{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T02:13:25Z","timestamp":1788401605167,"version":"build-2803163510"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012395","name":"Canadian Immunization Research Network","doi-asserted-by":"publisher","award":["CNF 151944"],"award-info":[{"award-number":["CNF 151944"]}],"id":[{"id":"10.13039\/501100012395","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["CNF 151944"],"award-info":[{"award-number":["CNF 151944"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011094","name":"Public Health Agency of Canada","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100025092","name":"Ontario Ministry of Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100025092","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100025090","name":"Ontario Ministry of Long-Term Care","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100025090","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Ontario Health Data Platform"},{"DOI":"10.13039\/501100000023","name":"Government of Canada","doi-asserted-by":"crossref","award":["Tier 2 Canada Research Chair in Cardiovascular Disease Epidemiology and Outcomes"],"award-info":[{"award-number":["Tier 2 Canada Research Chair in Cardiovascular Disease Epidemiology and Outcomes"]}],"id":[{"id":"10.13039\/501100000023","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000222","name":"Heart and Stroke Foundation of Canada","doi-asserted-by":"publisher","award":["Chair in Women\u2019s Heart and Brain Health"],"award-info":[{"award-number":["Chair in Women\u2019s Heart and Brain Health"]}],"id":[{"id":"10.13039\/501100000222","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008097","name":"University of Toronto Department of Family and Community Medicine","doi-asserted-by":"crossref","award":["Clinician-Scientist Award"],"award-info":[{"award-number":["Clinician-Scientist Award"]}],"id":[{"id":"10.13039\/501100008097","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosmedicine.org"],"crossmark-restriction":false},"short-container-title":["PLoS Med"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>COVID-19 vaccines can cause rare but serious adverse events such as myocarditis and immune thrombotic thrombocytopenia. Despite a lack of strong evidence, concerns have been expressed that COVID-19 vaccination might lead to sudden death in younger healthy adults. We studied the association between COVID-19 vaccination and sudden death in apparently healthy people aged 12\u201350 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods and findings<\/jats:title>\n                    <jats:p>We conducted a population-based case-control study using linked administrative datasets of residents of Ontario, Canada who were alive as of April 1, 2021. We excluded individuals aged &gt;50 years and those with documented cardiovascular disease, mental illness, or diseases that predispose to adverse outcomes from COVID-19. We defined cases as those with out-of-hospital death, or death within 24 hours of presentation to hospital with a final diagnosis of cardiac arrest between April 1, 2021 and June 30, 2023. We matched each case with five controls on age, sex, region of residence, and neighborhood income quintile. We used conditional logistic regression to assess the association between sudden death and previous COVID-19 vaccination after adjusting for multiple potential confounders (positive severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] tests, number of SARS-CoV-2 polymerase chain reaction (PCR) tests, influenza vaccination, common comorbidities). Sensitivity analyses were conducted with different definitions of the exposure and subsets of cases (with their matched controls). Another sensitivity analysis utilized a modified self-controlled case series (SCCS) of vaccinated individuals meeting the case definition during the study period with up to three doses of any COVID-19 vaccine.<\/jats:p>\n                    <jats:p>\n                      Of 6,365,451 eligible individuals, we identified 4,963 (0.08%) cases meeting our definition of sudden death (median age 36 years, 74.4% male). In the primary analysis, COVID-19 vaccination was associated with a lower risk of sudden death (adjusted odds ratio [aOR] = 0.57; 95% confidence interval (CI) [0.53,0.61];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The findings were consistent for COVID-19 vaccination within six weeks before death (aOR = 0.63; 95%CI [0.55,0.72];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and in sensitivity analyses limited to people aged &lt;40 years (aOR = 0.53; 95%CI [0.48,0.58];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), those who died in hospital or in the emergency department (aOR = 0.71; 95%CI [0.55,0.91]; p\u2009=\u20090.006), and after exclusion of opioid-related deaths (aOR = 0.57; 95%CI [0.51,0.64];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The SCCS sensitivity analysis