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. 2023 Sep 22;9(38):eadg1391. doi: 10.1126/sciadv.adg1391

Table 6. IRs of unexpected vaginal bleeding and HRs with 95% CIs by vaccination status, hormone status, and years since last menstrual bleeding in postmenopausal women.

HRT, hormone replacement therapy; hormonal IUD, hormonal intrauterine device; cHR, crude HR; aHR, HR adjusted for age.

Unexpected vaginal bleeding PY IR per 100 PY (95% CI) cHR (95% CI) aHR (95% CI)
Postmenopausal women
Not using hormones (n = 5681)
 Non/prevaccination 52 2001 2.6 (2.0–3.4) Ref Ref
 First or second dose (≤28 days) 56 788 7.1 (5.5–9.2) 2.0 (1.2–3.4) 2.9 (1.7–4.9)
HRT (n = 934)
 Non/prevaccination 36 332 10.9 (7.8–15.0) Ref Ref
 First or second dose (≤28 days) 40 123 32.4 (23.8–44.2) 2.3 (1.2–4.3) 2.8 (1.5–5.2)
Hormonal IUD (n = 692)
 Non/prevaccination 21 268 7.8 (5.1–12.0) Ref Ref
 First or second dose (≤28 days) 24 90 26.7 (17.9–39.8) 2.2 (1.0–5.2) 2.4 (1.0–5.5)
Perimenopausal women
Not using hormones (n = 3059)
 Non/prevaccination 136 1233 11.0 (9.3–13.0) Ref Ref
 First or second dose (≤28 days) 223 368 60.7 (55.2–69.2) 4.9 (3.6–6.7) 4.9 (3.6–6.6)
HRT (n = 538)
 Non/prevaccination 54 197 27.5 (21.0–35.9) Ref Ref
 First or second dose (≤28 days) 55 63 87.7 (67.3–114.3) 2.9 (1.7–5.0) 2.9 (1.7–5.0)
Hormonal IUD (n = 3274)
 Non/prevaccination 180 1277 14.1 (12.2–16.3) Ref Ref
 First or second dose (≤28 days) 231 397 58.1 (51.1–66.1) 3.8 (2.9–5.1) 3.8 (2.9–5.1)
Premenopausal women
Not using hormones (n = 1022)
 Non/prevaccination 38 426 8.9 (6.5–12.3) Ref Ref
 First or second dose (≤28 days) 42 122 34.6 (25.5–46.8) 4.0 (2.1–7.4) 4.1 (2.2–7.7)
Hormonal IUD (n = 5199)
 Non/prevaccination 247 2048 12.1 (10.6–13.7) Ref Ref
 First or second dose (≤28 days) 428 612 69.9 (63.6–76.9) 4.8 (3.9–5.9) 4.8 (3.9–5.9)
Other hormonal contraception* (n = 595)
 Non/prevaccination 27 246 11.0 (7.5–16.0) Ref Ref
 First or second dose (≤ 28 days) 37 70 52.8 (38.3–72.8) 4.2 (2.1–8.5) 4.4 (2.2–8.7)

*Combination pill, progestin-only pill, or contraceptive implant.