A CDC safety group said there's a "likely association" between a rare heart inflammatory condition in adolescents and young adults mostly after they've received their second Covid-19 vaccine shot, citing the most recent data available.
There have been more than 1,200 cases of a myocarditis or pericarditis mostly in people 30 and under who received Pfizer's or Moderna's Covid-19 vaccine, according to a series of slide presentations published Wednesday for a meeting of the CDC's Advisory Committee on Immunization Practices.
Myocarditis is the inflammation of the heart muscle, while pericarditis is the inflammation of the membrane surrounding the heart.
"Clinical presentation of myocarditis cases following vaccination has been distinct, occurring most often within one week after dose two, with chest pain as the most common presentation," said Dr. Grace Lee, who chairs the committee's safety group. CDC officials are gathering more data to fully understand the potential risks, how to manage it and whether there are any long-term issues, she said.
The agency said there have been 267 cases of myocarditis or pericarditis reported after receiving one dose of the mRNA vaccines and 827 reported cases after two doses through June 11. There are 132 additional cases where the number of doses received is unknown, the CDC said.
Roughly 300 million of the shots had been administered as of June 11, the CDC said.
"This is still a rare event," Dr. Tom Shimabukuro said at the meeting. For both vaccines combined, there were 12.6 heart inflammation cases per million doses. The cases were more frequent among Moderna's vaccine recipients at 19.8 cases per million versus 8 cases per million for Pfizer's, he said.
Men under 30 make up the bulk of the cases, the CDC said, and most cases appear to be mild. Of the 295 people who have developed the condition and have been discharged, 79% of them have fully recovered, according to the presentation. Nine people were hospitalized, with two in intensive care as of June 11, according to the CDC.
The CDC is coordinating its investigation with the Food and Drug Administration, which last month authorized the Pfizer-BioNTech vaccine for adolescents ages 12 to 15. Symptoms, which include chest pain and shortness of breath, typically develop within a week of receiving the shot with most developing within four days, the agency said.
This is a developing story. Please check back for updates.
Correction: This article was updated to correct the ages of people who experienced myocarditis. A majority of the cases occurred in people 30 years old and under. It also corrected the number of cases per million doses administered. It was 12.6.
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June 23, 2021 at 10:13PM
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