investigated four cases of heart inflammation after a second dose of a Pfizer of Moderna jab.
All had been hospitalised suffering chest pain - a typical sign of the condition. But they were discharged without any long-lasting problems.
The researchers wrote in their paper: “It is possible that these four cases of acute myocarditis represent a rare, potential adverse event linked to mRNA COVID-19 vaccination.
“The findings from the present report raise the possibility of an association between mRNA COVID-19 vaccination and acute myocarditis.”
What are the symptoms to look out for?
Both myocarditis and pericarditis are usually caused by a viral infection, bacteria, parasite or fungi.
Covid itself can lead to heart inflammation, doctors say, sometimes lasting several months as a symptom of long Covid.
But in the JAMA study of four patients with the conditions after a jab, researchers said there was no evidence they had previously suffered Covid.
The main symptoms to look out for, according to the British Heart Foundation and the Mayo Clinic, are:
- a stabbing pain and/or tightness in the chest which may spread across the body (myocarditis and pericarditis)
- flu-like symptoms such as a high temperature, tiredness and fatigue (myocarditis and pericarditis)
- fluid retention with swelling of your legs, ankles and feet (myocarditis and pericarditis)
- shortness of breath when lightly exercising or walking (myocarditis)
- difficulty breathing when resting (myocarditis)
- palpitations or an abnormal heart rhythm (myocarditis)
- a sudden shortness of breath - if you experience this get urgent medical help (pericarditis)
- pain in the neck that may spread across the shoulders and/or arms (pericarditis)
- nausea or feeling light headed (pericarditis)
The MHRA said anyone who experiences "chest pain, shortness of breath or feelings of having a fast-beating, fluttering, or pounding heart" after a jab should seek urgent medical attention.
Dr Matthew Oster, from the CDC's COVID-19 Vaccine Task Force, said: "mRNA vaccines may be a new trigger for myocarditis, yet it does have some different characteristics.”
Difficulty sleeping may be more common, according to the .
GROWING EVIDENCE
Growing evidence over the past few months has shown cases of heart inflammation after a jab are higher among younger men.
The US Centers for Disease Control and Prevention (CDC) said most cases have occurred in “male adolescents and young adults aged 16 years or older”.
Patients have usually been given their second dose and get symptoms several days later.
But the CDC has reminded the public a vaccine is the best way to prevent Covid and the benefits outweigh any potential risks.
And even though cases are mostly in younger people, and children in the US are able to get jabs, researchers fear they are more likely to catch Covid than suffer this rare side effect.
After an emergency meeting, a panel of experts who advise the CDC agreed on June 23 there was a “likely association” between the jabs and rare heart conditions.
Dr Matthew Oster, from the CDC's COVID-19 Vaccine Task Force, said: "mRNA vaccines may be a new trigger for myocarditis, yet it does have some different characteristics.”
Difficulty sleeping may be more common, according to the .
Dr Tom Shimabukuro, deputy director of the Immunization Safety Office at the CDC, said there had been 1,226 cases of myocarditis after mRNA vaccines, according to .
It’s approximately 12.6 heart inflammation cases per million doses given in the US, based on roughly 300 million shots administered as of June 11, the CDC said.
But the cases were more frequent among Moderna’s vaccine recipients at 19.8 cases per million versus eight cases per million for Pfizer’s.
“This is still a rare event,” Dr Shimabukuro said at the meeting.
The first reports of myocarditis and pericarditis occurred in Israel in January.
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