Intermittent Thigh Pain After AZ Vaccine: What You Need to Know - Neurology

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Thigh pain


Hello, I started experiencing intermittent cramping pain in my left thigh since last night.
I recently received the AZ vaccine three to four days ago, and I'm concerned if this could be a related effect.
Thank you.

Niming, 30~39 year old female. Ask Date: 2021/07/29

Dr. Jiang Junyi reply Neurology


Hello, Miss: Your symptoms seem less likely to be caused by a thrombus and more indicative of a muscular issue.
Do you experience any tingling or numbness? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia).
The incidence rate in Europe is approximately 1 in 10,000.
It typically occurs between 4 to 28 days post-vaccination.
Please be aware of symptoms such as leg swelling, shortness of breath, headaches accompanied by blurred vision, and persistent abdominal pain lasting more than 24 hours.

Clinically, if cerebral venous sinus thrombosis is suspected, an MRI is required for diagnosis.
For abdominal or pulmonary embolism, a CT scan with contrast is necessary, and deep vein thrombosis in the legs can be assessed using vascular ultrasound.
Blood tests should include PT, aPTT, D-dimer (elevated more than four times), and fibrinogen (severely decreased).
I recommend that you visit a neurology clinic for further evaluation.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new pandemic prevention measures before and after seeking medical care.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2021/07/29

More Info


Intermittent thigh pain after receiving the AstraZeneca (AZ) vaccine can be concerning, especially when it occurs shortly after vaccination. However, it is important to understand that various side effects can arise following vaccination, and many of these are typically mild and self-limiting.

Firstly, it is essential to recognize that the AZ vaccine, like other vaccines, can elicit an immune response in the body. This response may manifest as localized pain at the injection site, fatigue, headache, muscle aches, and sometimes fever. These symptoms are generally a sign that the body is building immunity against the virus. Muscle pain, including thigh pain, can occur as part of this response, especially if there was any physical activity or tension in the muscles surrounding the injection site.

In your case, the intermittent nature of the thigh pain could be attributed to several factors. One possibility is that the pain is a result of muscle soreness due to the immune response triggered by the vaccine. Another consideration is that if you have been less active or have changed your physical activity level recently, this could lead to muscle stiffness or discomfort. Additionally, anxiety about the vaccine and its potential side effects can sometimes manifest as physical symptoms, including muscle pain.

While it is common to experience some discomfort after vaccination, it is crucial to monitor the symptoms closely. If the thigh pain persists, worsens, or is accompanied by other concerning symptoms—such as swelling, redness, or warmth in the thigh, shortness of breath, chest pain, or neurological symptoms (like weakness or numbness)—it would be advisable to seek medical attention. These could be signs of more serious conditions, such as deep vein thrombosis (DVT) or vaccine-induced immune thrombotic thrombocytopenia (VITT), although these are rare.

In the absence of alarming symptoms, here are some recommendations to manage your thigh pain:
1. Rest and Ice: Allow your body to rest and apply ice to the affected area to reduce any inflammation or discomfort.

2. Over-the-Counter Pain Relief: If the pain is bothersome, consider taking over-the-counter pain relief medications, such as acetaminophen or ibuprofen, as directed.

3. Gentle Stretching: Engage in gentle stretching exercises to alleviate muscle tension and improve circulation.

4. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet to support your recovery.

5. Monitor Symptoms: Keep track of your symptoms. If they do not improve within a few days or if you develop new symptoms, consult with your healthcare provider.

In conclusion, while intermittent thigh pain after receiving the AZ vaccine can be a normal side effect, it is essential to remain vigilant and seek medical advice if the symptoms change or worsen. Your healthcare provider can offer personalized guidance based on your medical history and current condition. Remember that vaccination is a critical step in protecting yourself and others from COVID-19, and most side effects are manageable and temporary.

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