PMID- 36441656 OWN - NLM STAT- MEDLINE DCOM- 20221223 LR - 20221223 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 40 IP - 12 DP - 2022 Dec TI - Safety and efficacy of SARS-CoV-2 vaccination in 1237 patients with primary Sjogren syndrome. PG - 2290-2297 LID - 10.55563/clinexprheumatol/dt6klo [doi] AB - OBJECTIVES: To investigate the safety and efficacy of SARS-Cov-2 vaccination in patients with primary Sjogren syndrome (pSS) due to scarcity of data in this population. METHODS: By the first week of May 2021, all Big Data SS Consortium centres patients who had received at least one dose of any SARS-CoV-2 vaccine were included in the study. The in-charge physician asked patients about local and systemic reactogenicity to collect SARS-CoV-2 vaccination data. RESULTS: The vaccination data of 1237 patients were received. A total of 835 patients (67%) reported any adverse events (AEs), including local (53%) and systemic (50%) AEs. Subjective symptoms (63%) were the most common local AEs, followed by objective signs at the injection site (16%), and general symptoms were the most commonly reported systemic AEs (46%), followed by musculoskeletal (25%), gastrointestinal (9%), cardiopulmonary (3%), and neurological (2%). In addition, 141 (11%) patients reported a significant worsening/exacerbation of their pre-vaccination sicca symptoms and fifteen (1.2%) patients reported active involvement in the glandular (n=7), articular (n=7), cutaneous (n=6), pulmonary (n=2), and peripheral nervous system (n=1) domains due to post-vaccination SS flares. In terms of vaccination efficacy, breakthrough SARS-CoV-2 infection was confirmed after vaccination in three (0.24 %) patients, and positive anti-SARS-Cov-2 antibodies were detected in approximately 95% of vaccinated SS patients, according to data available. CONCLUSIONS: Our data suggest that patients with pSS develop adequate humoral response and no severe AEs after SARS-CoV-2 vaccination and therefore raise no concerns about the vaccine's efficacy or safety profile in this population. FAU - Inanc, Nevsun AU - Inanc N AD - Marmara University, School of Medicine, Istanbul, Turkey. FAU - Kostov, Belchin AU - Kostov B AD - Primary Care Centre Les Corts, Consorci d'Atencio Primaria de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain. FAU - Priori, Roberta AU - Priori R AD - Department of Internal Medicine and Medical Specialties, Rheumatology Clinic, Sapienza University of Rome, and Saint Camillus International University of Health Science, UniCamillus, Rome, Italy. FAU - Flores-Chavez, Alejandra AU - Flores-Chavez A AD - Department of Autoimmune Diseases, ICMiD, Hospital Clinic, Barcelona, Spain, and Consejo Nacional de Ciencia y Tecnologia (CONACYT), Mexico. FAU - Carubbi, Francesco AU - Carubbi F AD - Department of Life, Health & Environmental Sciences, University of L'Aquila and Internal Medicine and Nephrology Unit, Department of Medicine, ASL Avezzano-Sulmona-L'Aquila, San Salvatore Hospital, L'Aquila, Italy. FAU - Szanto, Antonia AU - Szanto A AD - Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Hungary. FAU - Valim, Valeria AU - Valim V AD - Department of Medicine, Federal University of Espirito Santo, Vitoria, Brazil. FAU - Bootsma, Hendrika AU - Bootsma H AD - Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, the Netherlands. FAU - Praprotnik, Sonja AU - Praprotnik S AD - Department of Rheumatology, University Medical Centre, Ljubljana, Slovenia. FAU - Fernandes Moca Trevisani, Virginia AU - Fernandes Moca Trevisani V AD - Federal University of Sao Paulo, and Santo Amaro University, Sao Paulo, Brazil. FAU - Hernandez-Molina, Gabriela AU - Hernandez-Molina G AD - Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Hofauer, Benedikt AU - Hofauer B AD - Otorhinolaryngology, Head and Neck Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany. FAU - Pasoto, Sandra G AU - Pasoto SG