Table 2. Medical history, course of illness and outcome of cases with skin manifestations after immunisation with an adjuvanted recombinant zoster vaccine, Germany, 2020 (n = 72).
Characteristics of cases | VZV-positive casesa | VZV-negative casesc | Total | p value | |
---|---|---|---|---|---|
n | n | n | % | ||
Number of cases | 27 | 45 | 72 | NA | |
Previous herpes zoster episodes | |||||
Number of responses | 25 | 44 | 69 | NA | |
At least one | 5 | 17 | 22 | 31.9 | 0.110 |
1 | 4 | 9 | 13 | 18.8 | NA |
2–5 | 1 | 5 | 6 | 8.7 | |
6–10 | 0 | 1 | 1 | 1.4 | |
≥ 11 | 0 | 2 | 2 | 2.9 | |
None | 20b | 27 | 47b | 68.1 | |
Immune defect or deficiency | |||||
Number of responses | 25 | 43 | 68 | NA | |
Yes | 4 | 8 | 12 | 17.6 | 1.000 |
Vaccine dose | |||||
First | 21b | 29 | 50b | 69.4 | 0.509 |
Second | 6 | 16 | 22 | 30.6 | |
Time to symptoms onset (days) | |||||
After any vaccine dose | |||||
0–7 | 20 | 28 | 48 | 66.7 | 0.302 |
8–28 | 7b | 17 | 24b | 33.3 | |
After first vaccine dose | |||||
Number of responses | 21 | 29 | 50 | NA | |
0–7 | 15 | 16 | 31 | 62.0 | NA |
8–14 | 3b | 9 | 12b | 24.0 | |
15–21 | 2 | 4 | 6 | 12.0 | |
22–28 | 1 | 0 | 1 | 2.0 | |
After second vaccine dose | |||||
Number of responses | 6 | 16 | 22 | NA | |
0–7 | 5 | 12 | 17 | NA | |
8–14 | 1 | 2 | 3 | ||
15–21 | 0 | 0 | 0 | ||
22–28 | 0 | 2 | 2 | ||
Concomitant medicationd | |||||
Other vaccine | 1 | 1 | 2 | 2.8 | 1.000e |
Immune suppressant or modulator | 2 | 5 | 7 | 9.7 | 0.704e |
Nonsteroidal anti-inflammatory | 6 | 11 | 17 | 23.6 | 0.830 |
Antiviral treatment | |||||
Yes | 11 | 8 | 19 | 26.4 | 0.032 |
Complication | |||||
Number of responses | 25 | 44 | 69 | NA | |
Yes | 6 | 4 | 10 | 14.5 | 0.152e |
Hospitalisation | |||||
Number of responses | 26 | 44 | 70 | NA | |
Yes | 2 | 2 | 4 | 5.7 | 0.624e |
Outcome (on day of last reporting) | |||||
Number of responses | 25 | 43 | 68 | NA | |
Recovered or improved | 16 | 42 | 58 | 85.3 | < 0.001e |
Recovered | 13b | 38 | 51b | 75.0 | NA |
Improved | 3 | 4 | 7 | 10.3 | |
Not recovered | 7 | 1 | 8 | 11.8 | |
Recovered with sequelae | 2 | 0 | 2 | 2.9 |
HSV: herpes-simplex virus; NA: not applicable; VZV: varicella-zoster virus.
a All VZV-positive samples were genotyped to wild-type VZV strains.
b One patient sample was PCR positive for VZV and HSV-1.
c Two VZV-negative samples were PCR positive for HSV-1 and five for HSV-2.
d Multiple answers possible.
e Fisher’s exact test.
Entries in bold represent statistically significant findings.
Percentages not included where n < 50.