Healthcare professionals should consult applicable guidance and/or consult specialists (e.g. These include breathlessness, a forceful heartbeat that may be irregular and chest pain. They should tell people receiving these vaccines to seek immediate medical attention if symptoms indicative of myocarditis or pericarditis occur. Healthcare professionals should be alert to the signs and symptoms of myocarditis and pericarditis. Available data suggest that the course of myocarditis and pericarditis following vaccination is similar to the typical course of these conditions, usually improving with rest or treatment. They were either of advanced age or had concomitant diseases. In five cases that occurred in the EEA, people died. The Committee concluded that the cases primarily occurred within 14 days after vaccination, more often after the second dose and in younger adult men. In addition the PRAC also looked into cases received worldwide. As of, around 177 million doses of Comirnaty and 20 million doses of Spikevax had been given in the EEA. PRAC also reviewed reports of 138 cases of pericarditis following the use of Comirnaty and 19 cases following the use of Spikevax. This included an in-depth review of 145 cases of myocarditis in the European Economic Area (EEA) among people who received Comirnaty and 19 cases among people who received Spikevax. In reaching its conclusion, the Committee took into consideration all currently available evidence. Symptoms can vary but often include breathlessness, a forceful heartbeat that may be irregular (palpitations), and chest pain. Myocarditis and pericarditis are inflammatory conditions of the heart. The Committee is therefore recommending listing myocarditis and pericarditis as new side effects in the product information for these vaccines, together with a warning to raise awareness among healthcare professionals and people taking these vaccines. EMA’s safety committee ( PRAC) has concluded that myocarditis and pericarditis can occur in very rare cases following vaccination with the COVID-19 vaccines Comirnaty and Spikevax (previously COVID-19 Vaccine Moderna).
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