AD - Rheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina da Universidade de Sao Paulo, Brazil. FAU - Lopez-Dupla, Miguel AU - Lopez-Dupla M AD - Department of Internal Medicine, Hospital Universitari Joan XXIII, Tarragona, Spain. FAU - Bartoloni, Elena AU - Bartoloni E AD - Rheumatology Unit, Department of Medicine and Surgery, University of Perugia, Italy. FAU - Rischmueller, Maureen AU - Rischmueller M AD - Department of Rheumatology, The Queen Elizabeth Hospital, Discipline of Medicine, University of Adelaide, SA, Australia. FAU - Devauchelle-Pensec, Valerie AU - Devauchelle-Pensec V AD - Department of Rheumatology, Centre Hospitalier Universitaire de la Cavale Blanche, Brest, France. FAU - Abacar, Kerem AU - Abacar K AD - Marmara University, School of Medicine, Istanbul, Turkey. FAU - Giardina, Federico AU - Giardina F AD - Department of Internal Medicine and Medical Specialties, Rheumatology Clinic, Sapienza University of Rome, and Saint Camillus International University of Health Science, UniCamillus, Rome, Italy. FAU - Alunno, Alessia AU - Alunno A AD - Department of Life, Health & Environmental Sciences, University of L'Aquila and Internal Medicine and Nephrology Unit, Department of Medicine, ASL Avezzano-Sulmona-L'Aquila, San Salvatore Hospital, L'Aquila, Italy. FAU - Fanny Horvath, Ildiko AU - Fanny Horvath I AD - Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Hungary. FAU - de Wolff, Liseth AU - de Wolff L AD - Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, the Netherlands. FAU - Caldas, Laura AU - Caldas L AD - Federal University of Sao Paulo, Brazil. FAU - Retamozo, Soledad AU - Retamozo S AD - Grup de Recerca Consolidat en la Sindrome de Sjogren (GRESS), Agencia de Gestio d'Ajuts Universitaris i de Recerca (AGAUR), Generalitat de Catalunya, Spain. FAU - Ramos-Casals, Manuel AU - Ramos-Casals M AD - Department of Autoimmune Diseases, ICMiD, Hospital Clinic, Barcelona; Grup de Recerca Consolidat en la Sindrome de Sjogren (GRESS), Agencia de Gestio d'Ajuts Universitaris i de Recerca (AGAUR), Generalitat de Catalunya, Spain; and Department of Medicine, University of Barcelona, Spain. mramos@clinic.cat. FAU - Brito-Zeron, Pilar AU - Brito-Zeron P AD - Grup de Recerca Consolidat en la Sindrome de Sjogren (GRESS), Agencia de Gestio d'Ajuts Universitaris i deRecerca (AGAUR), Generalitat de Catalunya, and Research and Innovation Group in Autoimmune Diseases, Sanitas Digital Hospital, Hospital-CIMA-Centre Medic Milenium Balmes Sanitas, Barcelona, Spain. CN - Sjogren Big Data Consortium LA - eng PT - Journal Article DEP - 20221117 PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - 0 (COVID-19 Vaccines) SB - IM MH - Humans MH - *COVID-19/prevention & control MH - *COVID-19 Vaccines/adverse effects MH - SARS-CoV-2 MH - *Sjogren's Syndrome MH - Vaccination/adverse effects FIR - Xu, Bei IR - Xu B FIR - Li, Xiaomei IR - Li X FIR - Gheita, Tamer A IR - Gheita TA FIR - Gattamelata, Angelica IR - Gattamelata A FIR - Saraux, Alain IR - Saraux A FIR - Jezequel, Marie IR - Jezequel M FIR - Nagy, Bela IR - Nagy B FIR - Sanchez-Guerrero, Jorge IR - Sanchez-Guerrero J FIR - Downie-Doyle, Sarah IR - Downie-Doyle S FIR - Kirana, Chandra IR - Kirana C FIR - Verstappen, Gwenny M P J IR - Verstappen GMPJ FIR - Vissink, Arjan IR - Vissink A FIR - Akasbi, Miriam IR - Akasbi M FIR - Rojas, Richard Alberto IR - Rojas RA FIR - Nafria, Anna Maria Febrer IR - Nafria AMF FIR - Siso-Almirall, Antoni IR - Siso-Almirall A EDAT- 2022/11/29 06:00 MHDA- 2022/12/23 06:00 CRDT- 2022/11/28 12:53 PHST- 2022/05/31 00:00 [received] PHST- 2022/08/02 00:00 [accepted] PHST- 2022/11/29 06:00 [pubmed] PHST- 2022/12/23 06:00 [medline] PHST- 2022/11/28 12:53 [entrez] AID - 18827 [pii] AID - 10.55563/clinexprheumatol/dt6klo [doi] PST - ppublish SO - Clin Exp Rheumatol. 2022 Dec;40(12):2290-2297. doi: 10.55563/clinexprheumatol/dt6klo. Epub 2022 Nov 17.