» Articles » PMID: 37091730

Myocarditis/pericarditis Following Vaccination with BNT162b2, CoronaVac, and ChAdOx1 Among Adolescent and Adult in Malaysia

Overview
Journal Vaccine X
Date 2023 Apr 24
PMID 37091730
Authors
Affiliations
Soon will be listed here.
Abstract

This study evaluates 21-day risk of myocarditis/pericarditis following COVID-19 vaccination among those aged 12 years and older in Malaysia. We used data from nationwide COVID-19 vaccine registry linked to hospital episode database to identify individuals vaccinated with BNT162b2, CoronaVac, or ChAdOx1 and hospitalised for myocarditis/pericarditis between 1 February 2021 and 28 February 2022. There were 87 myocarditis/pericarditis cases identified within 1-21 days after vaccination. Most cases were reported following BNT16262 vaccination (77.0%) with absolute risk of 0.33 cases/100,000 vaccinated persons or 1.73 per million doses administered. Highest risk was observed following second dose and in younger, male individuals. The risk of myocarditis/pericarditis following CoronaVac and ChAdOx1 were much lower compared to BNT162b2. The findings on higher risk observed among younger following mRNA vaccine were consistent with literature and important for targeted surveillance.

Citing Articles

Myocarditis and Pericarditis are Temporally Associated with BNT162b2 COVID-19 Vaccine in Adolescents: A Systematic Review and Meta-analysis.

Choi Y, Lee J, Choe Y, Lee H, Yoon Y, Shin S Pediatr Cardiol. 2024; .

PMID: 39404761 DOI: 10.1007/s00246-024-03618-2.


COVID-19 Vaccine-Induced Myocarditis and Pericarditis: Towards Identification of Risk Factors.

Zwiers L, Ong D, Grobbee D Glob Heart. 2024; 18(1):39.

PMID: 38533475 PMC: 10964799. DOI: 10.5334/gh.1252.

References
1.
Chen C, Fu F, Ding L, Fang J, Xiao J . Booster dose of COVID-19 mRNA vaccine does not increase risks of myocarditis and pericarditis compared with primary vaccination: New insights from the vaccine adverse event reporting system. Front Immunol. 2022; 13:938322. PMC: 9510366. DOI: 10.3389/fimmu.2022.938322. View

2.
Pillay J, Gaudet L, Wingert A, Bialy L, Mackie A, Paterson D . Incidence, risk factors, natural history, and hypothesised mechanisms of myocarditis and pericarditis following covid-19 vaccination: living evidence syntheses and review. BMJ. 2022; 378:e069445. PMC: 9277081. DOI: 10.1136/bmj-2021-069445. View

3.
Yap J, Tham M, Poh J, Toh D, Chan C, Lim T . Pericarditis and myocarditis after COVID-19 mRNA vaccination in a nationwide setting. Ann Acad Med Singap. 2022; 51(2):96-100. View

4.
Lai F, Li X, Peng K, Huang L, Ip P, Tong X . Carditis After COVID-19 Vaccination With a Messenger RNA Vaccine and an Inactivated Virus Vaccine : A Case-Control Study. Ann Intern Med. 2022; 175(3):362-370. PMC: 8814917. DOI: 10.7326/M21-3700. View

5.
Karlstad O, Hovi P, Husby A, Harkanen T, Selmer R, Pihlstrom N . SARS-CoV-2 Vaccination and Myocarditis in a Nordic Cohort Study of 23 Million Residents. JAMA Cardiol. 2022; 7(6):600-612. PMC: 9021987. DOI: 10.1001/jamacardio.2022.0583. View