Table 1.
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.