Multisystem inflammatory syndrome in children (MIS-C) possibly secondary to COVID-19 mRNA vaccination

Zoon Wangu1,2, Hannah Swartz3, Meaghan Doherty4

  • 1Pediatric Infectious Diseases & Immunology, University of Massachusetts Medical School, Worcester, Massachusetts, USA zoon.wangu@umassmemorial.org.

BMJ Case Reports
|March 31, 2022
PubMed

Insights

Multisystem inflammatory syndrome in children (MIS-C) may rarely occur after COVID-19 vaccination. This case report suggests vaccination could be a potential trigger in individuals without prior infection.

Area of Science:

  • Immunology
  • Pediatric Infectious Diseases
  • Vaccinology

Background:

  • Multisystem inflammatory syndrome in children (MIS-C) is a rare postinfectious complication of SARS-CoV-2 infection.
  • The precise pathogenesis of MIS-C remains incompletely understood.
  • Concerns exist regarding potential MIS-C development following COVID-19 vaccination.

Observation:

  • A case of MIS-C is presented in an adolescent female.
  • The patient received two doses of the Pfizer-BioNTech COVID-19 vaccine 12 weeks prior to symptom onset.
  • She had no documented SARS-CoV-2 infection history, with negative PCR tests and specific antibody profiles (anti-spike IgG positive, antinucleocapsid IgG negative).

Findings:

  • The patient developed MIS-C following COVID-19 vaccination.
  • This case suggests a potential, albeit rare, association between COVID-19 vaccination and MIS-C development.
  • The findings highlight the need to consider vaccination as a potential trigger in the absence of infection.

Implications:

  • COVID-19 vaccination is crucial for pandemic control and remains safe for the vast majority.
  • Further surveillance is warranted to investigate the potential link between COVID-19 vaccination and MIS-C.
  • This case contributes to understanding the diverse clinical presentations and potential triggers of MIS-C.