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. 2018 Feb 1;2018(2):CD001269. doi: 10.1002/14651858.CD001269.pub6

bb Ray 2011.

Methods Case‐control study
Participants Cases (n = 415): people with diagnosis of definite rheumatoid arthritis based on American College of Rheumatology criteria.
Controls (n = 1245): matched for age and number of medical visits before index date.
Interventions Exposure to influenza vaccine. Different times intervals before symptom onset were considered (90, 180, 365, and 730 days). Vaccine exposure status was determined from Kaiser Immunization Tracking System and supplemented by chart reviews. Risk of association was, moreover, also determined for tetanus and hepatitis B vaccines.
Outcomes  
Notes This study was funded by the Centers for Disease Control and Prevention Vaccine Safety Datalink Project.
Risk of bias
Bias Authors' judgement Support for judgement
CC ‐ case selection 
 All outcomes Low risk Included as cases the incident cases from the cohort analysis and additional new onset cases identified from the study population whose symptoms began during 1996.
CC ‐ control selection 
 All outcomes Low risk Same population
CC ‐ comparability 
 All outcomes Unclear risk Poor matching
CC ‐ exposure 
 All outcomes Low risk NCKPHP databases
Summary assessment Unclear risk Unclear