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. 2022 Apr 29;14(4):e24585. doi: 10.7759/cureus.24585

Table 4. Factors associated with poor and negative seroconversion responses to the BNT162b2 vaccine.

ARDs: Autoimmune rheumatic diseases; Ab: Antibody.

Medications Seropositive Ab titer ≥ 0.8 (n = 103) Negative seroconversion Ab titer < 0.8  (n = 7) P-value Seropositive Ab titer ≥ 132  (n = 89) Poor seroconversion Ab titer < 132 (n = 21) P-value
Age (years)            
< 40 30 (29.1) 5 (71.4) 0.032 26 (29.2) 9 (42.9) 0.227
40-49 31 (30.1) 1 (14.3) 0.671 29 (32.6) 3 (14.3) 0.115
≥ 50 42 (40.8) 1 (14.3) 0.243 34 (38.2) 9 (42.9) 0.805
Sex N (%)            
Female 60 (58.3) 6 (85.7) 0.239 54 (60.7) 12 (57.1) 0.766
Male 43 (41.7) 1 (14.3)   35 (39.3) 9 (42.9)  
Comorbidities N (%)            
Diabetes mellitus 13 (12.6) 2 (28.6) 0.243 11 (12.4) 4 (19) 0.480
Hypertension 24 (23.3) 3 (42.9) 0.359 20 (22.5) 7 (33.3) 0.298
Dyslipidaemia 12 (11.7) 1 (14.3) 1.000 12 (13.5) 1 (4.8) 0.456
Chronic kidney disease 0 (0) 2 (28.6) 0.004 0 (0) 2 (95) 0.004
Chronic heart disease 3 (2.9) 1 (14.3) 0.236 3 (3.4) 1 (4.8) 0.581
Hypothyroidism 9 (8.7) 1 (14.3) 0.497 8 (9) 2 (9.5) 1.000
Obesity 12 (11.7) 2 (28.6) 0.218 12 (13.5) 2 (9.5) 1.000
ARDs N (%)            
Rheumatoid arthritis 30 (29.1) 2 (28.6) 0.154 51 (57.3) 9 (42.9) 0.232
Connective tissue disease 31 (30.1) 5 (71.4) 0.000 10 (11.2) 5 (23.8) 0.158
Spondyloarthropathy 42 (40.8) 0 (0) 0.100 26 (29.2) 7 (33.3) 0.711
Other 30 (29.1) 0 (0) 1.000 2 (2.2) 0 (0) 1.000