From the Bhumibol Adulyadej Hospital, Sai Mai, Bangkok 10220, Thailand.
Am J Forensic Med Pathol. 2024 Mar 1;45(1):45-50. doi: 10.1097/PAF.0000000000000900. Epub 2023 Dec 21.
Thailand began offering the coronavirus disease 2019 (COVID-19) vaccine nationwide in February 2021, with 1,885 deaths reported by the end of the year. Therefore, it is essential to assess the correlation between vaccination and cause of death from autopsy. This study included 34 autopsies of a deceased within 30 days after COVID-19 vaccination performed in Bangkok under the postmortem inquest service area of Bhumibol Adulyadej Hospital. The autopsies were performed by forensic pathologists. Moreover, detailed information about the deceased was collected, including age, sex, medical records, vaccination history, scene investigation reports, autopsy reports, cause of death, and a probable causal relationship between vaccination and cause of death. There were 24 males (70.59%), and the average age of the deceased was 52.76 years. Of all individuals, 28 (82.36%), 4 (11.76%), and 2 (5.88%) were vaccinated with AstraZeneca, Sinopharm, and SinoVac, respectively. The most common cause of death was ischemic heart disease (n = 17). None of the deceased patients had a causal relationship to the vaccine. Deaths were due to natural causes, as no definitive link between vaccination and cause of death was established in the study.
泰国于 2021 年 2 月开始在全国范围内提供 2019 年冠状病毒病（COVID-19）疫苗，截至年底报告了 1885 例死亡。因此，评估疫苗接种与尸检死因之间的相关性至关重要。本研究包括在曼谷进行的 COVID-19 疫苗接种后 30 天内进行的 34 例尸检，这些尸检是在 Bhumibol Adulyadej 医院的死后调查服务区域内由法医病理学家进行的。此外，还收集了死者的详细信息，包括年龄、性别、病历、疫苗接种史、现场调查报告、尸检报告、死因以及疫苗接种与死因之间可能的因果关系。其中有 24 名男性（70.59%），死者的平均年龄为 52.76 岁。在所有个体中，分别有 28 人（82.36%）、4 人（11.76%）和 2 人（5.88%）接种了阿斯利康、国药和科兴疫苗。最常见的死因是缺血性心脏病（n=17）。没有死者与疫苗有因果关系。死亡是由于自然原因造成的，因为在研究中没有确定疫苗接种与死因之间的明确联系。
