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. 2022 Sep 23;9(10):ofac493. doi: 10.1093/ofid/ofac493

Table 3.

Influence of Antipyretics on Spike Receptor-Binding Domain Immunoglobulin G Titer and Fold Change After a Booster Dose

Characteristic No. (%) GMT (95% CI) P Value Fold Change, Mean
(95% CI)
P Value
Use of antipyretic medications
 All participants No 162 (57.7) 16 170 (14 601–17 906) .357 28.9 (25.9–32.4) .893
Yes 119 (42.4) 17 466 (15 279–19 966) 29.4 (26.1–33.2)
 By fever grade
  <37.0°C No 85 (74.6) 14 217 (12 491–16 181) .681 27.8 (23.8–32.4) .400
Yes 29 (25.4) 13 425 (10 006–18 009) 24.6 (19.9–30.3)
  37.0°C–37.9°C No 50 (51.6) 16 489 (13 602–19 985) .869 30.0 (24.7–36.4) .556
Yes 47 (48.5) 16 106 (13 041–19 893) 27.7 (23.2–33.2)
  ≥38.0°C No 27 (38.6) 23 388 (17 914–30 542) .874 31.0 (22.4–42.8) .465
Yes 43 (61.4) 22 793 (18 612–27 906) 35.6 (28.3–44.6)
Type of antipyretic
 Only acetaminophen 43 (36.1) 17 132 (13 886–21 136) Reference 26.3 (21.3–32.5) Reference
 Only loxoprofen 35 (29.4) 14 820 (11 167–19 669) .744 25.4 (2.6–31.2) .991
 Only ibuprofen 14 (11.8) 20 306 (13 383–30 811) .815 41.2 (28.5–59.7) .068
 Othera 27 (22.7) 20 613 (15 651–27 149) .637 35.9 (28.3–45.6) .135
Total dosage of antipyretic during 7-days after vaccination
 Acetaminophen, mg, median (IQR) 900 (400–1200) r = 0.072b .648 r = .247b .111
 Loxoprofen, mg, median (IQR) 120 (60–180) r = 0.097b .580 r = .223b .198
 Ibuprofen, mg, median (IQR) 200 (150–400) r = –0.346b .226 r = –.201b .491
Timing of antipyretic use
Antipyretic use on the day of vaccination No 108 (90.8) 17 151 (14 856–19 797) .398 30.0 (26.4–34.1) .308
Yes 11 (9.2) 20 903 (14 378–30 395) 24.3 (16.9–34.9)

Abbreviations: CI, confidence interval; GMT, geometric mean titer; IQR, interquartile range.

a

Including other type of antipyretics, combination drugs, or combination of several antipyretics.

b

r values refer to the Spearman correlation coefficient.