Pre–existing Comorbidities as Potential Risk Modifiers for New-Onset Myocarditis and Pericarditis following mRNA COVID-19 Vaccination in Males Aged 18–30 in the United States: A Disproportionality Analysis using VAERS Spontaneous Reporting Data - Summary - MDSpire

Pre–existing Comorbidities as Potential Risk Modifiers for New-Onset Myocarditis and Pericarditis following mRNA COVID-19 Vaccination in Males Aged 18–30 in the United States: A Disproportionality Analysis using VAERS Spontaneous Reporting Data

  • By

  • Mohammed Salah Salem

  • Yola Moride

  • Bernard Bégaud

  • July 13, 2026

Share

Objective:

To investigate whether chronic comorbidities (hypertension, diabetes, dyslipidemia, and obesity) modify the risk of myocarditis or pericarditis following mRNA COVID-19 vaccination in males aged 18–30.

Approach:
  • Study Design: A case-coverage study using observed-versus-expected (O/E) and disproportionality analyses was conducted on VAERS data.
  • Data Sources: VAERS data from 2021–2022 were utilized to identify reports of myocarditis and pericarditis in the target population.
  • Outcome Definition: Reports of myocarditis or pericarditis suspected to be associated with mRNA vaccination were included, with specific eligibility criteria applied.
Key Findings:
  • Increasedreportingofmyocarditis/pericarditisamongmalesaged18–30followingmRNAvaccinationisnotexplainedbyhigherprevalenceofpre-existinghypertension,diabetes,dyslipidemia,orobesitybasedontheobserved-versus-expectedanalysis.
Interpretation:

The study applies disproportionality methods to assess vaccine-related adverse events and finds that common comorbidities do not significantly modify the risk of myocarditis/pericarditis post-vaccination.

Limitations:
  • Detailedclinicaladjudicationofreportswasnotfeasible,andtheapplicationofexclusioncriteriatoexpectedprevalenceestimateswasinconsistent.
Conclusion:

The findings indicate that pre-existing comorbid conditions do not appear to increase the risk of myocarditis or pericarditis following mRNA COVID-19 vaccination in young males.

Original Source(s)

Related Content