Patient characteristics
Unvaccinated (reference) | Double-vaccinated | Triple-vaccinated | P value | ||||
n | % | n | % | n | % | ||
923 | 551 | 803 | |||||
Age (years, median, range) | 55 (18–93) | 55 (20–93) | 56 (16–93) | 0.630* | |||
Female | 603 | 65.3 | 356 | 64.6 | 576 | 71.7 | 0.005† |
Body mass index (median, range) | 26.5 (16–53) | 26.7 (17–55) | 25.8 (16–53) | 0.004* | |||
1. Vaccine | |||||||
Moderna | 29 | 5.3 | 56 | 7.0 | |||
Pfizer/BioNTech | 426 | 77.3 | 573 | 71.4 | |||
AstraZeneca | 56 | 10.2 | 139 | 17.3 | |||
Janssen/Johnson&Johnson | 17 | 3.1 | 4 | 0.5 | |||
Nuvaxovid | 1 | 0.2 | 5 | 0.6 | |||
Unknown | 22 | 4.0 | 26 | 3.2 | |||
2. Vaccine | |||||||
Moderna | 40 | 7.3 | 66 | 8.2 | |||
Pfizer/BioNTech | 459 | 83.3 | 644 | 80.2 | |||
AstraZeneca | 36 | 6.5 | 60 | 7.5 | |||
Janssen/Johnson&Johnson | 1 | 0.2 | 0 | 0 | |||
Nuvaxovid | 1 | 0.2 | 7 | 0.9 | |||
Unknown | 14 | 2.5 | 26 | 3.2 | |||
3. Vaccine | |||||||
Moderna | 201 | 25.0 | |||||
Pfizer/BioNTech | 573 | 71.4 | |||||
AstraZeneca | ‡ | 0.4 | |||||
Janssen/Johnson&Johnson | † | 0.2 | |||||
Nuvaxovid | 0 | 0 | |||||
Unknown | 24 | 3.0 | |||||
Time between SARS-CoV-2 infection and last vaccination (days, median, range) | 151 (14–347) | 88 (14–270) | |||||
IRD (multiple selection possible) | |||||||
Rheumatoid arthritis | 393 | 42.6 | 240 | 43.6 | 331 | 41.2 | 0.681† |
Spondyloarthritis | 278 | 30.2 | 161 | 29.4 | 252 | 31.4 | 0.719† |
Connective tissue diseases | 132 | 14.3 | 74 | 13.4 | 116 | 14.2 | 0.856† |
Other vasculitides | 60 | 6.5 | 28 | 5.1 | 45 | 5.6 | 0.499† |
ANCA-associated vasculitis | 25 | 2.7 | 19 | 3.4 | 20 | 2.5 | 0.561† |
Other type of IRD | 93 | 10.1 | 51 | 9.3 | 74 | 9.2 | 0.798† |
Immunomodulation (multiple selection possible) | |||||||
Glucocorticoids | 247 | 26.8 | 134 | 24.3 | 194 | 24.2 | 0.392† |
Prednisolone ≤5 mg/day | 169 | 83 | 121 | ||||
Prednisolone 6–9 mg/day | 10 | 5 | 7 | ||||
Prednisolone ≥10 mg/day | 33 | 18 | 26 | ||||
Methotrexate, leflunomide, sulfasalazine | 461 | 49.9 | 258 | 46.8 | 366 | 45.6 | 0.176† |
Azathioprine | 22 | 2.4 | 16 | 2.9 | 28 | 3.5 | 0.395† |
Tumour necrosis inhibitors (adalimumab, certolizumab, infliximab, golimumab, etanercept) | 192 | 20.8 | 125 | 22.7 | 197 | 24.5 | 0.180† |
