Worth noting that one of the authors is this guy https://www.medscape.com/viewarticle/958916

"The largest nonprofit health system in Texas has secured a temporary restraining order against cardiologist Peter A. McCullough, MD, MPH, a COVID-19 vaccine skeptic [...]"

I would suggests that if these hypothesis is proved true, every institution demanding vaccination should be made directly liable for any adverse affects including increased secondary health risks. If it is true of course.

Maybe I'm misunderstanding something, but this says it's from June 2022... and as far as I'm aware, it's currently only April 2022. Is this a pre-print? If so, has it been peer-reviewed yet?

That is the publishing date of the issue, but this study is already selected to be part of it.