Evidence map›Paper›PMID 34849657›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Epidemiology of Acute Myocarditis/Pericarditis in Hong Kong Adolescents Following Comirnaty Vaccination.

Gilbert T Chua, Mike Yat Wah Kwan, Celine S L Chui, Robert David Smith, Edmund Chi Lok Cheung, Tian Ma, Miriam T Y Leung, Sabrina Siu Ling Tsao, Elaine Kan, Wing Kei Carol Ng and 27 more

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 7 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 7 syntheses or guidelines pooled it, 136 citations in OpenAlex.

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  5. COVID-19 vaccination and carditis in children and adolescents: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 9 institutions in 3 countries.

Gilbert T ChuaDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0003-0333-0059
Mike Yat Wah KwanDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Celine S L ChuiSchool of Nursing, The University of Hong Kong, Hong Kong SAR, China.
Robert David SmithSchool of Nursing, The University of Hong Kong, Hong Kong SAR, China.
Edmund Chi Lok CheungCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China.
Tian MaLaboratory of Data Discovery for Health (D24H), Hong Kong Science and Technology Park, Hong Kong SAR, China.
Miriam T Y LeungLaboratory of Data Discovery for Health (D24H), Hong Kong Science and Technology Park, Hong Kong SAR, China.
Sabrina Siu Ling TsaoDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Elaine KanDepartment of Radiology, Hong Kong Children's Hospital, Hong Kong SAR, China.
Wing Kei Carol NgDepartment of Radiology, Hong Kong Children's Hospital, Hong Kong SAR, China.
Victor Chi Man ChanDepartment of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Shuk Mui TaiDepartment of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Tak Ching YuDepartment of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Kwok Piu LeeDepartment of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Joshua Sung Chih WongDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Ying Kit LinDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Chi Chiu ShekDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Agnes Sze Yin LeungDepartment of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Chit Kwong ChowDepartment of Pediatrics and Adolescent Medicine, United Christian Hospital, Hong Kong SAR, China.
Ka Wah LiDepartment of Pediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong SAR, China.
Johnny MaDepartment of Radiology, Caritas Medical Centre, Hong Kong SAR, China.
Wai Yuk FungDepartment of Radiology, Caritas Medical Centre, Hong Kong SAR, China.
Daniel LeeDepartment of Radiology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Ming Yen NgDepartment of Diagnostic Radiology, The University of Hong Kong, China.
Wilfred Hing Sang WongDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Hing Wai TsangDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Janette KwokDivision of Transplantation and Immunogenetics, Department of Pathology, Queen Mary Hospital, Hong Kong SAR, China.
Daniel LeungDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Kin Lai ChungQuality and Safety Division, Hospital Authority Head office, Hong Kong SAR, China.
Chun Bong ChowDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Godfrey Chi Fung ChanDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Wing Hang LeungDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Kelvin Kai Wang ToDepartment of Microbiology, Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-1921-5824
Kwok Yung YuenDepartment of Microbiology, Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Yu Lung LauDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Ian Chi Kei WongLaboratory of Data Discovery for Health (D24H), Hong Kong Science and Technology Park, Hong Kong SAR, China.
Patrick IpDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Chinese University of Hong Kong · HKPamela Youde Nethersole Eastern Hospital · CNHong Kong Science and Technology Parks Corporation · HKCaritas Medical Centre · CNDuchess of Kent Children's Hospital · CNHospital Authority · HKQueen Mary Hospital · CNTuen Mun Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge-specific incidence of acute myocarditis/pericarditis in adolescents following Comirnaty vaccination in Asia is lacking. This study aimed to study the clinical characteristics and incidence of acute myocarditis/pericarditis among Hong Kong adolescents following Comirnaty vaccination.

methodsThis is a population cohort study in Hong Kong that monitored adverse events following immunization through a pharmacovigilance system for coronavirus disease 2019 (COVID-19) vaccines. All adolescents aged between 12 and 17 years following Comirnaty vaccination were monitored under the COVID-19 vaccine adverse event response and evaluation program. The clinical characteristics and overall incidence of acute myocarditis/pericarditis in adolescents following Comirnaty vaccination were analyzed.

resultsBetween 14 June 2021 and 4 September 2021, 33 Chinese adolescents who developed acute myocarditis/pericarditis following Comirnaty vaccination were identified. In total, 29 (87.88%) were male and 4 (12.12%) were female, with a median age of 15.25 years. And 27 (81.82%) and 6 (18.18%) cases developed acute myocarditis/pericarditis after receiving the second and first dose, respectively. All cases are mild and required only conservative management. The overall incidence of acute myocarditis/pericarditis was 18.52 (95% confidence interval [CI], 11.67-29.01) per 100 000 persons vaccinated. The incidence after the first and second doses were 3.37 (95% CI, 1.12-9.51) and 21.22 (95% CI, 13.78-32.28 per 100 000 persons vaccinated, respectively. Among male adolescents, the incidence after the first and second doses were 5.57 (95% CI, 2.38-12.53) and 37.32 (95% CI, 26.98-51.25) per 100 000 persons vaccinated.

conclusionsThere is a significant increase in the risk of acute myocarditis/pericarditis following Comirnaty vaccination among Chinese male adolescents, especially after the second dose.

Indexed as

COVID-19COVID-19 VaccinesMyocarditisPericarditisAdolescentChildCohort StudiesFemaleHong KongHumansMaleVaccinationCOVID-19 VaccinesadolescentsComirnatyHong Kongmyocarditispericarditis

Identifiers

PMID34849657
PMCPMC8767823
OpenAlexW3215925352

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.