Evidence map›Paper›PMID 35750537›Full record

ArticleVaccine2022

Myocarditis and/or pericarditis risk after mRNA COVID-19 vaccination: A Canadian head to head comparison of BNT162b2 and mRNA-1273 vaccines.

Natalia Abraham, Sarah Spruin, Tanya Rossi, Bruce Fireman, Joseline Zafack, Christine Blaser, Amanda Shaw, Kimberley Hutchings, Susanna Ogunnaike-Cooke

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 46 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Natalia AbrahamPublic Health Agency of Canada, Ottawa, Ontario, Canada. Electronic address: natalia.k.abraham@phac-aspc.gc.ca.
Sarah SpruinPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Tanya RossiPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Bruce FiremanKaiser Permanente Northern California, Oakland, CA, USA.
Joseline ZafackPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Christine BlaserPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Amanda ShawPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Kimberley HutchingsPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Susanna Ogunnaike-CookePublic Health Agency of Canada, Ottawa, Ontario, Canada.
Public Health Agency of Canada · CAKaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCanadian and international data suggest the risk of myocarditis and/or pericarditis is elevated during the week after mRNA COVID-19 vaccination, particularly in younger age groups, in males, and after second doses.

objectivesThis article examines whether there is a product-specific difference in the risk for myocarditis and/or pericarditis between the two mRNA vaccines administered in Canada: BNT162b2 (Pfizer-BioNTech Comirnaty) and mRNA-1273 (Moderna Spikevax). MATERIALS AND

methodsReporting rates of myocarditis and/or pericarditis were calculated from reports received by the Canadian Adverse Events Following Immunization Surveillance System from December 2020-March 2022. Excess cases and attributable incidence among individuals aged 18-39 were estimated for each vaccine in comparison with background rates from 2015 to 2019. Head-to-head comparisons used Poisson regression, conditioned on week of vaccine administration, to estimate rate ratios for the week after mRNA-1273 vaccination versus the week after BNT162b2, by age and sex as well as overall. Analyses were restricted to May 30-March 13, 2021, when heightened media awareness was unlikely to have affected reporting rates for the two products differentially.

resultsIn 18-29 year-old males who received a second dose of mRNA COVID-19 vaccine, attributable risk of myocarditis and/or pericarditis was found to be 5.69 (95% CI: 4.07 - 7.95; p < 0.001) times higher among mRNA-1273 recipients (n = 106) as compared to BNT162b2 recipients (n = 33). In the same group, Poisson regression modelling estimated that the risk of myocarditis and/or pericarditis was 4.72 (p-value = <0.001) times higher after mRNA-1723 compared to BNT162b2 vaccination.

conclusionsThe risk of myocarditis and/or pericarditis is higher after mRNA-1723 vaccination than BNT162b2 vaccination in those aged 18-39 years, especially in males aged 18-29 years, where the risk is several times higher.

Indexed as

COVID-19COVID-19 VaccinesMyocarditisPericarditis2019-nCoV Vaccine mRNA-1273AdolescentAdultBNT162 VaccineCanadaHumansMalemRNA VaccinesVaccinationYoung Adult2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 VaccinesmRNA VaccinesAdverse events following immunizationAttributable riskBNT162b2COVID-19Moderna SpikevaxmRNA-1273mRNA vaccinesMyocarditisPericarditisPfizer-BioNTech ComirnatyVaccine safety

Identifiers

PMID35750537
PMCPMC9130641
OpenAlexW4281554604

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.