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After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID\u201019 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9\u2010point numerical scoring system, using a modified Delphi process and the RAND\/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID\u201019 vaccines in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These guidance statements, made in the context of limited clinical data, are intended to provide direction to rheumatology health care providers on how to best use COVID\u201019 vaccines and to facilitate implementation of vaccination strategies for RMD patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.41734","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T03:32:28Z","timestamp":1615951948000},"page":"1093-1107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":135,"title":["American College of Rheumatology Guidance for COVID\u201019 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 1"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-8976","authenticated-orcid":false,"given":"Jeffrey R.","family":"Curtis","sequence":"first","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0591-2976","authenticated-orcid":false,"given":"Sindhu R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Toronto Western Hospital Mount Sinai Hospital, and University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald D.","family":"Anthony","sequence":"additional","affiliation":[{"name":"Louis Stokes Cleveland VA Medical Center MetroHealth Medical Center, and Case Western Reserve University  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reuben J.","family":"Arasaratnam","sequence":"additional","affiliation":[{"name":"VA North Texas Health Care System and University of Texas Southwestern Medical Center  Dallas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey R.","family":"Baden","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3225-8351","authenticated-orcid":false,"given":"Anne R.","family":"Bass","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery and Weill Cornell Medicine  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Calabrese","sequence":"additional","affiliation":[{"name":"Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen M.","family":"Gravallese","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Harpaz","sequence":"additional","affiliation":[{"name":"Harpaz Herman Consultants  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca\u00a0E.","family":"Sadun","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-2022","authenticated-orcid":false,"given":"Amy\u00a0S.","family":"Turner","sequence":"additional","affiliation":[{"name":"American College of Rheumatology  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor Anderson","family":"Williams","sequence":"additional","affiliation":[{"name":"The Permanente Medical Group  Union City California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0897-2272","authenticated-orcid":false,"given":"Ted R.","family":"Mikuls","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center and VA Nebraska\u2013Western Iowa Health Care System  Omaha"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.40448"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41596"},{"key":"e_1_2_8_4_1","unstructured":"US Food and Drug Administration.Vaccines and Related Biological Products Advisory Committee meeting: FDA briefing document Pfizer\u2010BioNTech COVID\u201019 vaccine. 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