European countries have reported several cases of cerebral sinus vein thrombosis and thrombocytopenia in patients who received the Oxford-AstraZeneca COVID-19 vaccines. This phenomenon is now called vaccine-induced immune thrombotic thrombocytopenia (VITT). The mechanism of VITT and its risks for Asians are still unclear. In this monograph, the epidemiology, mechanism, diagnostic criteria, and treatments of VITT are briefly reviewed.