Myocarditis, don't bother to report

TGA to stop reporting myocarditis To donate to the work of campbellteaching around the world, https://www.paypal.com/donate/?hosted_button_id=XS59XPZ527YFL Myocarditis is reported in around 2 in every 100,000 of those who receive Spikevax (Moderna). As reporting rates of myocarditis and pericarditis following vaccination are very stable, we will not include this section in future COVID-19 vaccine safety reports. However, we continue to monitor and review these adverse effects and will communicate any updated safety advice if needed. https://www.tga.gov.au/news/covid-19-vaccine-safety-reports/covid-19-vaccine-safety-report-13-07-2023#myocarditis-and-pericarditis-after-covid19-vaccination https://www.outkick.com/silent-killer-australia-to-stop-reporting-on-myocarditis-cases-related-to-covid-vaccine/ Primary course recommendations COVID-19 vaccination is recommended for all people aged 5 years or older to protect against COVID-19. For most people, a primary vaccination course consists of 2 doses. Adverse reactions, TGA data One adverse event report per 490 doses given, 0.2039% In Western Australia https://www.health.wa.gov.au/~/media/Corp/Documents/Health-for/Immunisation/Western-Australia-Vaccine-Safety-Surveillance-Annual-Report-2021.pdf 0.241% 10,428 adverse events (97%) occurred after a COVID-19 vaccine 21 times more common than ‘conventional’ vaccines Swiss data Myocardial Injury after COVID-19 mRNA-1273 Booster Vaccination https://onlinelibrary.wiley.com/doi/epdf/10.1002/ejhf.2978 mRNA-1273 vaccine-associated myocardial injury was adjudicated in 22 participants (2.8%). (N = 777 per group) One in 35 recipients (2.8%) had vaccine-associated myocardial injury Matched controls, elevated high-sensitivity cardiac troponin T concentration Significantly higher in post vaccination group p less than 0.001 Thai study Cardiovascular Manifestation of the BNT162b2 mRNA COVID-19 Vaccine in Adolescents https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9414075/ After BNT162b2, 2nd dose, Thai adolescents, aged 13–18 years, n = 314 Seven participants (2.33%) exhibited at least one elevated cardiac biomarker Myopericarditis was confirmed in one patient after vaccination. Two patients had suspected pericarditis Four patients had suspected subclinical myocarditis Hence, adolescents receiving mRNA vaccines should be monitored for cardiovascular side effects. Israeli study A prospective study on myocardial injury after BNT162b2 mRNA COVID-19 fourth dose vaccination in healthy persons https://pubmed.ncbi.nlm.nih.gov/36097844/ Incidence of myocardial injury after fourth dose BNT162b2 mRNA vaccine (Pfizer-BioNTech) N = 324 Reported vaccine-related adverse reactions Chest pain in 12 (3.7%) Palpitations in 7 (2.16%) Vaccine-related myocardial injury in two (0.62%) https://www.gov.uk/government/publications/myocarditis-and-pericarditis-after-covid-19-vaccination/myocarditis-and-pericarditis-after-covid-19-vaccination-guidance-for-healthcare-professionals Post-COVID-19 vaccination As of 23 November 2022, following Pfizer/BioNTech 851 reports of myocarditis and 579 reports of pericarditis Total of 1,430 Following Moderna vaccine 251 reports of myocarditis 149 reports of pericarditis Total of 1,530 As of 23 November 2022, myocarditis following monovalent Pfizer/BioNTech was 10 reports per million doses; If there is a suspicion of myocarditis or pericarditis, initial investigations should be: 12 lead electrocardiogram (ECG) inflammatory blood markers (C-reactive protein (CRP), full blood count (FBC) and erythrocyte sedimentation rate (ESR) Troponin If there is no evidence of ongoing myocarditis, vaccination may be considered with the Pfizer/BioNTech (Cominarty) vaccine from 12 weeks after their last dose if further doses are due. If the individual feels well after receiving their COVID-19 vaccination, then there is no need to pre-emptively restrict physical activity post vaccination and individuals can continue with their pre-existing level of physical activity.