Safety of COVID-19 vaccination in a sample of Brazilian patients with systemic lupus erythematosus patients

  • Bianca Lins Alencar Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
  • Valentina Busato Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
  • Renato Nisihara Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
  • Thelma Larocca Skare Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
Keywords: systemic lupus erythematosus, COVID-19, vaccines, safety

Abstract

Objectives: to study the side effects and the risk of disease flare after COVID-19 vaccination in Brazilian patients with Systemic Lupus erythematosus (SLE). Materials and methods: this retrospective study investigated a sample of 101 SLE patients for disease activity through the SLE disease activity index (SLEDAI) prior to and after two vaccine doses against SAR-COV-2. Side effects after vaccination were recorded. Results: in this sample, patients receiving two doses of the same vaccine were 10.3% for CoronaVAc; 42.2% for Pfizer, and 47.3% for Astra-Zeneca. Side effects were detected in 76.2% of them, and most of them were mild and moderate; the most common were local pain (62.3%), headache (36.6%), and fatigue (34.6%). The SLEDAI prior to the first dose and after the second dose did not change significantly (p=0.68). Only 4.1% of individuals had increased in SLEDAI ≥than 3 points. Conclusions: vaccination against COVID-19 was well tolerated and safe in SLE patients.

Author Biographies

Bianca Lins Alencar, Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
Mackenzie Evangelical School of Medicine of Paraná
Valentina Busato, Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
Mackenzie Evangelical School of Medicine of Paraná
Renato Nisihara, Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
Mackenzie Evangelical School of Medicine of Paraná
Thelma Larocca Skare, Mackenzie Evangelical School of Medicine of Paraná, Curitiba, Brazil
Mackenzie Evangelical School of Medicine of Paraná  

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Published
2024-03-26
How to Cite
1.
Alencar BL, Busato V, Nisihara R, Larocca Skare T. Safety of COVID-19 vaccination in a sample of Brazilian patients with systemic lupus erythematosus patients. Rev. Argent. Reumatol. [Internet]. 2024Mar.26 [cited 2024Oct.18];35(1):11 -6. Available from: https://ojs.reumatologia.org.ar/index.php/revistaSAR/article/view/791
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Original Article