ClinicalTrials.gg
RecruitingNCT06103123MYCOVACCUpdated Nov 3, 2026

MYocarditis and/or Pericarditis Following mRNA COVID-19 VACCination National Surveillance Study

An observational study in Myocarditis, Myocarditis Acute and Pericarditis, sponsored by Cardiology Research UBC. Recruiting at 1 site in Canada. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Cardiology Research UBC · Observational

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Updated Nov 3, 2026Primary completion movedStudy completion movedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Sex
All
01

Study summary

Myocarditis is inflammation of the heart muscle. Pericarditis is inflammation of the lining surrounding the heart muscle. Symptoms of these conditions can include pain in the chest and rapid or irregular heartbeat. There are many different causes for myocarditis and pericarditis including COVID-19 infection.

The MYCOVACC study will identify patients using local screening strategies, including research communications, care provider referrals, and medical record review. The retrospective component of the study will collect information about patients suffering from vaccine associated myopericarditis and COVID-19 associated myopericarditis. Consenting patients will then be prospectively followed according to standard of care protocols. The main objectives of MYCOVACC are to describe the rate of major adverse cardiovascular events, functional outcomes including quality of life, and myocardial recovery through imaging.

02

Conditions studied

  • Myocarditis
  • Myocarditis Acute
  • Pericarditis
  • Pericarditis Acute
03

In context

Myocarditis

174 studies on the registry are indexed under Myocarditis; 75 are open to participants now.

This study's planned enrollment of 500 is above the median of 208 across 120 observational studies indexed under Myocarditis.

Browse Myocarditis studies →

Lead sponsor

Cardiology Research UBC is the lead sponsor of 18 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who have suffered or are suffering from 1) COVID-19 infection associated myocarditis, 2) COVID-19 infection associated pericarditis, 3) COVID-19 vaccine associated myocarditis, 4) COVID-19 vaccine associated pericarditis, 5) Alternative etiology myocarditis, 6) Alternative etiology pericarditis

Definition of myocarditis and pericarditis follows standard clinical definition as outlined in "Brighton Collaboration myocarditis case definition and levels of diagnostic certainty 1,2 and 3"

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Inclusion criteria for vaccine associated myocarditis/pericarditis.

    1. COVID-19 vaccination within previous 42 days. AND
    2. At least one cardiac symptom of suspected myocarditis/pericarditis (Appendix 5).

      OR At least two non-specific symptoms (Appendix 5). OR In infants and young children, at least two non-specific pediatric symptoms (Appendix 5).

      OR No symptoms, but abnormal histopathology or a combination of abnormal cardiac biomarkers with abnormal cardiac imaging (echo or MRI).

      AND

    3. At least one of the following objective findings (Brighton Criteria case definitions, Appendices 1 to 5):

      1. Histopathologic examination of myocardial tissue (autopsy or endomyocardial ) showed myocardial inflammation.
      2. Elevated myocardial biomarker (Troponin T, Troponin I, or CK-MB).
      3. Cardiac MRI abnormality.
      4. Echocardiographic abnormality.
      5. New or worsening arrhythmia on , Holter monitor, or telemetry.
      6. Elevated inflammation biomarkers: erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), hs-CRP, or D-Dimer.
      7. Physical examination pericardial friction rub or pulsus paradoxus.
      8. Pericardial fluid or inflammation by imaging (echo, MRI, or CT).
      9. Enlarged heart on chest radiograph.

      AND

    4. No alternative cause of presentation. e.g. infectious or myocarditis.
  • Inclusion criteria for COVID-19 associated myocarditis/pericarditis

    1. COVID-19 infection within the previous 42 days.

      AND

    2. Myocarditis/pericarditis as per Brighton Criteria for vaccine associated myocarditis/pericarditis.

      AND

    3. No alternative cause of presentation.

Inclusion criteria alternative etiology myocarditis.

  1. Myocarditis/pericarditis as per Brighton Criteria for vaccine associated myocarditis/pericarditis.

    AND

  2. No alternative cause of presentation.

Exclusion criteria

Exclusion Criteria:

  • For prospective invitation and follow-up, inability to provide . Consent will be sought from patients or their authorised substitute decision maker.
  • Patients not fulfilling Brighton Criteria levels 1-3 will be excluded if they are level 4 (insufficient evidence for myocarditis) or Level 5 (not myocarditis) or have an alternative diagnosis such as myocardial infarction.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • mRNA COVID-19 vaccine associated myocarditis

    Participants who had developed myocarditis within 42 days of getting a mRNA COVID-19 vaccine

