Page 18 - Dr Stephanie Seneff - Reviewing Some Possible Unintended Consequences of the mRNA Vaccines Against COVID - 19
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muscular injection site. Disturbingly, it also reaches into the brain, although at much lower levels
               (Bahl et al., 2017). The European Medicines Agency assessment report for the Moderna vaccine also
               noted that mRNA could be detected in the brain following intramuscular administration at about
               2% of the level found in the plasma (European Medicines Agency, 2021).

               In another experiment conducted to track the biodistribution pathway of RNA vaccines, a rabies
               RNA vaccine was administered intramuscularly to rats in a single dose. The vaccine included a code
               for an immunogenic rabies protein as well as the code for RNA polymerase and was formulated as
               an oil-in-water nanoemulsion. Thus, it is not entirely representative of the SARS-CoV-2 mRNA
               vaccines. Nevertheless, its intramuscular administration and its dependence on RNA uptake by
               immune cells likely means that it would migrate through the tissues in a similar pathway as the
               SARS-CoV-2 vaccine. The authors observed an enlargement of the draining lymph nodes, and tissue
               studies revealed that the rabies RNA appeared initially at the injection site and in the draining lymph
               nodes within one day, and was also found in blood, lungs, spleen and liver (Stokes et al., 2020).
               These results are consistent with the above study on influenza mRNA vaccines.
               Finally, a study comparing luciferase-expressing mRNA nanoparticles with luciferase-expressing
               mRNA dendritic cells as an alternative approach to vaccination revealed that the luciferase signal
               reached a broader range of lymphoid sites with the nanoparticle delivery mechanism. More
               importantly, the luciferase signal was concentrated in the spleen for the nanoparticles compared to
               dominance in the lungs for the dendritic cells (Firdessa-Fite and Creuso, 2020).


                   2.  Immune Thrombocytopenia
               Immune thrombocytopenia (ITP) has emerged as an important complication of COVID-19
               (Bhattacharjee and Banerjee, 2020). In many cases, it emerges after full recovery from the disease,
               i.e, after the virus has been cleared, suggesting it is an autoimmune phenomenon. A likely pathway
               by which ITP could occur following vaccination is through the migration of immune cells carrying a
               cargo of mRNA nanoparticles via the lymph system into the spleen. These immune cells would
               produce spike protein according to the code in the nanoparticles, and the spike protein would
               induce B cell generation of IgG antibodies to it.

               ITP appears initially as petechiae or purpura on the skin, and/or bleeding from mucosal surfaces. It
               has a high risk of fatality through haemorrhaging and stroke. ITP is characterized by both increased
               platelet destruction and reduced platelet production, and autoantibodies play a pivotal role (Sun and
               Shan, 2019). Platelets are coated by anti-platelet antibodies and immune complexes, and this induces
               their clearance by phagocytes.

               Particularly under conditions of impaired autophagy, the resulting signaling cascade can also result in
               suppression of production of megakaryocytes in the bone marrow, which are the precursor cells for
               platelet production (Sun and Shan, 2019). A case study of a patient diagnosed with COVID-19 is
               revealing because he developed sudden onset thrombocytopenia a couple of days after he had been
               released from the hospital based on a negative COVID-19 nucleic acid test. Following this
               development, it was verified that the patient had a reduced number of platelet-producing
               megakaryocytes, while autoimmune antibodies were negative, suggesting a problem with platelet
               production rather than platelet destruction (Chen et al., 2020).


                              International Journal of Vaccine Theory, Practice, and Research 2(1), May 10, 2021 Page | 406
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