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. 2022 Jun 8;5(6):e2216172. doi: 10.1001/jamanetworkopen.2022.16172

Table. Risk-Stratified Patient Demographic Characteristics and Diagnostic Evaluation of Ipsilateral Axillary Lymphadenopathy After COVID-19 Vaccination.

Characteristic Patients, No. (%) P value
Low risk (n = 272) High risk (n = 36)
Age, mean (SD), y 53 (12) 53 (16) .64
Risk factors
Prior ipsilateral breast cancer 0 23 (64) NA
Suspicious ipsilateral abnormality 0 3 (8)
Concurrent ipsilateral breast cancer 0 4 (11)
Concurrent ipsilateral regional malignant neoplasm 0 6 (17)
Vaccine manufacturer
BioNTech-Pfizer 153 (56) 19 (53) .64
Moderna 110 (40) 16 (44)
Johnson & Johnson 6 (2) 1 (3)
Unknown or not reported 3 (1) 0
Time interval to initial imaging, mean (SD), wk 4 (2) 4 (2) .49
Screening mammogram 153 (56) 3 (8) <.001
Diagnostic mammogram 52 (19) 20 (56)
Breast magnetic resonance imaging 67 (25) 13 (36)
Warranted follow-up ultrasonography, No./total No. (%) 13/272 (5) 36/36 (100) NA
Compliance with follow-up 13/13 (100) 34/36 (94) NA
Time interval to follow-up imaging, mean (SD), wk 15 (8) 8 (4) .001
Resolution of IAL on imaging 7/13 (54) 22/34 (65) .49
BI-RADS assessment, No./total No. (%)
2 7/13 (54) 22/34 (65) .73
3 2/13 (15) 3/34 (9)
4 4/13 (31) 9/34 (26)
5 0/13 (0) 0/34 (0)
Biopsy workup results, No./total No. (%)
Benign 5/5 (100) 12/12 (100) NA
Malignant 0/5 (0) 0/12 (0) NA

Abbreviations: BI-RADS, Breast Imaging–Reporting and Data System; IAL, ipsilateral axillary lymphadenopathy; NA, not applicable.