{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T07:28:04Z","timestamp":1772522884211,"version":"3.50.1"},"reference-count":33,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"European Alliance of Associations for Rheumatology","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]},{"DOI":"10.13039\/100000960","name":"American College of Rheumatology Research and Education Foundation","doi-asserted-by":"publisher","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}],"id":[{"id":"10.13039\/100000960","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2021,8,18]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>We describe the early experiences of adults with systemic rheumatic disease who received the COVID-19 vaccine.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From 2 April to 30 April 2021, we conducted an online, international survey of adults with systemic rheumatic disease who received COVID-19 vaccination. We collected patient-reported data on clinician communication, beliefs and intent about discontinuing disease-modifying antirheumatic drugs (DMARDs) around the time of vaccination, and patient-reported adverse events after vaccination.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We analysed 2860 adults with systemic rheumatic diseases who received COVID-19 vaccination (mean age 55.3 years, 86.7% female, 86.3% white). Types of COVID-19 vaccines were Pfizer-BioNTech (53.2%), Oxford\/AstraZeneca (22.6%), Moderna (21.3%), Janssen\/Johnson &amp; Johnson (1.7%) and others (1.2%). The most common rheumatic disease was rheumatoid arthritis (42.3%), and 81.2% of respondents were on a DMARD. The majority (81.9%) reported communicating with clinicians about vaccination. Most (66.9%) were willing to temporarily discontinue DMARDs to improve vaccine efficacy, although many (44.3%) were concerned about rheumatic disease flares. After vaccination, the most reported patient-reported adverse events were fatigue\/somnolence (33.4%), headache (27.7%), muscle\/joint pains (22.8%) and fever\/chills (19.9%). Rheumatic disease flares that required medication changes occurred in 4.6%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Among adults with systemic rheumatic disease who received COVID-19 vaccination, patient-reported adverse events were typical of those reported in the general population. Most patients were willing to temporarily discontinue DMARDs to improve vaccine efficacy. The relatively low frequency of rheumatic disease flare requiring medications was reassuring.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rmdopen-2021-001814","type":"journal-article","created":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T11:55:24Z","timestamp":1631015724000},"page":"e001814","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":135,"title":["Early experience of COVID-19 vaccination in adults with systemic rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance Vaccine Survey"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3945-6828","authenticated-orcid":false,"given":"Sebastian Eduardo","family":"Sattui","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Hospital for Special Surgery, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean W","family":"Liew","sequence":"additional","affiliation":[{"name":"Section of Rheumatology, Boston University School of Medicine, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8230-091X","authenticated-orcid":false,"given":"Kevin","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7087-8543","authenticated-orcid":false,"given":"Emily","family":"Sirotich","sequence":"additional","affiliation":[{"name":"Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Putman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarin T","family":"Moni","sequence":"additional","affiliation":[{"name":"Department of Biochemistry & Biomedical Sciences, McMaster University Faculty of Science, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4920-6494","authenticated-orcid":false,"given":"Akpabio","family":"Akpabio","sequence":"additional","affiliation":[{"name":"Rheumatology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6930-0517","authenticated-orcid":false,"given":"Deshir\u00e9","family":"Alp\u00edzar-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Research Unit, Mexican College of Rheumatology, Coyoacan, Ciudad de M\u00e9xico, 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Latest data on COVID-19 vaccinations race\/ethnicity. Kaiser family Foundation, 2021. Available: https:\/\/www.kff.org\/coronavirus-covid-19\/issue-brief\/latest-data-on-covid-19-vaccinations-race-ethnicity\/ [Accessed 13 June 2021]."},{"key":"2025090313541127000_7.3.e001814.29","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.11629","article-title":"Factors associated with racial\/ethnic group-based medical Mistrust and perspectives on COVID-19 vaccine trial participation and vaccine uptake in the US","volume":"4","author":"Thompson","year":"2021","journal-title":"JAMA Netw Open"},{"key":"2025090313541127000_7.3.e001814.30","unstructured":"Nguyen LH , Joshi AD , Ph D . Racial and ethnic differences in COVID-19. medRxiv 2021."},{"key":"2025090313541127000_7.3.e001814.31","unstructured":"FDA . FDA and CDC lift recommended pause on Johnson & Johnson (Janssen) COVID-19 vaccine use following thorough safety review, 2021. 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