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J Cardiovasc Pharmacol . Rare but Severe Cardiovascular Complications of SARS-CoV-2 Vaccination: A Call for Awareness

tetano

Editor, Senior Moderator
J Cardiovasc Pharmacol


. 2025 Jul 24.
doi: 10.1097/FJC.0000000000001740. Online ahead of print. Rare but Severe Cardiovascular Complications of SARS-CoV-2 Vaccination: A Call for Awareness

Michele Marchetta[SUP] 1 [/SUP], Michele Golino[SUP] 1 2 [/SUP], John D Markley[SUP] 3 [/SUP], Antonio Abbate[SUP] 1 [/SUP]



Affiliations
Abstract

The extensive use of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) vaccines has played a crucial role in controlling the Coronavirus disease 2019 (COVID-19) pandemic, underscoring the remarkable advantages and efficacy of novel vaccine technologies. However, rare but life-threatening cardiovascular complications such as myocarditis, pericarditis and thrombosis have emerged, predominantly affecting young males following their second vaccine dose. These adverse events highlight the importance of continued pharmacovigilance and transparent communication about potential risks. As the global epidemiological context has shifted, now characterized by widespread natural, vaccine-induced, or hybrid immunity, it is important to re-evaluate the risk-benefit ratio of repeated vaccine administration in low-risk individuals. Data regarding SARS-CoV-2 vaccines complications are still largely based on the early phases of the pandemic (2020-2021), when population-level immunity was minimal and severe COVID-19 outcomes more frequent. Today, such comparisons may no longer be appropriate. Updated real-world evidence is needed to better inform decision-making and ensure that public health strategies remain aligned with the contemporary risk landscape.


 
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