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資料1-3 ワクチンの安全性に関する評価について (14 ページ)

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別添1 海外添付文書等における心筋炎等の記載状況
(コミナティ筋注)
米国添付文書(2021 年 11 月)※

英国添付文書(2021 年 11 月)

※12 歳以上

欧州添付文書(2021 年 11 月)

5 WARNINGS AND PRECAUTIONS

4.4 Special warnings and precautions for

4.4 Special warnings and precautions for

5.2 Myocarditis and Pericarditis

use

use

Postmarketing data demonstrate increased

General recommendations

General recommendations

risks of myocarditis and pericarditis,

Myocarditis and pericarditis

Myocarditis and pericarditis

particularly within 7 days following the

Very rare cases of myocarditis and pericarditis

Very rare cases of myocarditis and pericarditis

second dose. The observed risk is higher

have been observed following vaccination

have been observed following vaccination

among males under 40 years of age than

with Comirnaty. These cases have primarily

with Comirnaty. These cases have primarily

among females and older males. The observed

occurred within 14 days following

occurred within 14 days following

risk is highest in males 12 through 17 years of

vaccination, more often after the second

vaccination, more often after the second

age. Although some cases required intensive

vaccination, and more often in younger men.

vaccination, and more often in younger men.

care support, available data from short-term

Available data suggest that the course of

Available data suggest that the course of

follow-up suggest that most individuals have

myocarditis and pericarditis following

myocarditis and pericarditis following

had resolution of symptoms with conservative

vaccination is not different from myocarditis

vaccination is not different from myocarditis

management. Information is not yet available

or pericarditis in general.

or pericarditis in general.

about potential long-term sequelae. The CDC

Healthcare professionals should be alert to the

Healthcare professionals should be alert to the

has published considerations related to

signs and symptoms of myocarditis and

signs and symptoms of myocarditis and

myocarditis and pericarditis after vaccination,

pericarditis. Vaccinees should be instructed to

pericarditis. Vaccinees should be instructed to

including for vaccination of individuals with a

seek immediate medical attention if they

seek immediate medical attention if they

history of myocarditis or pericarditis

develop symptoms indicative of myocarditis or develop symptoms indicative of myocarditis or

14