Case Report

Myocarditis in the Setting of Recent COVID-19 Vaccination

Table 1

Patient characteristics and results.

PatientAgeSexMedical historySymptom onsetVaccineTroponin T  ng/mlImagingIschemic work-up

A25MaleCrohn’s disease (no medications)Chest pain 4-day post-2nd vaccineBNT162b2 Pfizer/BioNTech ng/mlEKG: no ischemic changes
Echo: left ventricular ejection %
Cardiac MRI (cMRI): %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal late gadolinium enhancement (LGE)) with multiple foci in the midwall
Not applicable
B28MaleObesityChest pain 3-day post-2nd vaccineBNT162b2 Pfizer/BioNTech ng/mlEKG: lateral ST elevation myocardial infarction
cMRI: %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal LGE) in the basal inferior, mid- to distal lateral/inferolateral walls
Coronary angiogram: no luminal irregularities
C36MaleGastroesophageal reflux diseaseChest pain 2-day post-2nd vaccinemRNA-1273 Moderna/NIH ng/mlEKG: lateral ST elevations
Echo: -60%
cMRI: %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal LGE) in the mid- to distal inferolateral and lateral walls
Coronary angiogram: no luminal irregularities