Related Experiment Video
Updated: Sep 21, 2025

Noninvasive Assessment of Cardiac Abnormalities in Experimental Autoimmune Myocarditis by Magnetic Resonance Microscopy Imaging in the Mouse
Published on: June 20, 2014
Myocarditis after COVID-19 mRNA vaccination: A systematic review of case reports and case series
Dae Yong Park1, Seokyung An2, Amandeep Kaur3
1Department of Medicine, John H. Stroger Jr Hospital of Cook County, Chicago, Illinois, USA.
Insights
COVID-19 vaccine-associated myocarditis typically affects younger males, presenting with chest pain days after the second dose. While rare, myocarditis cases generally have a favorable prognosis, underscoring the importance of continued vaccination efforts.
Area of Science:
- Cardiology
- Immunology
- Public Health
Background:
- COVID-19 pandemic necessitated rapid vaccine development.
- Vaccines significantly reduced disease incidence, prevalence, and severity.
- Rare instances of myocarditis post-vaccination have been documented.
Observation:
- A systematic review identified 275 cases of vaccine-associated myocarditis.
- The condition predominantly affected younger males (14:1 ratio), with a mean age of 26.7 years.
- Myocarditis commonly occurred after the second vaccine dose (86.9%) with a median onset of 3.7 days.
Findings:
- Common symptoms included chest pain (95.2%), elevated troponin (100%), and ECG ST elevation (68.5%).
- Treatment involved NSAIDs (81.4%) and colchicine (33.1%).
- The prognosis was generally favorable, with a reported mortality of 1.1%.
Implications:
- COVID-19 vaccine-associated myocarditis has distinct clinical features, primarily in young males.
- Diagnosis relies on excluding other causes of myocarditis.
- Physicians should encourage vaccination while monitoring for rare adverse events like myocarditis.
Background:
The coronavirus disease of 2019 (COVID-19) is a global pandemic with over 266 million cases and 5 million deaths worldwide. Anti-COVID-19 vaccinations have had exceptional success in subduing the incidence, prevalence, and disease severity of COVID-19, but rare cases of myocarditis have been reported after COVID-19 vaccinations.
Hypothesis:
Myocarditis occurring after COVID-19 mRNA vaccinations have distinguishable clinical characteristics. They usually have a favorable prognosis.
Methods:
We performed a systematic literature search on PUBMED and MEDLINE database from inception to December 5, 2021. Studies were analyzed based on predetermined eligibility criteria.
Results:
A total of 57 studies containing 275 cases of COVID-19 vaccine-associated myocarditis were catalogued. Mean age was 26.7 years and male to female ratio was 14:1. For 86.9% of patients, myocarditis occurred after the second dose. Average time to onset and length of hospitalization were 3.7 and 3.9 days, respectively. Prognosis was largely benign, but there was a 1.1% reported mortality. Chest pain (95.2%), elevation of troponin (100%), and ST elevation on electrocardiography (68.5%) were common. Nonsteroidal anti-inflammatory drugs (81.4%) were the most used medication, followed by colchicine (33.1%).
Conclusions:
Patients with COVID-19 vaccine-associated myocarditis are usually younger males presenting with chest pain 3-4 days after receiving their second dose of COVID vaccine. Diagnosis is made by exclusion of all other etiologies. Given significant population benefit from COVID-19 vaccination, physicians should continue to encourage vaccination while remaining vigilant of the very rare occurrence of myocarditis following COVID-19 vaccination.
Related Concept Videos
Myocarditis III: Medical Management
Myocarditis II: Clinical Features and Diagnostic Tests
Myocarditis I: Introduction
Myocarditis IV: Nursing Management
Pericarditis I: Introduction
Pericarditis III: Medical Management

