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CDC walks back COVID guidance again, finds lasting post-vaccine heart problems in young adults

The CDC continues to erase distinctions by COVID-19 vaccination status in public health guidance as ongoing global research — including its own — documents the mediocre performance of COVID vaccines and their unexpectedly high rates of lasting harm in some groups.

Vaccination status is no longer used “to inform source control, screening testing, or post-exposure recommendations” for healthcare personnel, the Friday update to their CDC guidance says.

The agency “[c]larified” that healthcare facilities, including nursing homes, have discretion on whether to screen-test asymptomatic personnel. It also now says asymptomatic patients “in general” do not require “empiric use of Transmission-Based Precautions” after exposure to an infected person.

A CDC study of 12-29 year-olds with heart inflammation following mRNA vaccination, published last week in The Lancet Child & Adolescent Health, found that 1 in 6 still had not “fully recovered” at least 90 days after myocarditis onset, including 1 in 100 who hadn’t improved at all.

Myocarditis has increased so markedly among youth since vaccines were authorized for them that an Ivy League-affiliated hospital started running TV ads this month for its treatment in children. New York-Presbyterian marked the ad’s Sept. 6 YouTube video private less than two weeks later, following criticism that it was trying to “normalize” a vaccine-induced condition.

The CDC’s COVID-19 Response Team found more than 800 myocarditis reports to the Vaccine Adverse Events Reporting System from Jan. 12 to Nov. 5, 2021 that matched the parameters for age and time since onset.

Excluding those without phone numbers or who couldn’t be reached, they studied 393 individuals whose healthcare providers, mostly cardiologists, completed a survey. The median age was 17 and overwhelmingly male. The team deemed four in five patients “fully or probably fully” recovered (320).

But two-thirds of those initially required non-intensive care hospitalization, and 27% required intensive care. At their last provider followup, 28% of the fully recovered were still on doctor-ordered physical activity restrictions.

The figures for the 65 patients who were not fully recovered: 62% non-intensive hospitalization and 18% intensive, and 48% still on physical activity restrictions. Less than a third had been cleared for physical activity, half the figure for the fully recovered, who had a median clearance of 10 fewer days (104).

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