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BCCA Advice for Patients - Myocarditis and Pericarditis following COVID-19 vaccination in children and young people
Reports of myocarditis and
pericarditis following COVID-19 vaccination in children and young people Vaccination against Covid-19 infection will be offered to individuals between
12-15 years of age. This is because of the risks of complications of Covid-19
infection and other factors including the impact of Covid-19 infection on being
able to attend schools, colleges and other educational settings. The occurrence of inflammation of the heart muscle (myocarditis) or
inflammation of the outer lining of the heart (pericarditis) has been reported
rarely following vaccination with mRNA vaccines (Pfizer / Moderna). Young adults, adolescents and children appear more affected than older adults,
and males are more affected than females. Myocarditis / pericarditis occurs most
commonly occurs within 2-3 days of vaccination (>90% within 7 days), more
commonly with the second dose of vaccination than the first.
Symptoms include: Chest pain or discomfort Fever Shortness of breath or pain with breathing Palpitations or syncope If these symptoms occur then prompt medical attention should be sought.
Investigations which may be undertaken include -
Electrocardiogram -
Blood tests to check for inflammation of the
heart muscle -
Echocardiogram (ultrasound scan of the heart) to
check heart function -
Magnetic Resonance Imaging to examine
inflammation of the heart muscle in detail Treatment is directed at pain relief and reduction in inflammation of
the heart muscle. In the vast majority of cases the symptoms resolve rapidly
with standard treatment. UK government advice on vaccine related myocarditis may be found at the
following sites: https://www.gov.uk/drug-safety-update/covid-19-vaccines-updates-for-july-2021 British Heart Foundation BCCA 14 September
2021
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