Evidence map›Paper›PMID 37051228›Full record

ArticleVaccine: X2023

COVID-19 vaccination experience in patients with rheumatoid arthritis treated at a single VA medical center.

Sarah Abi Doumeth, Jenny Gong, Laura Silversteyn, Megan O'Mara, Shivali Singh, Donald D Anthony, Maya Mattar

Open access · goldAbstract read
In one paragraph

Article in Vaccine: X, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. New insights into the pathogenesis and management of rheumatoid arthritis.Chronic diseases and translational medicine · 2022
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sarah Abi DoumethCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Jenny GongCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Laura SilversteynLouis Stokes Cleveland VA Medical Center, Cleveland, OH, United States.
Megan O'MaraCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Shivali SinghLouis Stokes Cleveland VA Medical Center, Cleveland, OH, United States.
Donald D AnthonyCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Maya MattarCase Western Reserve University School of Medicine, Cleveland, OH, United States.
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USUniversity Hospitals of Cleveland · USUniversity School · US

Funding

COVID-19: Role of naïve T cells, Age associated T cell senescence, and Dysfunctional Immune regulation in host response to SARS-CoV-2I01BX005480 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI ANTHONY, DONALD D · 2021 to 2022
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Impact of Immune Activation on Cardiovascular and Immune Health in RAI01CX001791 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI ANTHONY, DONALD D · 2020 to 2024
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BLRD VA I01 BX005480CSRD VA I01 CX001791
6 · The paper itself

Abstract

Background: Following the introduction of the COVID-19 vaccines, there has been uncertainty as to whether receiving the COVID-19 vaccine will result in overactivation of the immune system and subsequently lead to an autoimmune disease flare.The purpose of this study was to assess whether rheumatoid arthritis (RA) patients who received the mRNA COVID-19 vaccine are at increased risk for disease flare. Methods: We conducted a single-center retrospective and prospective study at the Louis Stokes Cleveland VA Medical Center between 12/2021 and 2/2022. We included 100 patients with rheumatoid arthritis (RA) who were actively on immunosuppressive therapy and received three doses of the Pfizer-BioNTech vaccine. A survey questionnaire was used to collect data about their RA and if they developed symptoms post vaccination. Our primary end point was to determine incidence of flare of RA after COVID-19 vaccine. Secondary end points were to estimate the side effect profile from the vaccine, and to check if patients developed a COVID-19 infection after they received the vaccine. Results: None of the patients reported symptoms of RA flare within two months of receiving the 3 doses of the vaccine. Most common vaccine side effects were soreness over the injection site (n = 14), headache (n = 11), fatigue(n = 7) and myalgias(n = 4). 5 patients developed a COVID-19 infection prior to receiving the vaccine, 8 after being vaccinated, 3 of the 8 within 5 months from the second dose and 5 out of the 8 within 3 months from the third vaccine dose. Conclusion: RA patients receiving the COVID-19 Pfizer mRNA vaccine do not appear to commonly develop major symptoms, flares or side effects following the vaccine. Further research with larger numbers of patients with rheumatoid arthritis as well as those with other autoimmune disease is needed to better understand the safety and effectiveness of COVID-19 vaccine.

Indexed as

COVID-19Disease flareRheumatoid arthritisVaccine

Identifiers

PMID37051228
PMCPMC10069931
OpenAlexW4362575329

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.