PF4 and Thrombocytopenia: Separately, as previously mentioned, thrombocytopenia in the vaccinated patients is due to consumption of platelets, and positive anti-PF4 antibodies and anti-PL antibodies as well as antinuclear antibody and anti-dsDNA antibody are more consistent with epiphenomenon of venous endotheliopathy unrelated to thrombocytopenia or thrombosis including CVST.