HealthDay News — Acute myocarditis is rare in adults who receive at least 1 dose of the COVID-19 mRNA vaccine, with an incidence of 5.8 cases per 1 million individuals after the second dose, according to a research letter published online October 4 in JAMA Internal Medicine.

Anthony Simone, MD, from the Kaiser Permanente Los Angeles Medical Center, and colleagues calculated the incidence rates of myocarditis using vaccine administration as the denominator and compared it to the incidence among unexposed individuals between December 14, 2020, and July 20, 2021, and to the incidence among vaccinated individuals during a 10-day period one year before vaccination.

Data were included for 2,392,924 Kaiser Permanente Southern California members aged 18 years or older who received at least 1 dose of the COVID-19 mRNA vaccine and 1,577,741 unexposed individuals. The researchers identified 15 cases of confirmed myocarditis in the vaccinated group (2 and 13 after the first and second doses, respectively), for an observed incidence of 0.8 and 5.8 cases per 1 million after the first and second doses, respectively, during a 10-day observation window. All cases occurred among men, with a median age of 25 years. During the study period, there were 75 cases of myocarditis among unexposed individuals. The incidence rate ratio was 0.38 (95% CI, 0.05 to 1.40) and 2.7 (95% CI, 1.4 to 4.8) for the first and second doses, respectively.

“Randomized clinical trials show that COVID-19 mRNA vaccines represent a safe and effective method of preventing infection; the identification of rare myocarditis does not change clinical decision making,” write the authors of an accompanying editorial.

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