Acute pancreatitis as a rare adverse event following COVID-19 vector-based vaccination: A case report
Keywords:
acute pancreatitis, COVID 19, vector vaccine, adverse event, case reportAbstract
Background: Acute pancreatitis (AP) has been reported rarely after vaccination against SARS‑CoV‑2.
Case: We describe a 41‑year‑old vegetarian, non‑smoking male who developed AP five days after the first dose of the adenoviral vector vaccine Gam‑COVID‑Vac (Sputnik V). On admission serum amylase was 3600 U/L and abdominal ultrasound demonstrated an enlarged, oedematous pancreas without gall‑stones. The patient responded to conservative therapy and was discharged after seven days.
Conclusion: Although causal inference cannot be drawn from a single observation, clinicians should remain aware of AP as a potential event after vector‑based COVID‑19 vaccination.
References
1. COVID-19 vaccination in Kazakhstan [Internet]. Wikipedia, The Free Encyclopedia; [cited 2025 Jul 1]. Available from: https://ru.wikipedia.org/wiki/Вакцинация_против_COVID-19_в_Казахстане
2. Logunov DY, Dolzhikova IV, Zubkova OV, et al. Safety and immunogenicity of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine in two formulations: two open, non-randomised phase 1/2 studies from Russia. Lancet. 2020;396(10255):887–97. doi:10.1016/S0140-6736(20)31866-3
3. Sputnik V COVID-19 vaccine [Internet]. Wikipedia, The Free Encyclopedia; [cited 2025 Jul 1]. Available from: https://en.wikipedia.org/wiki/Sputnik_V_COVID-19_vaccine
4. Jones I, Roy P. Sputnik V COVID-19 vaccine candidate appears safe and effective. Lancet. 2021;397(10275):642–3. doi:10.1016/S0140-6736(21)00191-4
5. Yadav D, Lowenfels AB. The epidemiology of pancreatitis and pancreatic cancer. Gastroenterology. 2013;144(6):1252–61.
6. Tenner S, Vege SS, Sheth SG, et al. American College of Gastroenterology guidelines: management of acute pancreatitis. Am J Gastroenterol. 2024;119(3):419–37. doi:10.14309/ajg.0000000000002645
7. Parkash O, Sharko A, Farooqi A, Ying GW, Sura P. Acute pancreatitis: a possible side effect of COVID-19 vaccine. Cureus. 2021;13(4):e14741. doi:10.7759/cureus.14741
8. Cieslewicz A, Dudek M, Krela-Kazmierczak I, Jablecka A, Lesiak M, Korzeniowska K. Pancreatic injury after COVID-19 vaccine: a case report. Vaccines (Basel). 2021;9(6):576. doi:10.3390/vaccines9060576
9. Shlomovitz E, Davies W, Cairns E, Brintnell WC, Goldszmidt M, Dresser GK. Severe necrotizing pancreatitis following combined hepatitis A and B vaccination. CMAJ. 2007;176(3):339–42. doi:10.1503/cmaj.060360
10. Hussain A, Augustine SW, Pyakurel S, et al. Acute pancreatitis induced by COVID-19 vaccine: a systematic review. Cureus. 2024;16(3):e55426. doi:10.7759/cureus.55426
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Copyright (c) 2025 Bayan Nurgaliyeva, Aizhan Moldakaryzova, Saken Khaidarov, Zhannat Aldasheva

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