showed no significant difference in the rate of sudden death in the 6 weeks following first (relative incidence (RI) 0.87; 95%CI [0.54,1.40];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.57), second (RI 0.94; 95%CI [0.57,1.57];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.82), or third (RI 0.87; 95%CI [0.37,2.05];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.10) dose of the COVID-19 vaccine. Study limitations include the inability to confirm the cause of out-of-hospital deaths and residual confounding due to differences in health-seeking behaviors for the case-control analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings do not support the hypothesis that COVID-19 vaccines increase the risk of sudden cardiac death in young healthy adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pmed.1004924","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T17:25:51Z","timestamp":1773941151000},"page":"e1004924","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmed.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association between COVID-19 vaccination and sudden death in apparently healthy younger individuals: A population-based case-control study"],"prefix":"10.1371","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7105-7931","authenticated-orcid":true,"given":"Husam","family":"Abdel-Qadir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9798-914X","authenticated-orcid":true,"given":"Hardil Anup","family":"Bhatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1284-9162","authenticated-orcid":true,"given":"Sarah","family":"Swayze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5995-1714","authenticated-orcid":true,"given":"Michael","family":"Paterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis T.","family":"Ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Juurlink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7820-2046","authenticated-orcid":true,"given":"Jeffrey C.","family":"Kwong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"issue":"6","key":"pmed.1004924.ref001","doi-asserted-by":"crossref","first-page":"263","DOI":"10.14745\/ccdr.v49i06a03","article-title":"Quantifying the economic gains associated with COVID-19 vaccination in the Canadian population: a cost-benefit analysis","volume":"49","author":"AR Tuite","year":"2023","journal-title":"Can Commun Dis Rep"},{"issue":"9","key":"pmed.1004924.ref002","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1016\/S1473-3099(22)00320-6","article-title":"Global impact of the first year of COVID-19 vaccination: a mathematical modelling study","volume":"22","author":"OJ Watson","year":"2022","journal-title":"Lancet Infect Dis"},{"key":"#cr-split#-pmed.1004924.ref003.1","unstructured":"CDC. Coronavirus Disease 2019 (COVID-19) Vaccine Safety"},{"key":"#cr-split#-pmed.1004924.ref003.2","unstructured":"2024 [cited 2024 Sep 2]. Available from: https:\/\/www.cdc.gov\/vaccine-safety\/vaccines\/covid-19.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fvaccines%2Fsafety%2Fmyocarditis.html"},{"issue":"1","key":"pmed.1004924.ref004","article-title":"Vaccine-induced immune thrombotic thrombocytopenia","volume":"9","author":"FA Klok","year":"2022","journal-title":"Lancet Haematol"},{"key":"pmed.1004924.ref005","unstructured":"WHO. WHO COVID-19 dashboard data [cited 2024 Jan 19]. COVID-19 vaccination data. Available from: https:\/\/data.who.int\/dashboards\/covid19\/data?n=c"},{"key":"pmed.1004924.ref006","volume-title":"Deceptive videos used to link athlete deaths to COVID shots","author":"A Fichera","year":"2021"},{"key":"pmed.1004924.ref007","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.amjcard.2023.06.027","article-title":"Commotio cordis returns\u2026when we least expected it: cardiac arrest in a professional football player","volume":"202","author":"BJ Maron","year":"2023","journal-title":"Am J Cardiol"},{"key":"pmed.1004924.ref008","article-title":"Covid-19: Florida\u2019s surgeon general used \u201ccareless\u201d research practice in recommending against vaccination, his university finds","author":"O Dyer","year":"2023","journal-title":"BMJ"},{"issue":"1","key":"pmed.1004924.ref009","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1056\/NEJMp2517497","article-title":"A threat to evidence-based vaccine policy and public health security at the FDA","volume":"394","author":"RM Califf","year":"2026","journal-title":"N Engl J Med"},{"issue":"2","key":"pmed.1004924.ref010","article-title":"Myocardial inflammation at FDG PET\/MRI and clinical outcomes in symptomatic and asymptomatic participants after COVID-19 vaccination","volume":"5","author":"CA Marschner","year":"2023","journal-title":"Radiology"},{"issue":"3","key":"pmed.1004924.ref011","doi-asserted-by":"crossref","DOI":"10.1148\/radiol.212559","article-title":"Cardiac MRI and clinical follow-up in COVID-19 vaccine-associated myocarditis","volume":"304","author":"M