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			FDA myocarditis warning
FDA Approves Required Updated Warning in Labeling of mRNA COVID-19 Vaccines Regarding Myocarditis and Pericarditis Following Vaccination
mRNA COVID Shots Cause Myocarditis (FDA video)
Dr Vinay Prasad, Director of the Center for Biologics Evaluation and Research FDA.
https://www.youtube.com/watch?v=68QzzWGc4mI
June 25, 2025, FDA Safety Communication
6 months through 64 years
Approximately 8.4 cases per million doses
Initial and follow-up cardiac MRIs commonly showed signs of injury to the heart muscle
Males 12 through 24 years
Approximately 26.9 cases per million doses, 1/37,000
First reports of C-VAM
Feb 2021 (VAERS)
April, 2021, 2 deaths and 60 cases from Israel
(details sent to FDA and CDC in April 2021)
April 27th 2021, DCD statement denies myocarditis signal.
April 27th 2021, CDC was aware of 14 cases reported by US military
August 2021, FDA document (FOI) 1/5,000 (16 and 17 year old males)
Hong Kong, 1 / 2,700 hospitalised (13 to 18 males)
Vaccine safety link data, 1 / 2,000 (after 2nd dose in 18 to 24 males)
Vaccine safety link data, 64% of cases missed at first
First Pfizer booster, 1 / 6,800
Undoubtedly some deaths may be implicated
Deaths due to fulminant myocarditis
Undoubtedly people have subclinical myocarditis
Severe outcomes from covid declining, new risk benefit analysis coming soon.
Follow-up information on cardiovascular outcomes
From longitudinal retrospective observational study.
Most had received a two-dose primary series, prior to diagnosis.
Follow-up of approximately 5 months post-vaccination
Persistence of abnormal cardiac magnetic resonance imaging (CMR) findings,
that are a marker for myocardial injury in 60% of patients.
(Late gadolinium enhancement, LGE)
Australia data, (at 6 months) 67% LGE and 35% showing fibrosis
LGE literature review
92% are men
72% persistent
The clinical and prognostic significance of these CMR findings is not known.
LGE (from FDA slide)
Poor prognostic factor (multiple studies)
Associated with increased future cardiac events and mortality
25% admitted to ICU
This publication
To inform the public and healthcare providers
FDA has required and approved updates to the Prescribing Information for Comirnaty (mRNA) manufactured by Pfizer Inc. and Spikevax manufactured ModernaTX, Inc. to include new safety information about the risks of myocarditis and pericarditis following administration of mRNA COVID-19 vaccines.
Required to include information about:
(1) the estimated unadjusted incidence of myocarditis and/or pericarditis following administration of the 2023-2024 Formula of mRNA COVID-19 vaccines and
(2) the results of a study that collected information on cardiac magnetic resonance imaging (cardiac MRI) in people who developed myocarditis after receiving an mRNA COVID-19 vaccine.
Adverse Reactions section of the Prescribing Information and in the Information for Recipients and Caregivers.
Based on analyses of commercial health insurance claims data
Inpatient and outpatient settings
Estimated unadjusted incidence of myocarditis and/or pericarditis
(1 through 7 days of the 2023-2024 Formula)
In a post-approval U.S. study funded and co-authored by FDA
https://www.sciencedirect.com/science/article/pii/S2589537024003882?via%3Dihub
Follow-up on approximately 300 people who developed myocarditis
Some people in the study reported having heart symptoms approximately 3 months after developing myocarditis.
Improvement over time in some but not all people.
an mRNA COVID-19 vaccine. These studies are underway.
Suspected adverse events may be reported to the Vaccine Adverse Event Reporting System (VAERS), which is co-managed by the FDA and the CDC.
https://www.sciencedirect.com/science/article/pii/S2589537024003882?via%3Dihub
Other adverse reactions
Blood clotting disorders, thrombosis and thrombocytopenia
Postural orthostatic tachycardia syndrome (POTS)
Leg amputation (Alex)
Small nerve fibre neuropathy
Constant pain all over (Brianne)
Transverse myelitis and paralysis (Michael)
Persistent fatigue syndrome
Immune disorders
Guillain Barre syndromes
Bell’s palsy
Seizures
Allergies and anaphylaxis
New onset autoimmunity, lupus, rheumatoid arthritis, autoimmune hepatitis
Reproductive and menstrual irregularities
Infertility
Long post vaccine syndrome
Multisystem inflammatory syndrome in children
Death
Cancers
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