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. 2022 Mar 10;139(10):1564–1574. doi: 10.1182/blood.2021013411

Table 5.

Incidence of ITP exacerbation* after sample stratification by history of splenectomy and number of prior medical therapies or history of rituximab use

First vaccine dose Second vaccine dose
n ITP exacerbation (n) ITP exacerbation (%) n ITP exacerbation (n) ITP exacerbation (%)
Splenectomy, 0-4 prior therapies 7 2 28.6 6 1 16.7
Splenectomy, ≥5 prior therapies 10 6 60 9 4 44.4
No splenectomy, 0-4 prior therapies 47 1 2.1 37 6 16.2
No splenectomy, ≥5 prior therapies 6 3 50 3 1 33.3
Splenectomy, no prior rituximab 6 3 50 5 2 40
Splenectomy + prior rituximab 17 8 47.1 13 5 38.5
No splenectomy, no prior rituximab 50 3 6 28 3 10.7
No splenectomy + prior rituximab 22 2 9.1 14 4 28.6
*

Defined as development of any 1 or more of the following: (a) ≥50% decline in platelet count from prevaccination baseline; (b) >20% decline from prevaccination baseline and platelet nadir <30 ×109/L; and/or (c) receipt of rescue therapy for ITP.