A lot of people are asking me if #COVID19 mRNA #vaccines build up in the ovaries. This is an idea that seems to have come from some data submitted by Pfizer to the Japanese government.

But is it true? Let’s dive in!

(But TLDR: no...) 🧵
Here’s a machine-translated version of the document, so we can all see what’s going on. The document describes the outcome of two kinds of experiments. 2/

byrambridle.com/docs/bio-dist-…
First, they administered a version of the vaccine that encodes a glowing protein, luciferase, to mice. This allows us to see where the vaccine is making protein because… well... it glows! Please enjoy the glowing mice. 3/ Image
You can see that they mainly glow at the injection site (on the hind leg) and, to begin with, in the liver. This is in line with similar experiments that have been conducted before, which you can find here… 4/

ncbi.nlm.nih.gov/pmc/articles/P… Image
Some people will be happy to look with their eyes and see that the signal is only significant at the injection site and liver, but for those who like graphs, @scientistabe has extrapolated individual organ data. You can see the ovaries aren't doing much. 6/ Image
He explains how he’s done this here… 7/

So the mRNA in the vaccines is translated mainly at the injection site, but also a bit in the liver. So far, so much what we already know. 8/
But it’s the next experiment that seems to have got people interested in the ovaries. Here, they radiolabel the lipids (fats) that surround the mRNA in the nanoparticles and see where those fats end up if they inject them into rats. 9/
Note that when we find the fats, it doesn’t necessarily tell us that intact vaccine is there, it might just be broken down bits.

(But as we'll see, it's not going to matter that much...) 10/
This table tells us where the fats end up over the course of 48 hours. On the left, it tells us how many ug of fat is in each g of organ. I’m going to call that “parts per million”. On the right, it tells us what % of the total dose of fats ends up in each organ. 11/ Image
Let’s plot these numbers! Looking at parts per million, we see a lot at the injection site, which is what we expect. Everything else (including the ovaries) is bumping along down at the axis. 12/ Image
If we instead plot the % of injected dose, again we mainly see the injection site, as we expect. But this time we also see some in the liver. That makes sense, given the experiment looking at vaccine-encoded protein found a signal in the liver. 13/ Image
And if you’re wondering why the concentration of lipids is low in the liver, and yet quite a lot of the total dose ends up in the liver… the liver is big, so a low concentration of lipids is still quite a lot of them! 14/
Again, we see all the other organs (including the ovaries) bumping along at the bottom, with not enough that we can really even see them. 15/
So why did people take this to mean that there is a lot of vaccine in the ovaries? Well, I have found some plots of this data which don’t include the injection site and liver. This makes a small increase in lipid in the ovary seem larger than it is. 16/

It's really a shame whoever made that first plot forgot to plot these, as it does rather change the meaning of the graph. 17/
Finally, how do the doses given to the rats in this study compare to those given to humans? Well… it’s about 1333x more (even before accounting for how rats and humans differ in their metabolism) 18/

(Thanks again to @scientistabe for maths!)

scientistabe.wordpress.com
So we can be confident that anything we’re seeing here, it’s actually going to be less in you and me, when we get our vaccines. And as we’ve seen, it’s not very much in the rats (or, for protein, the mice) to begin with. 19/19

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More from @VikiLovesFACS

22 Jun
@beverleyturner @toadmeister To tackle your first tweet first. I think you are talking about the data submitted by Pfizer to the Japanese regulator? That Bryan Brindle has recently had a lot to say about? It's here... 1/

byrambridle.com/docs/bio-dist-…
@beverleyturner @toadmeister First, it's important to note that Bridle (oops, I gave him an "n" above!) is not the inventor of these vaccines. He is actually working on a rival vaccine.

But in any case, a lot of what he says just isn't true. I talk more about this here... 2/

@beverleyturner @toadmeister It's also worth noting that the biodistribution data we're talking about here is radiolabelled lipids, not (necessarily) vaccine. 3/
Read 15 tweets
21 Jun
@toadmeister Morning Toby! I’m the reproductive immunologist that is quoted in that Sunday Times article, here to provide a bit of context... 1/
@toadmeister The first thing to say is that Yellow Card is very good at detecting serious side effects that don’t usually happen in the absence of vaccination. That’s what it’s designed for and it’s one of the ways we were able to pick up the rare clotting side effect associated with AZ. 2/
@toadmeister What Yellow Card is not so good at is detecting a change in the rate of non-serious events that sometimes happen anyway. People experiencing a heavy period post-vaccine is a good example of such an event. 3/
Read 14 tweets
15 May
"The UK now says that #pregnant people should be offered the Pfizer or Moderna #COVID19 #vaccines. But I already had my first dose of AZ. What should I do about dose 2?” 🧵
The official guidance says:

“Pregnant women who commenced vaccination with AstraZeneca are advised to complete with the same vaccine.”

But what is the rationale behind this? 2/

assets.publishing.service.gov.uk/government/upl…
The first thing to say is that the reason we are offering Pfizer/Moderna is not because we have any data to say that AZ is unsafe in pregnancy. It’s just that we have *more* data on mRNA vaccines, so we can be more confident of their safety. 3/

rcog.org.uk/en/guidelines-…
Read 15 tweets
14 May
It's another paper on #COVID19 #vaccination in #pregnancy and #breastfeeding, but with a twist...

How does being pregnant or breastfeeding affect responses to variants?

Does being pregnant or breastfeeding change T cell responses? 🧵

jamanetwork.com/journals/jama/…
The study looked at 30 pregnant, 16 breastfeeding and 57 ppl who were neither, who had been vaccinated with Moderna or Pfizer. Also 22 pregnant ppl and 6 non-pregnant ppl who had caught COVID.... 2/
They started by looking at antibody responses. Notice that we get more anti-Spike antibody in response to vaccination than natural infection.

This has been shown in other studies of COVID19 vaccination in pregnancy. 3/

medrxiv.org/content/10.110…
Read 12 tweets
14 May
@ElonaWise Your decision will depend on lots of factors that are specific to you. How prevalent is COVID in your area? Are you very exposed? Do you have any conditions that put you at increased risk? All of this you can discuss with your care team to make a personalised decision. But... 1/
@ElonaWise I can tell you the pros and cons of vaccination during pregnancy in general. Let's start with the pros... 2/
@ElonaWise 1. Not getting COVID! This is particularly important because catching COVID in late pregnancy is associated with an increased risk of preterm birth, stillbirth and your baby needing to spend time in intensive care. 3/

bmj.com/content/370/bm…
Read 11 tweets
13 May
Today (for a change!) let's talk about how the #COVID19 #vaccine affects *male* #fertility 👨🏼‍🦰🍆💦

This study looked at the semen of 43 men before and after they were vaccinated. Sperm parameters did not change. 1/

medrxiv.org/content/10.110… Image
The authors also highlight that catching COVID has been associated with a reduction in sperm counts.

In this study 6% of recovered male COVID patients had no sperm, and 18% had less than normal (compared to 1% and 3% in the general population). 2/

ncbi.nlm.nih.gov/pmc/articles/P…
They conclude - and I am paraphrasing here - that #COVID19 #vaccination is likely to protect your swimmers. 🏊🏼‍♂️🏊🏿‍♂️🏊🏻‍♂️ 3/3
Read 4 tweets

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