{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:12:19Z","timestamp":1790799139538,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2024,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Despite the overall safety and efficacy of COVID\u201019 vaccinations, rare cases of systemic autoimmune diseases (SAIDs) have been reported post\u2010vaccination. This study used a global survey to analyze SAIDs in susceptible individuals' post\u2010vaccination.<\/jats:p><\/jats:sec>Methods<\/jats:title>A cross\u2010sectional study was conducted among participants with self\u2010reported new\u2010onset SAIDs using the COVID\u201019 Vaccination in Autoimmune Diseases (COVAD) 2 study dataset\u2014a validated, patient\u2010reported e\u2010survey\u2014to analyze the long\u2010term safety of COVID\u201019 vaccines. Baseline characteristics of patients with new\u2010onset SAIDs and vaccinated healthy controls (HCs) were compared after propensity score matching based on age and sex in a 1:4 ratio.<\/jats:p><\/jats:sec>Results<\/jats:title>Of 16\u2009750 individuals, 74 (median age 52\u2009years, 79.9% females, and 76.7% Caucasians) had new\u2010onset SAID post\u2010vaccination, mainly idiopathic inflammatory myopathies (IIMs) (n<\/jats:italic>\u2009=\u200923, 31.51%), arthritis (n<\/jats:italic>\u2009=\u200915; 20.53%), and polymyalgia rheumatica (PMR) (n<\/jats:italic>\u2009=\u200912, 16.40%). Higher odds of new\u2010onset SAIDs were noted among Caucasians (OR\u2009=\u20095.3; 95% CI\u2009=\u20092.9\u20139.7; p<\/jats:italic>\u2009<\u2009.001) and Moderna vaccine recipients (OR\u2009=\u20092.7; 95% CI\u2009=\u20091.3\u20135.3; p<\/jats:italic>\u2009=\u2009.004). New\u2010onset SAIDs were associated with AID multimorbidity (OR\u2009=\u20091.4; 95% CI\u2009=\u20091.1\u20131.7; p<\/jats:italic>\u2009<\u2009.001), mental health disorders (OR\u2009=\u20091.6; 95% CI\u2009=\u20091.3\u20131.9; p<\/jats:italic>\u2009<\u2009.001), and mixed race (OR\u2009=\u20092.2; 95% CI\u2009=\u20091.2\u20134.2; p<\/jats:italic>\u2009=\u2009.010), where those aged >60\u2009years (OR\u2009=\u20090.6; 95% CI\u2009=\u20090.4\u20130.8; p<\/jats:italic>\u2009=\u2009.007) and from high\/medium human development index (HDI) countries (compared to very high HDI) reported fewer events than HCs.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>This study reports a low occurrence of new\u2010onset SAIDs following COVID\u201019 vaccination, primarily IIMs, PMR, and inflammatory arthritis. Identified risk factors included pre\u2010existing AID multimorbidity, mental health diseases, and mixed race. Revaccination was well tolerated by most patients; therefore, we recommend continuing COVID\u201019 vaccination in the general population. However, long\u2010term studies are needed to understand the autoimmune phenomena arising post\u2010vaccination.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.15178","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T11:59:32Z","timestamp":1715687972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Characteristics of emerging new autoimmune diseases after COVID<\/scp>\u201019 vaccination: A sub\u2010study by the COVAD<\/scp> group"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2321-6536","authenticated-orcid":false,"given":"Russka","family":"Shumnalieva","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Clinic of Rheumatology, University Hospital \u201cSt. Ivan Rilski\u201d Medical University\u2010Sofia Sofia 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