Evidence map›Paper›PMID 36016095›Full record

ArticleVaccines2022

Case Series of Myocarditis Following mRNA COVID Vaccine Compared to Pediatric Multisystem Inflammatory Syndrome: Multicenter Retrospective Study.

Yonatan Butbul Aviel, Philip J Hashkes, Yotam Dizitzer, Kanteman Inbar, Yackov Berkun, Eli M Eisenstein, Mohamad Hamad Saied, Ofra Goldzweig, Merav Heshin-Bekenstein, Eduard Ling and 7 more

Abstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

17 authors.

Yonatan Butbul AvielDepartment of Pediatrics and Pediatric Rheumatology Service, Rambam Health Care Campus, Ruth Children's Hospital, Haifa 2611001, Israel.ORCID 0000-0003-2151-7327
Philip J HashkesPediatric Rheumatology Unit, Shaare Zedek Medical Center, Hebrew University-Hadassah School of Medicine, Jerusalem 9103401, Israel.
Yotam DizitzerSchneider Children's Medical Center, Sackler School of Medicine Tel-Aviv University, Tel Aviv 6329302, Israel.
Kanteman InbarDepartment of Pediatrics and Pediatric Rheumatology Service, Rambam Health Care Campus, Ruth Children's Hospital, Haifa 2611001, Israel.
Yackov BerkunDepartment of Pediatrics, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem 9103401, Israel.ORCID 0000-0001-9823-4750
Eli M EisensteinDepartment of Pediatrics, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem 9103401, Israel.ORCID 0000-0002-9129-8214
Mohamad Hamad SaiedCarmel Medical Center, Technion-Israel Institute of Technology, Haifa 2611001, Israel.
Ofra GoldzweigKaplan Medical Center, Rehovot, Hebrew University and Hadassa, Jerusalem 9103401, Israel.
Merav Heshin-BekensteinPediatric Rheumatology Service, Dana-Dwek Children's Hospital of Tel Aviv Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv 6329302, Israel.ORCID 0000-0002-9488-6476
Eduard LingSaban Pediatric Medical Center for Israel, Pediatrics Department B, Soroka University Medical Center, Beer Sheva 84417, Israel.
Michal FeldonShamir Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel Aviv 6329302, Israel.
Rotem TalSchneider Children's Medical Center, Sackler School of Medicine Tel-Aviv University, Tel Aviv 6329302, Israel.
Shiran Pinchevski-KadirSheba Medical Centre, Tel Hashomer, Sackler Faculty of Medicine, Paediatric Rheumatology Unit and Department of Paediatrics B, Edmond and Lily Safra Children's Hospital, Tel-Aviv University, Tel-Aviv 6329302, Israel.ORCID 0000-0002-6280-291X
Irit TiroshSheba Medical Centre, Tel Hashomer, Sackler Faculty of Medicine, Paediatric Rheumatology Unit and Department of Paediatrics B, Edmond and Lily Safra Children's Hospital, Tel-Aviv University, Tel-Aviv 6329302, Israel.
Liora HarelSchneider Children's Medical Center, Sackler School of Medicine Tel-Aviv University, Tel Aviv 6329302, Israel.
Gil AmarilyoSchneider Children's Medical Center, Sackler School of Medicine Tel-Aviv University, Tel Aviv 6329302, Israel.ORCID 0000-0002-3888-429X
Kfir KaidarSchneider Children's Medical Center, Sackler School of Medicine Tel-Aviv University, Tel Aviv 6329302, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince the development of COVID-19 vaccines, more than 4.8 billion people have been immunized worldwide. Soon after vaccinations were initiated, reports on cases of myocarditis following the second vaccine dose emerged. This study aimed to report our experience with adolescent and young adults who developed post-COVID-19 vaccine myocarditis and to compare these patients to a cohort of patients who acquired pediatric inflammatory multisystem syndrome (PIMS/PIMS-TS) post-COVID-19 infection.

methodsWe collected reported cases of patients who developed myocarditis following COVID-19 vaccination (Pfizer mRNA BNT162b2) from all pediatric rheumatology centers in Israel and compared them to a cohort of patients with PIMS.

resultsNine patients with post-vaccination myocarditis were identified and compared to 78 patients diagnosed with PIMS. All patients with post-vaccination myocarditis were males who developed symptoms following their second dose of the vaccine. Patients with post-vaccination myocarditis had a shorter duration of stay in the hospital (mean 4.4 ± 1.9 vs. 8.7 ± 4.7 days) and less myocardial dysfunction (11.1% vs. 61.5%), and all had excellent outcomes as compared to the chronic changes among 9.2% of the patients with PIMS.

conclusionThe clinical course of vaccine-associated myocarditis appears favorable, with resolution of the symptoms in all the patients in our cohort.

Indexed as

COVID vaccinemyocarditisPIMS

Identifiers

PMID36016095
PMCPMC9414431

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Registered trials

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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.