Pediatric rheumatology

Serological response after COVID-19 infection compared to vaccination against COVID-19 in children with autoimmune rheumatic diseases

Pediatr Rheumatol Online JPublished Observational cohort study

Authors' conclusion

IgG and IgA anti-SARS-CoV-2 levels were higher after vaccination and after both events compared to after infection only.

Study context

Population
Paediatric patients with autoimmune rheumatic diseases (pARD), data collected March 2020 to April 2022
Exposure
SARS-CoV-2 infection vs vaccination with two doses of BNT162b2 vs both events in pARD
  • After infectionn = 92reference
  • After vaccinationn = 47
  • After both eventsn = 24
Outcome
Serological response compared between 3 groups of pARD: after SARS-CoV-2 infection, after vaccination (2 doses BNT162b2) and after both events

Main finding

As reported in the abstract

Serological response (anti-SARS-CoV-2 IgG and IgA levels)
  • Serological response better after vaccination and after both events compared to after infection only
  • No effect of medication on antibody levels
  • Serological data available for 47 after infection, 25 after vaccination, 21 after both events

Observational data: associations, not effects.

Further findings

No symptomatic COVID-19 infection in vaccinated pARD · observation period of 41.3 weeks

Vaccinated pARD who did not experience a symptomatic COVID-19 infection
60%

Safety

Systemic adverse events (AE) after first vaccine dose

More common in healthy adolescents compared to pARD; safety profile of the vaccine was good

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Serological response after COVID-19 infection compared to vaccination against COVID-19 in children with autoimmune rheumatic diseases. Pediatr Rheumatol Online J. Published 25 July 2024. doi:10.1186/s12969-024-01003-0

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