Table 3

Symptoms and clinical course for study participants with rheumatic disease and COVID-19, stratified by vaccination status at the time of infection

All rheumatic disease patients (N=280)Breakthrough COVID-19 infection
(N=116)
Non-breakthrough COVID-19 infection (N=164)P value
Date of COVID-19 diagnosis, n (%)<0.0001
 March 1–June 30, 202045 (16)0 (0)45 (27)
 July 1, 2020–January 31, 202197 (35)0 (0)97 (59)
 February 1–June 30, 202121 (8)3 (3)18 (11)
 July 1–December 16, 202130 (11)29 (25)1 (1)
 December 17, 2021–July 8, 202287 (31)84 (72)3 (2)
COVID-19 symptoms, n (%)
 Fatigue/malaise220 (79)93 (80)127 (77)0.66
 Fever165 (59)66 (57)99 (60)0.62
 Headache175 (63)71 (61)104 (63)0.71
 Myalgias162 (58)63 (54)99 (60)0.33
 Nasal congestion or rhinorrhoea160 (57)85 (73)75 (46)<0.0001
 Cough146 (52)73 (63)73 (45)<0.01
 Anosmia101 (36)25 (22)76 (46)<0.0001
 Dysgeusia106 (38)32 (28)74 (45)<0.01
 Sore throat124 (44)63 (54)61 (37)<0.01
 Dyspnoea83 (30)28 (24)55 (34)0.11
 Chest pain59 (21)25 (22)34 (21)0.88
 Nausea or vomiting44 (16)16 (14)28 (17)0.51
 Joint pain23 (8)5 (4)18 (11)0.049
 New rash, hives or blisters17 (6)4 (3)13 (8)0.14
 None64 (23)39 (34)25 (15)<0.01
Acute COVID-19 treatment, n (%)
 Dexamethasone17 (6)3 (3)14 (9)0.04
 Remdesivir12 (4)3 (3)9 (5)0.37
 Monoclonal antibody52 (19)39 (34)13 (8)<0.0001
 Nirmatrelvir/ritonavir15 (5)14 (12)1 (1)<0.0001
COVID-19 severity, n (%)<0.01
 Not hospitalised244 (87)110 (95)134 (81)
 Hospitalised with or without supplemental oxygen32 (11)5 (4)27 (16)