Fronza","year":"2022","journal-title":"Radiology"},{"issue":"1","key":"pmed.1004924.ref012","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1186\/s12889-024-18864-5","article-title":"Unmasking vaccine hesitancy and refusal: a deep dive into anti-vaxxer perspectives on COVID-19 in Spain","volume":"24","author":"\u00c1 Prieto-Campo","year":"2024","journal-title":"BMC Public Health"},{"issue":"2","key":"pmed.1004924.ref013","article-title":"ICES: data, discovery, better health","volume":"4","author":"MJ Schull","year":"2020","journal-title":"Int J Popul Data Sci"},{"key":"pmed.1004924.ref014","unstructured":"ICES. [cited 2025 Dec 18]. Available from: https:\/\/www.ices.on.ca\/"},{"key":"pmed.1004924.ref015","unstructured":"Stephenson E. Mental disorders and access to mental health care: Statistics Canada; 2023 [cited 2025 Jan 19]. Insights on Canadian Society. Available from: https:\/\/www150.statcan.gc.ca\/n1\/pub\/75-006-x\/2023001\/article\/00011-eng.htm"},{"key":"pmed.1004924.ref016","doi-asserted-by":"crossref","unstructured":"Terlizzi EP, Zablotsky B. Symptoms of anxiety and depression among adults: United States, 2019 and 2022: CDC; 2024 [cited 2025 Jan 19]. National Health Statistics Reports. Available from: https:\/\/www.cdc.gov\/nchs\/products\/nhsr.htm","DOI":"10.15620\/cdc\/164018"},{"issue":"8","key":"pmed.1004924.ref017","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/070674371506000805","article-title":"Validation of a population-based algorithm to detect chronic psychotic illness","volume":"60","author":"P Kurdyak","year":"2015","journal-title":"Can J Psychiatry"},{"issue":"29","key":"pmed.1004924.ref018","doi-asserted-by":"crossref","DOI":"10.1503\/cmaj.181575","article-title":"Rates of emergency department visits attributable to alcohol use in Ontario from 2003 to 2016: a retrospective population-level study","volume":"191","author":"DT Myran","year":"2019","journal-title":"CMAJ"},{"issue":"2","key":"pmed.1004924.ref019","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1161\/CIRCOUTCOMES.114.001416","article-title":"The Cardiovascular Health in Ambulatory Care Research Team (CANHEART): using big data to measure and improve cardiovascular health and healthcare services","volume":"8","author":"JV Tu","year":"2015","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"1","key":"pmed.1004924.ref020","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1186\/s12913-018-3148-0","article-title":"Identifying diabetes cases from administrative data: a population-based validation study","volume":"18","author":"LL Lipscombe","year":"2018","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"pmed.1004924.ref021","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/0895-4356(88)90052-2","article-title":"An application of capture-recapture methods to the estimation of completeness of cancer registration","volume":"41","author":"SC Robles","year":"1988","journal-title":"J Clin Epidemiol"},{"issue":"1","key":"pmed.1004924.ref022","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3233\/JAD-160105","article-title":"Identification of physician-diagnosed Alzheimer\u2019s disease and related dementias in population-based administrative data: a validation study using family physicians\u2019 electronic medical records","volume":"54","author":"RL Jaakkimainen","year":"2016","journal-title":"J Alzheimers Dis"},{"issue":"9795","key":"pmed.1004924.ref023","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/S0140-6736(11)60990-2","article-title":"Lifetime risk of developing chronic obstructive pulmonary disease: a longitudinal population study","volume":"378","author":"AS Gershon","year":"2011","journal-title":"Lancet"},{"key":"pmed.1004924.ref024","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/1471-2369-14-81","article-title":"Detecting chronic kidney disease in population-based administrative databases using an algorithm of hospital encounter and physician claim codes","volume":"14","author":"JL Fleet","year":"2013","journal-title":"BMC Nephrol"},{"issue":"8","key":"pmed.1004924.ref025","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0201120","article-title":"Identifying cirrhosis, decompensated cirrhosis and hepatocellular carcinoma in health administrative data: a validation study","volume":"13","author":"L Lapointe-Shaw","year":"2018","journal-title":"PLoS One"},{"issue":"11","key":"pmed.1004924.ref026","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1136\/gut.2009.188383","article-title":"Increasing incidence of paediatric inflammatory bowel disease in Ontario, Canada: evidence from health administrative data","volume":"58","author":"EI Benchimol","year":"2009","journal-title":"Gut"},{"issue":"11","key":"pmed.1004924.ref027","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.3899\/jrheum.190659","article-title":"Identifying and characterizing psoriasis and psoriatic arthritis patients in Ontario Administrative Data: a population-based study from 1991 to 