Systemic sclerosis & Raynaud's

COVID-19 vaccinations and infections among individuals with systemic sclerosis: A Scleroderma Patient-centered Intervention Network (SPIN) Cohort study

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

Most people with SSc in the study were fully vaccinated, and most continued their methotrexate or mycophenolate post-primary and booster vaccinations. Over half of vaccine-hesitant participants were concerned regarding risk of SSc flare; however, few vaccinated participants reported this.

Study context

Population
Adults with systemic sclerosis (SSc) in the SPIN Cohort489 with 2022 data
Participants
1,033 adults
Outcome
Self-reported COVID-19 vaccination rates, including boosters
Follow-up
June-July 2022
Methodological detailssurvey, repeated surveys April-May 2021 and June-July 2022, self-reported
  • Survey
  • Repeated surveys April-May 2021 and June-July 2022
  • Self-reported

Main finding

As reported in the abstract

Fully vaccinated (primary and booster), 2022 participants

Received both primary and booster vaccines (of 489)

437

89 %

Received at least one dose (of 1,033)

960

93 %

Observational data: associations, not effects.

Further findings

Peri-vaccination stop or decrease of MTX or mycophenolate

First dose
34 of 266 (13 %)
Second dose
32 of 215 (15 %)
Booster
28 of 148 (19 %)

Worry about vaccine-related SSc flares among those not fully vaccinated (n=52) · 2022

Reported worry
29 (56 %)

History of ≥1 COVID-19 infection (2022 participants)

≥1 infection
172 of 489 (35 %)
After at least a primary vaccine series
114 (66 %)

Severity of initial COVID-19 infections

Asymptomatic
9 (5 %)
Mild
66 (38 %)
Moderate
82 (48 %)
Hospitalization
15 (9 %)

Safety

At least one adverse reaction (primarily sore arm and fatigue)

%

After first dose: 330 of 960 participants
34
After second dose: 314 of 657 participants
48
After booster dose: 147 of 437 participants
34
No severe adverse reactions were reported

SSc symptom worsening

%

After first dose: 53 of 960
6
After second dose: 39 of 657
6
After booster dose: 17 of 437
4

Original publication

COVID-19 vaccinations and infections among individuals with systemic sclerosis: A Scleroderma Patient-centered Intervention Network (SPIN) Cohort study. Semin Arthritis Rheum. Published 9 May 2024. doi:10.1016/j.semarthrit.2024.152453

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