Other cytokine inhibitors (IL-6/IL-1/IL12/23/IL17 inhibition) | 81 | 8.8 | 68 | 23.8 | 79 | 9.8 | 0.086† |
Janus kinase inhibitors (baricitinib, tofacitinib, upadacitinib, filgotinib) | 70 | 7.6 | 51 | 9.3 | 71 | 8.8 | 0.468† |
Immunsuppressives (cyclosporine, mycophenolate, cyclophosphamide) | 28 | 3.0 | 14 | 2.5 | 20 | 2.5 | 0.766† |
Abatacept | 10 | 1.1 | 8 | 1.5 | 10 | 1.2 | 0.824† |
Rituximab | 28 | 3.0 | 24 | 4.4 | 35 | 4.4 | 0.270† |
Belimumab | 8 | 0.9 | 7 | 1.3 | 7 | 0.9 | 0.704† |
Immunoglobulins | ‡ | 0.3 | 1 | 0.2 | 7 | 0.9 | 0.191‡ |
Apremilast | 4 | 0.4 | 2 | 0.4 | ‡ | 0.4 | 1.000‡ |
Other immunmodulators (eg, colchicine) | 51 | 5.5 | 18 | 3.3 | 29 | 3.6 | 0.057† |
No immunmodulation | 100 | 10.8 | 44 | 8.0 | 57 | 7.1 | 0.018† |
Disease activity | |||||||
No/low | 780 | 84.5 | 478 | 86.8 | 710 | 88.4 | 0.059† |
Moderate/high | 129 | 14.0 | 65 | 11.8 | 78 | 9.7 | 0.024† |
Comorbidities (multiple selections possible) | |||||||
Arterial hypertension | 287 | 31.1 | 172 | 31.2 | 229 | 28.5 | 0.428† |
Other relevant comorbidities | 168 | 18.2 | 110 | 20.0 | 130 | 16.2 | 0.197† |
Heart failure/arrhythmia | 93 | 10.1 | 67 | 12.2 | 68 | 8.5 | 0.084† |
Diabetes mellitus | 83 | 9.0 | 50 | 9.1 | 47 | 5.9 | 0.028† |
Osteoporosis | 52 | 5.6 | 35 | 6.4 | 74 | 9.2 | 0.011† |
Chronic renal failure | 47 | 5.1 | 29 | 5.3 | 48 | 6.0 | 0.704† |
Cancer/history of cancer | 26 | 2.8 | 19 | 3.4 | 22 | 2.7 | 0.719† |
Chronic obstructive lung diseases | 22 | 2.4 | 12 | 2.2 | 24 | 3.0 | 0.597† |
Interstitial lung diseases | 23 | 2.5 | 12 | 2.2 | 18 | 2.2 | 0.909† |
Bronchial asthma | 39 | 4.2 | 27 | 4.9 | 42 | 5.2 | 0.607† |
Pregnancy | 9 | 1.0 | 4 | 0.7 | † | 0.2 | 0.159‡ |
Pulmonal hypertension | 7 | 0.8 | 2 | 0.4 | † | 0.2 | 0.340‡ |
Liver cirrhosis | 4 | 0.4 | 1 | 0.2 | ‡ | 0.4 | 0.821‡ |
Absence of relevant comorbidities | 350 | 37.9 | 250 | 45.4 | 371 | 46.2 | 0.001† |
COVID-19-associated complications | |||||||
Hospitalisation | 142 | 15.4 | 44 | 8.0 | 22 | 2.7 | <0.001† |
Invasive ventilation | 25 | 2.7 | 11 | 2.0 | 1 | 0.1 | <0.001‡ |
Relevant complications (eg, concomitant infection, thromboembolic events) | 57 | 6.2 | 23 | 4.2 | 6 | 0.7 | <0.001† |
COVID-19-related death | 18 | 2.0 | 10 | 1.8 | 5 | 0.6 | 0.050† |
*Kruskal-Wallis test.
†χ2 test (Pearson).
‡Fisher’s exact test.
IRD, inflammatory rheumatic disease.