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. 2022 Nov 21;194(45):E1529–E1536. doi: 10.1503/cmaj.220676

Table 3:

Expected and observed rates of myocarditis with observed-to-expected ratios within a 21-day risk window after SARS-CoV-2 vaccination

Observed* Expected OE ratio (95% CI)


No. of cases No. of vaccine doses Rate per 100 000 (95% CI) No. of cases Population Rate per 100 000 (95% CI)
Overall 141 10 255 385 1.37 (1.16–1.62) 20.1 5 090 955 0.39 (0.26–0.63) 7.03 (5.92–8.29)

Sex

 Male 105 4 891 011 2.15 (1.76–2.60) 7.1 2 571 779 0.28 (0.13–0.61) 14.76 (12.07–17.87)

 Female 36 5 364 374 0.67 (0.47–0.93) 13.2 2 519 176 0.53 (0.30–0.93) 2.72 (1.91–3.77)

Age, yr

 12–17 19 644 705 2.95 (1.77–4.60) 0.7 300 573 0.25 (0.01–1.85) 25.66 (15.45–40.07)

 18–29 53 1 784 950 2.97 (2.22–3.88) 5.4 822 028 0.65 (0.27–1.59) 9.87 (7.39–12.9)

 30–39 28 1 624 133 1.72 (1.15–2.49) 4.5 721 055 0.63 (0.23–1.62) 6.17 (4.10–8.92)

 40–49 7 1 340 746 0.52 (0.21–1.08) 2.6 647 731 0.40 (0.10–1.35) 2.67 (1.07–5.50)

 50–59 11 1 420 691 0.77 (0.39–1.39) 2.3 725 412 0.31 (0.09–1.21) 4.88 (2.44–8.73)

 60–69 11 1 552 275 0.71 (0.35–1.27) 2.3 660 685 0.35 (0.09–1.33) 4.79 (2.39–8.56)

 70–79 5 1 228 162 0.41 (0.13–0.95) 3.2 413 888 0.78 (0.26–2.47) 1.54 (0.50–3.60)

 ≥ 80 7 659 723 1.06 (0.43–2.19) 1.0 229 260 0.43 (0.01–2.43) 7.05 (2.83–14.52)

Vaccine

 Pfizer 84 6 989 921 1.20 (0.96–1.49) 13.7 5 090 955 0.27 (0.15–0.46) 6.15 (4.90–7.61)

 Moderna 57 3 265 464 1.75 (1.32–2.26) 6.4 5 090 955 0.13 (0.06–0.28) 8.93 (6.76–11.57)

Dose

 Dose 1 26 3 994 380 0.65 (0.43–0.95) 7.8 5 090 955 0.15 (0.07–0.31) 3.33 (2.17–4.88)

 Dose 2 88 3 884 987 2.27 (1.82–2.79) 7.6 5 090 955 0.15 (0.07–0.31) 11.59 (9.29–14.27)

 Dose 3 27 2 376 018 1.14 (0.75–1.65) 4.6 5 090 955 0.09 (0.03–0.23) 5.81 (3.83–8.46)

Note: CI = confidence interval, Moderna = mRNA-1273 (Moderna), OE = observed-to-expected, Pfizer = BNT162b2 (Pfizer-BioNTech).

*

Myocarditis cases recorded within 21 days postvaccination between Dec. 15, 2020, and Mar. 31, 2022.

The background rates from 2019 were used to calculate the expected numbers.