The F.D.A. had asked Pfizer-BioNtech and Moderna to expand the size of their pediatric trials in order to detect less common side effects of the vaccines. Even so, the Pfizer-BioNTech trial was not large enough to detect rare adverse events.
Experts on the C.D.C. panel spent some time deliberating a rare side effect of vaccination called myocarditis, an inflammation of the heart muscle. The risk is highest in males ages 16 to 29, but even in that group, a majority recover quickly.
The risk appears to decline in children 12 to 15, and is expected to be even lower in younger children, experts said at the meeting. Covid itself is far more likely to cause myocarditis, and a more severe version of it, studies have shown.
The C.D.C. has not definitively linked any deaths from myocarditis to vaccination, said Dr. Matthew Oster, a C.D.C. scientist who presented myocarditis data at the meeting. “Getting Covid, I think, is much riskier to the heart than this vaccine, no matter what age or sex,” Dr. Oster said.
Given the millions of Americans who are still unvaccinated, immunizing younger children is unlikely to bring the country to the “herd immunity” threshold — the point at which virus transmission stalls. Still, vaccinating children may help to curtail virus spread by giving the virus fewer entryways into the community.
And it may help to protect people who don’t respond well to the vaccine, such as organ transplant recipients, cancer patients and others with impaired immune responses.
“Too many children have either lost a parent or become orphaned in this pandemic, which is incredibly tragic,” said Dr. Camille Kotton, who cares for immunocompromised people at Massachusetts General Hospital.