Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review

COVID-19 infection in the pediatric population usually leads to a mild illness; however, a rare but serious complication of MIS-C has been seen in children. MIS-C usually presents 2–4 weeks after COVID-19 infection or exposure, and rare reports have been documented in neonates. Vaccinations for COVI...

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Main Authors: Chetna Mangat, Siva Naga Srinivas Yarrarapu, Gagandeep Singh, Pankaj Bansal
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/9/1454
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author Chetna Mangat
Siva Naga Srinivas Yarrarapu
Gagandeep Singh
Pankaj Bansal
author_facet Chetna Mangat
Siva Naga Srinivas Yarrarapu
Gagandeep Singh
Pankaj Bansal
author_sort Chetna Mangat
collection DOAJ
description COVID-19 infection in the pediatric population usually leads to a mild illness; however, a rare but serious complication of MIS-C has been seen in children. MIS-C usually presents 2–4 weeks after COVID-19 infection or exposure, and rare reports have been documented in neonates. Vaccinations for COVID-19 have been approved for children aged 6 months and above in the United States, and recent reports suggest significantly low prevalence and risk of complications of Multi-organ Inflammatory Syndrome (MIS-C) in vaccinated children compared to unvaccinated children. Vaccinations for COVID-19 are safe and recommended during pregnancy and prevent severe maternal morbidity and adverse birth outcomes. Evidence from other vaccine-preventable diseases suggests that through passive transplacental antibody transfer, maternal vaccinations are protective against infections in infants during the first 6 months of life. Various studies have demonstrated that maternal COVID-19 vaccination is associated with the presence of anti-spike protein antibodies in infants, persisting even at 6 months of age. Further, completion of a 2-dose primary mRNA COVID-19 vaccination series during pregnancy is associated with reduced risk for COVID-19–associated hospitalization among infants aged 6 months or less. Therefore, it can be hypothesized that maternal COVID-19 vaccination can reduce the risk of and severity of MIS-C in infants. In this article, we review the literature to support this hypothesis.
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spelling doaj.art-1a6f009165eb4dc08addb67236fcdfd92023-11-23T19:21:22ZengMDPI AGVaccines2076-393X2022-09-01109145410.3390/vaccines10091454Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative ReviewChetna Mangat0Siva Naga Srinivas Yarrarapu1Gagandeep Singh2Pankaj Bansal3Department of Pediatrics, Mayo Clinic Health System, 733 W Clairemont Ave, Eau Claire, WI 54701, USADepartment of Internal Medicine, Monmouth Medical Center/RWJBH, Long Branch, NJ 07740, USADepartment of Family Medicine, Mayo Clinic Health System, 733 W Clairemont Ave, Eau Claire, WI 54701, USADepartment of Rheumatology, Mayo Clinic Health System, 1400 Bellinger Street, Eau Claire, WI 54701, USACOVID-19 infection in the pediatric population usually leads to a mild illness; however, a rare but serious complication of MIS-C has been seen in children. MIS-C usually presents 2–4 weeks after COVID-19 infection or exposure, and rare reports have been documented in neonates. Vaccinations for COVID-19 have been approved for children aged 6 months and above in the United States, and recent reports suggest significantly low prevalence and risk of complications of Multi-organ Inflammatory Syndrome (MIS-C) in vaccinated children compared to unvaccinated children. Vaccinations for COVID-19 are safe and recommended during pregnancy and prevent severe maternal morbidity and adverse birth outcomes. Evidence from other vaccine-preventable diseases suggests that through passive transplacental antibody transfer, maternal vaccinations are protective against infections in infants during the first 6 months of life. Various studies have demonstrated that maternal COVID-19 vaccination is associated with the presence of anti-spike protein antibodies in infants, persisting even at 6 months of age. Further, completion of a 2-dose primary mRNA COVID-19 vaccination series during pregnancy is associated with reduced risk for COVID-19–associated hospitalization among infants aged 6 months or less. Therefore, it can be hypothesized that maternal COVID-19 vaccination can reduce the risk of and severity of MIS-C in infants. In this article, we review the literature to support this hypothesis.https://www.mdpi.com/2076-393X/10/9/1454COVID-19 vaccinepregnancyinfantMIS-C
spellingShingle Chetna Mangat
Siva Naga Srinivas Yarrarapu
Gagandeep Singh
Pankaj Bansal
Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
Vaccines
COVID-19 vaccine
pregnancy
infant
MIS-C
title Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
title_full Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
title_fullStr Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
title_full_unstemmed Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
title_short Maternal COVID-19 Vaccine May Reduce the Risk of MIS-C in Infants: A Narrative Review
title_sort maternal covid 19 vaccine may reduce the risk of mis c in infants a narrative review
topic COVID-19 vaccine
pregnancy
infant
MIS-C
url https://www.mdpi.com/2076-393X/10/9/1454
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AT gagandeepsingh maternalcovid19vaccinemayreducetheriskofmiscininfantsanarrativereview
AT pankajbansal maternalcovid19vaccinemayreducetheriskofmiscininfantsanarrativereview