A well-researched review on adult vaccinations by Dr Sudhir Sinha in this issue of IJCC prompted me to pen a few lines on the need for regular (? yearly) revaccinations against COVID-19, in view of the apparent fading away of the disease around us. The pandemic began in November 2019 and within 12 months, effective vaccines could be introduced which proved beneficial in reducing deaths and severity of disease significantly. Since their first use in mid-January, 2021, in India itself 94% population received 1 dose and 86% received a second dose due to a mega vaccination drive. 1 Due to the cumulative effect of vaccine-efficacy and immunity due to natural infection, the disease burden receded globally. Fortunately, the recent variants of COVID-19 are less virulent. People have thrown away the masks and forgotten social distancing; life is as usual like in prepandemic days everywhere. Now we are left with the dilemma of whether vaccines are still relevant in these changed conditions. If vaccines have to continue, whether the whole population has to receive booster doses on a regular basis like influenza vaccination, or should we protect the most vulnerable sub-sets.World Health Organization (WHO) has approved about 15 vaccines for emergency use like Pfizer/BioNTech, Oxford/ Astra Zeneca, Johnson and Johnson, Moderna, Covilo, Novavax, Covovax, Spikevax, Can Sino, Comirnaty, and CoronaVac in a short span. Their acceptance was fairly satisfactory for the first and second doses. After that, the vaccine hesitancy started with reports of a few adverse effects-some real and some unrelated. As cardiologists, we are keen to learn about the cardiac events following COVID vaccination. An elegant review of case reports by Paknahad et al. is worth reading. The most common cardiac event was myocarditis with an incidence of 1.62%. The majority of them had mRNA vaccines (Moderna & Pfizer). Men were more frequently affected especially after the second dose. Inactivated vaccines had the least incidence of cardiovascular events. A higher incidence of thrombotic thrombocytopenia and pulmonary emboli was noted after mRNA vaccines compared to other type of vaccines. These authors concluded that the public health and personal benefits of COVID-19 vaccinations outweigh the cardiac risk events. 2