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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.
Abstract:
In this cohort of 42 adolescents with a previous multisystem inflammatory syndrome (MIS-C) diagnosis, 32 (76.2%) were vaccinated with COVID-19 vaccines, with a low incidence of relevant adverse events. More importantly, no new MIS-C or myocarditis occurred after a median of 10 weeks (range 5.3-19.7) post-vaccination.
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