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Israel Ministry of Health is investigating cases of myocarditis related to Biontech / Pfizer's Covid-19 vaccine.

A preliminary study showed "dozens of cases" of myocarditis in more than 5 million people vaccinated, mostly after the second dose, said Israeli pandemic control coordinator Nachman Ash.

It is unclear whether the number of people with inflammation of the heart muscle tissue is unusually high and whether this is related to the vaccine.

A proof between disease and vaccine is difficult because myocarditis often runs without complications and can be caused by a variety of viruses.

A similar number of cases had also been reported in recent years.

When asked by the Reuters news agency, Pfizer said it is "aware of Israeli observations of the disease, which has predominantly occurred in young men who received the Pfizer / Biontech vaccine."

Adverse side effects are regularly and thoroughly monitored and the company has not observed any higher rates of myocarditis than would be expected in the general population.

"There is currently no evidence that myocarditis is a risk associated with the use of Pfizer / Biontech's Covid-19 vaccine."

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Israel is the world leader in vaccinating against the pandemic.

Almost 60 percent of the country's 9.3 million people have so far received the vaccine from Biontech / Pfizer.

The nationwide database has already shown that the vaccine prevents both Covid-19 symptoms and severe courses of the disease.

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