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Temporal Association Between the COVID-19 Ad26.COV2.S Vaccine and Acute Myocarditis: A Case Report and Literature
Imran Sulemankhil1, Mohammad Abdelrahman2, Smita I Negi2
1Department of Internal Medicine, The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236, United States of America.
Insights
The Janssen vaccine may be associated with myocarditis, a rare side effect. However, COVID-19 vaccines significantly reduce severe illness, and their benefits outweigh potential risks.
Area of Science:
- Immunology
- Cardiology
- Public Health
Background:
- Widespread vaccination against Coronavirus Disease 2019 (COVID-19) has decreased severe infections.
- While vaccines are effective, rare serious side effects have been reported.
- This review focuses on myocarditis, a potential adverse event.
Observation:
- A case of myocarditis following the Janssen vaccine in a young male is presented.
- A literature review on COVID-19 vaccine-related myocarditis and its pathogenesis was conducted.
- A temporal association between vaccination and myocarditis was noted.
Findings:
- Myocarditis is a rare but reported side effect of COVID-19 vaccines.
- The pathogenesis of vaccine-related myocarditis is still under investigation.
- A case of myocarditis after Janssen vaccination is detailed.
Implications:
- Healthcare providers should be aware of the potential for myocarditis post-vaccination.
- Continued monitoring and research into vaccine side effects are crucial.
- The benefits of COVID-19 vaccination in preventing severe disease significantly outweigh the risks.
Abstract:
With the recent approval and widespread administration of the Pfizer-BioNTech, Moderna, and Janssen vaccines worldwide, incidence of severe Coronavirus Disease 2019 (COVID-19) infection has significantly decreased. In spite of their undisputed role in reducing the severity of the disease and reduction of the disease burden in the community, there have been case reports of serious side effects with these vaccines. We aim to describe a case report of myocarditis following administration of the Janssen vaccine in a healthy, young male and review the available literature on COVID-19 vaccine related myocarditis and its possible pathogenesis. This case and literature review notes a temporal association between COVID-19 vaccination and myocarditis. Despite these observations, the benefits of the vaccines far outweigh the risks of possible myocarditis.
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