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. 2023 May 15;41(29):4249–4256. doi: 10.1016/j.vaccine.2023.05.028

Table 2a.

Number of mRNA COVID-19 vaccine doses among hospitalized adults recorded in immunization information systems (IIS) and electronic medical records (EMR) — IVY Network, February 1–August 31, 2022, N = 4499.

Number of mRNA COVID-19 vaccine doses Frequency
Proportion by IIS*
(95 % CI)
Proportion by EMR
(95 % CI)
Kappa
(95 % CI)
Both
(a)
IIS only
(b)
EMR only
(c)
No evidence of vaccination§ 1080 147 362 0.77 (0.75–0.79) 0.91 (0.89–0.92) 0.73 (0.72–0.74)
1 dose 129 92 81 0.73 (0.68–0.78) 0.70 (0.64–0.75) 0.58 (0.52–0.63)
2 doses 775 214 305 0.76 (0.74–0.79) 0.83 (0.81–0.85) 0.67 (0.66–0.69)
3 doses 1215 386 180 0.90 (0.88–0.91) 0.78 (0.76–0.80) 0.72 (0.70–0.73)
≥4 doses 326 135 46 0.91 (0.88–0.93) 0.73 (0.70–0.77) 0.76 (0.69–0.83)

Abbreviations: IIS = immunization information system; EMR = electronic medical record; CI = confidence interval.

*

Proportion detected IIS = a + b/a + b + c.

Proportion detected EMR = a + c/a + b + c.

§

For IIS, no evidence of vaccination includes scenarios in which the patient’s record is available in the IIS and there is no documentation of COVID-19 vaccine receipt as well as scenarios in which there is no record of patient in the IIS. For EMR, no evidence of vaccination refers only to patients without documented COVID-19 vaccine doses since all hospitalized patients have a medical record.