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. Author manuscript; available in PMC: 2022 May 1.
Published in final edited form as: Ann Rheum Dis. 2022 Jan 17;81(5):738–740. doi: 10.1136/annrheumdis-2021-221641

Table 1.

Vaccines administered, autoimmune diagnoses, immunosuppressive regimens and perivaccination management with serial antispike antibody responses

Age/sex Diagnosis Immunosuppression Initial vaccine series Meds held or modified preinitial Vaccine Pre-AD1 antibody U/mL* Additional vaccines PostAD1 antibody U/mL* PostAD2 antibody U/mL* Therapy held periAD

62F Myositis Mycophenolate
Prednisone
Pfizer No Negative§ AD1: Pfizer
AD2: Pfizer
<0.4 No
56F Mucous membrane pemphigoid Mycophenolate Pfizer No <0.4 AD1: J&J
AD2: Moderna
<0.8 <0.4 No
67F Systemic sclerosis Mycophenolate Pfizer No <0.4 AD1: Pfizer
AD2: Pfizer
<0.4 2.1 Yes
73M Myasthenia gravis Mycophenolate
Prednisone
Moderna No <0.4 AD1: Pfizer
AD2: Pfizer
21.8
44F Inflammatory arthritis Abatacept
Hydroxychloroquine
Methotrexate
Prednisone
Pfizer No <0.4 AD1:Pfizer
AD2: J&J
<0.4 27.1 Yes
55M Inflammatory arthritis Infliximab Mycophenolate Pfizer No Negative§ AD1: Pfizer
AD2: Pfizer
<0.8 46.5 Yes
64F Myositis Mycophenolate Pfizer No Negative§ AD1: Pfizer
AD2: Pfizer
38.1 120.9 Yes
53F Inflammatory arthritis Adalimumab
Mycophenolate
Prednisone
Pfizer No <0.4 AD1: Moderna
AD2: Moderna
229 134 No
55M Sarcoidosis Infliximab Mycophenolate
Prednisone
Pfizer No <0.4 AD1: Moderna
AD2: Moderna
2.40 1276 Yes
40F Inflammatory bowel disease Adalimumab
Hydroxychloroquine
Methotrexate
Pfizer No 178.4 AD1: Moderna
AD2: Pfizer
601.2 1750 No
49F Overlap CT disease** Belimumab
Methotrexate
Prednisone
Pfizer No <0.4 AD1: Pfizer
AD2: Pfizer
16.4 >2500
68F Proliferative nephritis Mycophenolate
Prednisone
Moderna No <0.4 AD1: J&J
AD2: Moderna
714 >2500
53F Sjὅgren’s syndrome Azathioprine J&J No <0.4 AD1: Pfizer
AD2: Pfizer
>250 >2500 Yes
55F Minimal change disease Mycophenolate J&J No <0.4 AD1: Moderna
AD2: Moderna
>2500 >2500 No
74M Myositis Mycophenolate Pfizer No Negative§ AD1: Moderna
AD2: Moderna
>2500 >2500 Yes
42F Overlap CT disease** Hydroxychloroquine
Mycophenolate
Pfizer No <0.4 AD1: Pfizer
AD2: Pfizer
>2500 Yes
65F Inflammatory arthritis Abatacept J&J No Negative§ AD1: Pfizer
AD2: Pfizer
>2500 Yes
52M Overlap CT disease** Hydroxychloroquine
Mycophenolate
J&J No 18.6 AD1: Pfizer
AD2: Pfizer
>2500 >2500 Yes

- denotes missing data.

*

Roche Elecsys anti-RBD pan-Ig≥0.8 units/mL is considered positive (upper ceiling expanded from>250 to >2500 U/mL per manufacturer).

Pre-AD1 median number of doses held for mycophenolate 6, 23 doses of azathioprine held by one patient, and two abatacept infusion held by one patient. Pre-AD2 median number (IQR) of doses of mycophenolate 14 (10–14), 23 doses of azathioprine and 2 abatacept infusion held by one patient.

Mycophenolate includes mycophenolic acid and mycophenolate mofetil.

§

Self-reported values.

Rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, reactive arthritis, or inflammatory bowel disease associated arthritis.

**

Denotes a combination of two or more defined rheumatic diagnoses.

AD, additional dose; J&J, Johnson and Johnson; RBD, receptor binding domain.