Safety and Acceptance of COVID-19 Vaccination After Multisystem Inflammatory Syndrome in Children (MIS-C) in Spain

Cristina Epalza1,2,3,4, Luis Prieto-Tato1,2,3,4, Rosa Pino5

  • 1Pediatric Infectious Diseases Unit, Department of Pediatrics, Hospital Universitario 12 de Octubre, Madrid, Spain.

Insights

COVID-19 vaccination in adolescents with prior multisystem inflammatory syndrome (MIS-C) showed a low incidence of adverse events. Importantly, no new MIS-C or myocarditis cases were observed post-vaccination.

Area of Science:

  • Pediatric immunology
  • Vaccinology
  • Infectious disease epidemiology

Background:

  • Multisystem inflammatory syndrome in children (MIS-C) is a rare but serious condition following SARS-CoV-2 infection.
  • Concerns exist regarding the safety and efficacy of COVID-19 vaccines in adolescents with a history of MIS-C.

Purpose of the Study:

  • To evaluate the safety and incidence of new MIS-C or myocarditis following COVID-19 vaccination in adolescents with a previous MIS-C diagnosis.

Main Methods:

  • A cohort study of 42 adolescents with a prior MIS-C diagnosis.
  • Tracking of vaccination status and adverse events post-COVID-19 vaccination.
  • Median follow-up of 10 weeks post-vaccination.

Main Results:

  • 76.2% (32 out of 42) of adolescents received COVID-19 vaccines.
  • A low incidence of relevant adverse events was reported.
  • No new cases of MIS-C or myocarditis were observed during the follow-up period.

Conclusions:

  • COVID-19 vaccination appears safe in adolescents with a history of MIS-C.
  • Vaccination did not lead to a recurrence or new onset of MIS-C or myocarditis in this cohort.

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