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. 2024 May 30;83(11):e225869. doi: 10.1136/ard-2024-225869

Table 4. Demographic and clinical characteristics of patients with post-vaccination flare.

IJDn=206 CTDn=38 Vasculitisn=22 OIRMDn=6 All patientsn=272
Age, years, mean (SD) 56.2 (13.4) 50.8 (13.1) 66.6 (18.9) 53.7 (17.7) 56.2 (14.3)
Sex
 Female 156 (75.7) 32 (84.2) 14 (63.6) 2 (33.3) 204 (75)
 Male 50 (24.3) 6 (15.8) 8 (36.4) 4 (66.7) 68 (25)
Disease activity
 Remission 69 (33.5) 15 (39.5) 13 (59.1) 1 (16.7) 98 (36)
 Low disease activity 86 (41.7) 10 (26.3) 5 (22.7) 2 (33.3) 103 (37.9)
 Moderate disease activity 36 (17.5) 8 (21.1) 4 (18.2) 3 (50) 51 (18.8)
 High disease activity 4 (1.9) 0 0 0 4 (1.5)
 Missing/unknown 11 (5.4) 5 (13.1) 0 0 16 (5.9)
Vaccine dose before flare
 First 80 (38.8) 13 (34.2) 8 (36.4) 4 (66.7) 105 (38.6)
 Second 73 (35.4) 15 (39.5) 9 (40.9) 1 (16.7) 98 (36)
 Unknown/missing 53 (25.7) 10 (26.3) 5 (22.7) 1 (16.7) 69 (25)
Vaccine type before flare
 Pfizer 140 (68) 29 (76.3) 18 (81.8) 4 (66.7) 191 (70.2)
 Moderna 20 (9.7) 3 (7.9) 0 1 (16.7) 24 (8.8)
 AstraZeneca 43 (20.9) 6 (15.8) 4 (18.2) 0 53 (19.5)
 CoronaVac/Sinovac 0 0 0 1 (16.7) 1 (0.4)
 Unknown/missing 3 (1.5) 0 0 0 3 (1.1)
Time between vaccine and flare, days, mean (SD) 6.8 (7.9)(n=141) 7.8 (7.5)(n=27) 11.1 (11.4)(n=16) 1 (1)(n=3) 7.2 (8.2)(n=187)
Type of flare
 Fever 15 (7.3) 4 (10.5) 2 (9.1) 1 (16.7) 22 (8.1)
 Weight loss 0 0 0 1 (16.7) 1 (0.4)
 Increase in fatigue 16 (7.8) 10 (26.3) 4 (18.2) 3 (50) 33 (12.1)
 Increase in dryness 0 3 (7.9) 0 1 (16.7) 4 (1.5)
 Enlarged lymph nodes 2 (1) 3 (7.9) 0 0 5 (1.8)
 Polyarthralgia 77 (37.4) 14 (36.8) 9 (40.9) 3 (50) 103 (37.9)
 Arthritis flare 118 (57.3) 9 (23.7) 7 (31.8) 1 (16.7) 135 (49.6)
 Cutaneous flare 9 (4.4) 6 (15.8) 2 (9.1) 3 (50) 20 (7.4)
 Pulmonary flare 1 (0.5) 1 (2.6) 2 (9.1) 0 4 (1.5)
 Renal flare 0 0 2 (9.1) 0 2 (0.7)
 Neurological flare 0 2 (5.3) 1 (4.5) 0 3 (1.1)
 Muscular flare 6 (2.9) 4 (10.5) 3 (13.6) 1 (16.7) 14 (5.1)
 Cardiac flare 1 (0.5) 1 (2.6) 1 (4.5) 0 3 (1.1)
 Gastrointestinal flare 1 (0.5) 0 0 0 1 (0.4)
 Haematological flare 0 3 (7.9) 0 0 3 (1.1)
 Other 16 (7.8) 3 (7.9) 1 (4.5) 2 (33.3) 22 (8.1)
Severity of flare
 Mild 69 (33.5) 17 (44.7) 6 (27.3) 1 (16.7) 93 (34.2)
 Moderate 101 (49) 12 (31.6) 10 (45.5) 1 (16.7) 124 (45.6)
 Severe without hospitalisation 19 (9.2) 2 (5.3) 3 (13.6) 1 (16.7) 25 (9.2)
 Severe with hospitalisation 2 (1) 4 (10.5) 3 (13.6) 3 (50) 12 (4.4)
 Unknown 8 (3.9) 2 (5.3) 0 0 10 (3.7)
New medication or dosage increase due to flare
 Yes 86 (41.7) 19 (50) 13 (59.1) 3 (50) 121 (44.5)
 No 110 (53.4) 15 (39.5) 8 (36.4) 3 (50) 136 (50)
 Unknown 10 (4.9) 4 (10.5) 1 (4.5) 0 15 (5.5)

CTDconnective tissue diseaseIJDinflammatory joint diseaseOIRMDother inflammatory rheumatic and musculoskeletal disease