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

Table 4:

Myocarditis rates following mRNA SARS-CoV-2 vaccination using 7- and 21-day risk windows by vaccine type, sex, and age*

Risk window Vaccine Age group, yr Rate per 100 000 doses (95% CI)

Male Female


Dose 1 Dose 2 Dose 3 Dose 1 Dose 2 Dose 3
7 days Pfizer 12–17 2.13 (0.44–6.24) 6.73 (3.08–12.78) 7.01 (1.45–20.49) 0.00 (0.00–2.69) 1.53 (0.19–5.53) 0.00 (0.00–8.20)

18–29 0.36 (0.01–2.03) 5.06 (2.70–8.66) 2.98 (0.61–8.70) 0.00 (0.00–1.30) 1.13 (0.23–3.30) 0.00 (0.00–2.96)

30–39 0.43 (0.01–2.40) 0.46 (0.01–2.57) 1.63 (0.04–9.08) 0.00 (0.00–1.49) 0.00 (0.00–1.58) 0.00 (0.00–5.04)

40–49 0.00 (0.00–2.01) 0.59 (0.01–3.27) 1.86 (0.05–10.35) 0.00 (0.00–1.76) 0.51 (0.01–2.84) 0.00 (0.00–5.37)

50–59 0.00 (0.00–1.99) 1.20 (0.14–4.32) 0.00 (0.00–6.02) 0.00 (0.00–1.71) 0.51 (0.01–2.82) 0.00 (0.00–4.84)

60–69 0.00 (0.00–1.86) 0.58 (0.01–3.24) 0.00 (0.00–4.91) 0.00 (0.00–1.61) 0.50 (0.01–2.78) 2.23 (0.27–8.07)

70–79 0.00 (0.00–2.27) 0.00 (0.00–2.49) 0.00 (0.00–4.95) 0.00 (0.00–2.05) 0.00 (0.00–2.23) 0.00 (0.00–4.43)

≥ 80 0.00 (0.00–4.81) 2.78 (0.34–10.03) 0.00 (0.00–10.31) 0.00 (0.00–3.62) 0.00 (0.00–3.84) 0.00 (0.00–8.15)

Moderna 12–17 NA NA NA NA NA NA

18–29 0.90 (0.02–5.04) 22.05 (14.13–32.81) 3.95 (0.10–22.02) 0.00 (0.00–3.81) 1.00 (0.03–5.58) 0.00 (0.00–9.59)

30–39 0.00 (0.00–3.82) 6.99 (2.81–14.40) 1.16 (0.03–6.48) 0.00 (0.00–4.31) 2.18 (0.26–7.87) 1.00 (0.03–5.54)

40–49 0.00 (0.00–5.21) 1.32 (0.03–7.33) 0.00 (0.00–4.63) 0.00 (0.00–5.67) 0.00 (0.00–5.07) 0.00 (0.00–3.91)

50–59 1.41 (0.04–7.85) 0.00 (0.00–4.50) 0.00 (0.00–3.77) 0.00 (0.00–5.34) 1.22 (0.03–6.79) 0.00 (0.00–3.19)

60–69 0.00 (0.00–5.51) 0.00 (0.00–4.21) 0.00 (0.00–2.91) 0.00 (0.00–5.34) 0.00 (0.00–4.02) 1.38 (0.17–4.97)

70–79 0.00 (0.00–9.13) 0.00 (0.00–6.93) 1.83 (0.22–6.62) 0.00 (0.00–9.06) 1.85 (0.05–10.3) 0.00 (0.00–3.15)

≥ 80 0.00 (0.00–18.31) 0.00 (0.00–14.87) 0.00 (0.00–6.85) 0.00 (0.00–13.47) 0.00 (0.00–11.23) 1.37 (0.03–7.64)

21 days Pfizer 12–17 2.85 (0.78–7.29) 6.73 (3.08–12.78) 9.35 (2.55–23.93) 0.00 (0.00–2.69) 1.53 (0.19–5.53) 0.00 (0.00–8.20)

18–29 0.73 (0.09–2.63) 5.84 (3.27–9.63) 2.98 (0.61–8.70) 0.35 (0.01–1.97) 1.13 (0.23–3.30) 0.00 (0.00–2.96)

30–39 2.59 (0.95–5.63) 1.38 (0.29–4.05) 3.26 (0.39–11.77) 0.81 (0.10–2.92) 0.43 (0.01–2.39) 0.00 (0.00–5.04)

40–49 0.54 (0.01–3.03) 1.17 (0.14–4.23) 1.86 (0.05–10.35) 0.00 (0.00–1.76) 0.51 (0.01–2.84) 1.46 (0.04–8.12)

50–59 1.08 (0.13–3.90) 1.20 (0.14–4.32) 1.63 (0.04–9.09) 0.00 (0.00–1.71) 1.52 (0.31–4.44) 0.00 (0.00–4.84)

60–69 0.00 (0.00–1.86) 0.58 (0.01–3.24) 1.33 (0.03–7.41) 0.44 (0.01–2.44) 1.00 (0.12–3.60) 2.23 (0.27–8.07)

70–79 0.00 (0.00–2.27) 0.00 (0.00–2.49) 0.00 (0.00–4.95) 0.00 (0.00–2.05) 0.61 (0.02–3.37) 0.00 (0.00–4.43)

≥ 80 0.00 (0.00–4.81) 2.78 (0.34–10.03) 0.00 (0.00–10.31) 0.98 (0.02–5.47) 1.04 (0.03–5.80) 2.21 (0.06–12.32)

Moderna 12–17 NA NA NA NA NA NA

18–29 0.90 (0.02–5.04) 22.97 (14.87–33.91) 3.95 (0.10–22.02) 0.00 (0.00–3.81) 2.00 (0.24–7.23) 0.00 (0.00–9.59)

30–39 2.07 (0.25–7.48) 6.99 (2.81–14.40) 1.16 (0.03–6.48) 0.00 (0.00–4.31) 3.27 (0.67–9.55) 1.00 (0.03–5.54)

40–49 0.00 (0.00–5.21) 1.32 (0.03–7.33) 0.00 (0.00–4.63) 0.00 (0.00–5.67) 0.00 (0.00–5.07) 0.00 (0.00–3.91)

50–59 2.82 (0.34–10.17) 0.00 (0.00–4.50) 0.00 (0.00–3.77) 0.00 (0.00–5.34) 1.22 (0.03–6.79) 0.00 (0.00–3.19)

60–69 0.00 (0.00–5.51) 0.00 (0.00–4.21) 0.79 (0.02–4.40) 0.00 (0.00–5.34) 0.00 (0.00–4.02) 2.06 (0.43–6.03)

70–79 0.00 (0.00–9.13) 0.00 (0.00–6.93) 1.83 (0.22–6.62) 2.45 (0.06–13.68) 1.85 (0.05–10.3) 0.00 (0.00–3.15)

≥ 80 0.00 (0.00–18.31) 0.00 (0.00–14.87) 1.86 (0.05–10.34) 0.00 (0.00–13.47) 0.00 (0.00–11.23) 1.37 (0.03–7.64)

Note: CI = confidence interval, Moderna = mRNA-1273 (Moderna), NA = not applicable, OE = observed-to-expected, Pfizer = BNT162b2 (Pfizer-BioNTech).

*

Observed rates of myocarditis were calculated per 100 000 vaccine doses. Expected rates of myocarditis were expressed per 100 000 population.