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Canada: Health Canada updates Pfizer-BioNTech and Moderna COVID-19 vaccine labels to include information on myocarditis and pericarditis (English Only)
 
Health Canada announces that it has updated the product monographs (labels) for the Pfizer-BioNTech and Moderna COVID-19 vaccines to describe very rare reports of myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the tissue surrounding the heart) following vaccination.

Cases of myocarditis and/or pericarditis following immunization with COVID-19 vaccines have been reported in a small number of people in Canada and internationally. These reports are very rare. Health Canada and other international regulators are continuing to investigate the potential relationship between COVID-19 vaccines and these rare events. Most reported cases to date have followed vaccination with an mRNA vaccine (Pfizer-BioNTech and Moderna) and, based on an analysis of international cases, have occurred more often after the second dose and in younger male adults and adolescents. The Canadian evidence is expected to evolve as more people in these populations are vaccinated. Available short-term follow-up data show that these events were typically mild and treatable; however, information on long-term outcomes is not yet available.

Myocarditis is an inflammation of the heart muscle, while pericarditis is an inflammation of the lining around the heart. Both conditions can result from an infection (including COVID-19), exposure to a toxic substance or radiation, or other health events. Symptoms can include chest pain, shortness of breath, or palpitations (feelings of having a fast-beating, fluttering or pounding heart). In many cases, these conditions are mild and require little to no treatment. However, more severe cases can lead to heart muscle damage.

Health Canada has updated the product labels for the Pfizer-BioNTech and Moderna COVID-19 vaccines to inform Canadians and healthcare professionals of these possible side effects and to provide information about the signs and symptoms and when to seek prompt medical attention following vaccination.

Health Canada will continue to work with manufacturers, as well as domestic and international partners, to gain a better understanding of the relationship between COVID-19 vaccines and these events. In addition, Health Canada and the Public Health Agency of Canada will continue to monitor Canadian and international reports of myocarditis and/or pericarditis, particularly as more adolescents and young adults are vaccinated and more second doses are administered. The Department will take appropriate action will be taken if any new safety issues are identified.

Health Canada reassures Canadians that COVID-19 vaccines continue to be safe and effective at protecting them against COVID-19. The benefits of COVID-19 vaccines continue to outweigh their potential risks, as scientific evidence shows that they reduce deaths and hospitalizations due to COVID-19. The Government of Canada encourages people to get vaccinated and to complete their vaccine series as soon as they are eligible.

Seek medical attention immediately if you experience any of the following symptoms within several days of vaccination: chest pain, shortness of breath, feelings of having a fast-beating, fluttering or pounding heart.

Healthcare professionals should be alert to the signs and symptoms of myocarditis and pericarditis when individuals present with chest pain, shortness of breath, palpitations or other signs and symptoms following immunization with a COVID-19 vaccine. This could allow for early diagnosis and treatment. Cardiology consultation for management and follow-up should be considered. When deciding whether to administer the Pfizer-BioNTech or Moderna COVID-19 vaccine to an individual with a history of myocarditis or pericarditis, consider the individual's clinical circumstances.

Please refer to the following website in Health Canada for details: http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/../75959a-eng.php

In Hong Kong, the above products are not registered pharmaceutical products under the Pharmacy and Poisons Ordinance (Cap. 138). The COVID-19 vaccine by Fosun Pharma/BioNTech (i.e. Comirnaty) is authorised for emergency use in Hong Kong in accordance with the Prevention and Control of Disease (Use of Vaccines) Regulation (Cap. 599K). Related news was previously issued by European Medicines Agency and the United States Food and Drug Administration, and was posted on the Drug Office website on 12 Jun 2021 and 26 Jun 2021. Letters to inform local healthcare professionals were issued by the Department of Health (DH) on 28 Jun 2021. The DH will remain vigilant on safety update of the product issued by other overseas drug regulatory authorities.

Ends/Friday, Jul 2, 2021
Issued at HKT 16:00
 
Related Information:
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European Union: Comirnaty and Spikevax: possible link to very rare cases of myoc... 上載於 2021-07-10
The United Kingdom: COVID-19 vaccines: Review of extremely rare reports of myoca... 上載於 2021-07-08
Moderna and Pfizer-BioNTech COVID-19 vaccines: increased risks of myocarditis an... 上載於 2021-06-28
The United States: Moderna and Pfizer-BioNTech COVID-19 vaccines: increased risk... 上載於 2021-06-26
European Union: COVID-19 vaccines: update on ongoing evaluation of myocarditis a... 上載於 2021-06-12
 
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