2015","volume":"47","author":"L Eder","year":"2020","journal-title":"J Rheumatol"},{"key":"pmed.1004924.ref028","doi-asserted-by":"crossref","unstructured":"Widdifield J, Bernatsky S, Bombardier C, Paterson M. Rheumatoid arthritis surveillance in Ontario: monitoring the burden, quality of care and patient outcomes through linkage of administrative health data. 2015.","DOI":"10.12927\/hcq.2015.24439"},{"issue":"6","key":"pmed.1004924.ref029","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0021748","article-title":"Validation of case-finding algorithms derived from administrative data for identifying adults living with human immunodeficiency virus infection","volume":"6","author":"T Antoniou","year":"2011","journal-title":"PLoS One"},{"issue":"7","key":"pmed.1004924.ref030","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1097\/MLR.0000000000000729","article-title":"Development of a claims-based frailty indicator anchored to a well-established frailty phenotype","volume":"55","author":"JB Segal","year":"2017","journal-title":"Med Care"},{"issue":"5","key":"pmed.1004924.ref031","doi-asserted-by":"crossref","first-page":"523","DOI":"10.3899\/jrheum.211012","article-title":"COVID-19 hospitalizations, intensive care unit stays, ventilation, and death among patients with immune-mediated inflammatory diseases compared to controls","volume":"49","author":"L Eder","year":"2022","journal-title":"J Rheumatol"},{"issue":"21","key":"pmed.1004924.ref032","doi-asserted-by":"crossref","first-page":"3328","DOI":"10.1016\/j.vaccine.2023.04.007","article-title":"Methodological changes implemented over time to support accurate and timely COVID-19 vaccine coverage estimates: Ontario, Canada","volume":"41","author":"J Leigh Hobbs","year":"2023","journal-title":"Vaccine"},{"issue":"6","key":"pmed.1004924.ref033","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1080\/03610910902859574","article-title":"Using the standardized difference to compare the prevalence of a binary variable between two groups in observational research","volume":"38","author":"PC Austin","year":"2009","journal-title":"Commun Stat Simul Comput"},{"issue":"10","key":"pmed.1004924.ref034","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1161\/CIRCRESAHA.123.321878","article-title":"COVID-19, myocarditis and pericarditis","volume":"132","author":"D Fairweather","year":"2023","journal-title":"Circul Res"},{"key":"pmed.1004924.ref035","doi-asserted-by":"crossref","DOI":"10.1201\/9780429491313","author":"P Farrington","year":"2018","journal-title":"Self-controlled case series studies"},{"issue":"1","key":"pmed.1004924.ref036","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1093\/biostatistics\/kxn013","article-title":"Case series analysis for censored, perturbed, or curtailed post-event exposures","volume":"10","author":"CP Farrington","year":"2009","journal-title":"Biostatistics"},{"key":"pmed.1004924.ref037","author":"Government of Ontario","year":"2004"},{"issue":"1","key":"pmed.1004924.ref038","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1038\/s41467-023-36494-0","article-title":"Risk of death following COVID-19 vaccination or positive SARS-CoV-2 test in young people in England","volume":"14","author":"V Nafilyan","year":"2023","journal-title":"Nat Commun"},{"issue":"7","key":"pmed.1004924.ref039","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1016\/j.vaccine.2024.02.032","article-title":"Mortality risk after COVID-19 vaccination: a self-controlled case series study","volume":"42","author":"S Xu","year":"2024","journal-title":"Vaccine"},{"issue":"4","key":"pmed.1004924.ref040","doi-asserted-by":"crossref","first-page":"351","DOI":"10.4103\/ijmr.ijmr_2105_23","article-title":"Factors associated with unexplained sudden deaths among adults aged 18-45 years in India\u2014a multicentric matched case-control study","volume":"158","author":"M Ponnaiah","year":"2023","journal-title":"Indian J Med Res"},{"issue":"6","key":"pmed.1004924.ref041","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1004245","article-title":"Risk of myocarditis and pericarditis after a COVID-19 mRNA vaccine booster and after COVID-19 in those with and without prior SARS-CoV-2 infection: a self-controlled case series analysis in England","volume":"20","author":"J Stowe","year":"2023","journal-title":"PLoS Med"},{"issue":"10342","key":"pmed.1004924.ref042","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1016\/S0140-6736(22)00791-7","article-title":"Risk of myocarditis and pericarditis after the COVID-19 mRNA vaccination in the USA: a cohort study in claims databases","volume":"399","author":"H-L Wong","year":"2022","journal-title":"Lancet"},{"issue":"25","key":"pmed.1004924.ref043","doi-asserted-by":"crossref","first-page":"2069","DOI":"10.1161\/CIRCULATIONAHA.123.066270","article-title":"Rate and cause of sudden cardiac death in the young during the COVID-19 pandemic and 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