Early experience of COVID-19 vaccination in adults with systemic rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance Vaccine Survey

Adult Male Aging COVID-19 Vaccines Coronaviruses Clinical Sciences 610 Coronaviruses Vaccines Clinical sciences Infections Autoimmune Disease Vaccine Related 03 medical and health sciences 0302 clinical medicine Rheumatology Rheumatic Diseases Surveys and Questionnaires 616 Humans autoimmune diseases Biomedical and Clinical Sciences SARS-CoV-2 Arthritis Prevention Inflammatory and immune system Vaccination R COVID-19 Middle Aged vaccination 3. Good health Good Health and Well Being Infectious Diseases Emerging Infectious Diseases 3.4 Vaccines 6.1 Pharmaceuticals Women's Health Medicine Immunization Female Patient Safety
DOI: 10.1136/rmdopen-2021-001814 Publication Date: 2021-09-07T15:55:24Z
ABSTRACT
Background We describe the early experiences of adults with systemic rheumatic disease who received COVID-19 vaccine. Methods From 2 April to 30 2021, we conducted an online, international survey vaccination. collected patient-reported data on clinician communication, beliefs and intent about discontinuing disease-modifying antirheumatic drugs (DMARDs) around time vaccination, adverse events after Results analysed 2860 diseases vaccination (mean age 55.3 years, 86.7% female, 86.3% white). Types vaccines were Pfizer-BioNTech (53.2%), Oxford/AstraZeneca (22.6%), Moderna (21.3%), Janssen/Johnson & Johnson (1.7%) others (1.2%). The most common was rheumatoid arthritis (42.3%), 81.2% respondents a DMARD. majority (81.9%) reported communicating clinicians Most (66.9%) willing temporarily discontinue DMARDs improve vaccine efficacy, although many (44.3%) concerned flares. After fatigue/somnolence (33.4%), headache (27.7%), muscle/joint pains (22.8%) fever/chills (19.9%). Rheumatic flares that required medication changes occurred in 4.6%. Conclusion Among typical those general population. patients efficacy. relatively low frequency flare requiring medications reassuring.
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