai","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology The First Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong\u2010Qing","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University  Hefei China"},{"name":"Inflammation and Immune Mediated Diseases Laboratory of Anhui Province  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8218-5747","authenticated-orcid":false,"given":"Hai\u2010Feng","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Public Health Anhui Medical University  Hefei China"},{"name":"Inflammation and Immune Mediated Diseases Laboratory of Anhui Province  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,7]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"COVID\u201019 Dashboard 2021. 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