Evidence map›Paper›PMID 34862617›Full record

SynthesisJournal of medical virology2022

Clinical characteristics and prognostic factors of myocarditis associated with the mRNA COVID-19 vaccine.

Wongi Woo, Ah Y Kim, Dong K Yon, Seung W Lee, Jimin Hwang, Louis Jacob, Ai Koyanagi, Min S Kim, Duk H Moon, Jo W Jung and 6 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  12. Temporal evolution of electrocardiographic anomalies observed in a young woman after COVID-19 vaccine.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
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  14. IL-1RA autoantibodies: insights into mechanisms and associated diseases.American journal of translational research · 2024
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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

16 authors at 7 institutions in 5 countries.

Wongi WooDepartment of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0053-4470
Ah Y KimDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0713-4461
Dong K YonDepartment of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Seung W LeeDepartment of Data Science, Sejong University College of Software Convergence, Seoul, South Korea.ORCID http://orcid.org/0000-0001-5632-5208
Jimin HwangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Louis JacobParc Sanitari Sant Joan de Deu/CIBERSAM, Fundacio Sant Joan de Deu, Sant Boi de Llobregat, Universitat de Barcelona, Barcelona, Spain.
Ai KoyanagiParc Sanitari Sant Joan de Deu/CIBERSAM, Fundacio Sant Joan de Deu, Sant Boi de Llobregat, Universitat de Barcelona, Barcelona, Spain.
Min S KimICREA, Pg. Lluis Companys 23, Barcelona, Spain.
Duk H MoonDepartment of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jo W JungDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jae Y ChoiDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Se Y JungDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Lucy Y EunDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Sungsoo LeeDepartment of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0003-2326-1820
Lee SmithCambridge Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Yonsei University · KRAnglia Ruskin University · GBInstitució Catalana de Recerca i Estudis Avançats · ESJohns Hopkins University · USSamsung Medical Center · KRSeoul National University Hospital · KRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To analyze the clinical presentation and outcomes of myocarditis after administration of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) messenger RNA (mRNA) vaccine. Nine case series and 15 case reports (74 patients) of myocarditis after administration of the BNT162b2 or mRNA-1273 vaccine were reviewed from PubMed, Scopus, Embase, and Web of Science. We analyzed clinical manifestations, diagnostic findings, and outcomes. In addition, we performed a pooled analysis and investigated risk factors leading to admission to the intensive care unit and recovery with conservative care. Most patients were male (94.6%), and the median age (range) was 17.6 (14-70) years. Patients who received the BNT162b2 (n = 58, 78.4%) vaccine presented fewer systemic symptoms and left ventricular dysfunction than mRNA-1273 recipients. Although patients under 20 years experienced more fever and myalgia, they had better ejection fraction and less prominent myocardial inflammation in magnetic resonance imaging than older patients. The clinical course of all patients was favorable without mortality, and one-third of patients resolved with conservative care alone. Risk factor analyses revealed that patients with gastrointestinal symptoms required intensive care (odds ratio: 20.3, 95% confidence interval 1.90-217, p = 0.013). The risk of fatality in myocarditis subjected to mRNA vaccination seems to be low. However, patients with gastrointestinal symptoms received more intensive care, and a significant proportion of patients recovered with conservative management.

Indexed as

2019-nCoV Vaccine mRNA-1273AdolescentAdultAgedBNT162 VaccineCOVID-19FemaleHospitalizationHumansMagnetic Resonance ImagingMaleMiddle AgedMyocarditisPrognosisRisk FactorsSARS-CoV-22019-nCoV Vaccine mRNA-1273BNT162 VaccineBNT162b2COVID-19 vaccinemRNA-1273myocarditisvaccine-induced myocarditis

Identifiers

PMID34862617
PMCPMC9015469
OpenAlexW3216224414

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.