“…The increase of INRs out of range was not associated with an increase in complications after COVID-19 vaccination. The limited number of complications after COVID-19 vaccination is in line with the literature on post-vaccination complications in both adult and paediatric VKA users [ [30] , [31] , [32] , [33] , [34] , [35] , [36] ]. However, Dutch anticoagulation clinics were encouraged to monitor the anticoagulation status shortly after COVID-19 vaccination, so any necessary dose adjustments could rapidly be made.…”