    Diagnostic Test: Stand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire

  • mRNA COVID-19 vaccine associated pericarditis

    Participants who had developed pericarditis within 42 days of getting a mRNA COVID-19 vaccine

    Diagnostic Test: Stand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire

  • COVID-19 infection associated myocarditis

    Participants who had developed myocarditis within 42 days of being infected with the SARS-COV-2 virus

    Diagnostic Test: Stand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire

  • COVID-19 infection associated pericarditis

    Participants who had developed pericarditis within 42 days of being infected with the SARS-COV-2 virus

    Diagnostic Test: Stand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire

  • Alternative etiology myocarditis

    Any participants with myocarditis that is not associated with the mRNA COVID-19 vaccine or SARS-COV-2 viral infection

    Other: Baseline Quality of Life questionnaire

Interventions

  • Diagnostic testStand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire

    Stand of care ECG, Holter, MRI, ECHO, Quality of life questionnaire will be used to follow the clinical outcomes and patient reported outcomes to assess for study objectives

  • OtherBaseline Quality of Life questionnaire

    Only baseline quality of life questionnaires will be utilized in the alternative etiology myocarditis cohort as they will not be followed up in the study

06

What researchers measure

Primary outcomes

  1. Composite Major Adverse Cardiac Event (MACE) at 30 days post vaccination (preferred by cardiovascular community) and at 42 days post vaccination (preferred by vaccine monitoring investigators)

    Including any of: * Death from any cause. * Ventricular arrhythmia (ventricular fibrillation or ventricular tachycardia). * Heart block (type II or type III block). * Heart failure (national guideline criteria). * Left ventricular systolic dysfunction (left ventricular ejection fraction \[LVEF\] \<55%). * Cardiac tamponade.

    Time frame: From date of vaccination and up to 3 years

  2. Recovery of cardiac function in patients with previously documented abnormal cardiac function

    Patients with Left Ventricular Ejection Fraction (LVEF)\<55% during anytime at baseline, with LVEF increase by 5% from worst baseline measurement

    Time frame: Through study completion, an average of 3 years

  3. Quality of life using validated instruments at baseline, 3 months, 12 months, and annually

    Quality of life: EQ-5D-5L questionnaire for adults or EQ-5D-Y questionnaire for children.

    Time frame: Through study completion, an average of 3 years

  4. Depression and anxiety using validated instruments at baseline, 3 months, 12 months, and annually

    Depression and anxiety data: PHQ-9 and GAD-7.

    Time frame: Through study completion, an average of 3 years

  5. Physical activity using validated instruments at baseline, 3 months, 12 months, and annually

    Physical activity: International Activity Questionnaire.

    Time frame: Through study completion, an average of 3 years

Secondary outcomes

  1. Individual components of primary composite endpoint at 30 days and 42 days post mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

  2. Rate of atrial arrhythmias after mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

  3. Rate of all-cause and cardiovascular mortality after mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

  4. Rate of all-cause and cardiovascular hospitalization after mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

  5. Rate of recurrence of myocarditis/pericarditis after mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

  6. Rate of constrictive pericarditis after mRNA COVID-19 vaccination?

    Time frame: From date of vaccination for up to three years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Related links

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Mar 2027, 47 months after the start.

Of 70 non-industry observational studies under Myocarditis, half reached primary completion within 69 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 251. This study's planned 47 months is below that.

Counting every sponsor, half of 71 studies reached it within 69 months; a quarter within 20 and three quarters within 251.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 3, 2026: primary completion Mar 2025 → Mar 2027 and completion Apr 2025 → Apr 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 29, 2023
First posted
Oct 26, 2023
StartActual
Apr 23, 2023
Primary completionEst.
Mar 23, 2027was Mar 2025
CompletionEst.
Apr 23, 2027was Apr 2025
Last update
Nov 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Mar 23, 2025→Mar 23, 2027
Nov 3, 2026
Study completion
Apr 23, 2025→Apr 23, 2027
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    Primary completion Mar 23, 2025→Mar 23, 2027
    Study completion Apr 23, 2025→Apr 23, 2027
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06103123
Lead sponsor
Cardiology Research UBC
Responsible party
Sponsor
First posted
Oct 26, 2023
Start date
Apr 23, 2023
Primary completion
Mar 23, 2027 (estimated)
Completion
Apr 23, 2027 (estimated)
Last update
Nov 3, 2026

Study contacts

Jenny Petterson, MSc
Contact
jenny.petterson@vch.ca
604-875-5104
Naomi Uchida, RN
Contact
naomi-uchida@ubc.ca
604-875-5324
Nathaniel Hawkins, MD
principal investigator · Vancouver General Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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