Table 5.

Incidence of ITP exacerbation* after sample stratification by history of splenectomy and number of prior medical therapies or history of rituximab use

First vaccine doseSecond vaccine dose
nITP exacerbation (n)ITP exacerbation (%)nITP exacerbation (n)ITP exacerbation (%)
Splenectomy, 0-4 prior therapies 28.6 16.7 
Splenectomy, ≥5 prior therapies 10 60 44.4 
No splenectomy, 0-4 prior therapies 47 2.1 37 16.2 
No splenectomy, ≥5 prior therapies 50 33.3 
Splenectomy, no prior rituximab 50 40 
Splenectomy + prior rituximab 17 47.1 13 38.5 
No splenectomy, no prior rituximab 50 28 10.7 
No splenectomy + prior rituximab 22 9.1 14 28.6 
First vaccine doseSecond vaccine dose
nITP exacerbation (n)ITP exacerbation (%)nITP exacerbation (n)ITP exacerbation (%)
Splenectomy, 0-4 prior therapies 28.6 16.7 
Splenectomy, ≥5 prior therapies 10 60 44.4 
No splenectomy, 0-4 prior therapies 47 2.1 37 16.2 
No splenectomy, ≥5 prior therapies 50 33.3 
Splenectomy, no prior rituximab 50 40 
Splenectomy + prior rituximab 17 47.1 13 38.5 
No splenectomy, no prior rituximab 50 28 10.7 
No splenectomy + prior rituximab 22 9.1 14 28.6 
*

Defined as development of any 1 or more of the following: (a) ≥50% decline in platelet count from prevaccination baseline; (b) >20% decline from prevaccination baseline and platelet nadir <30 ×109/L; and/or (c) receipt of rescue therapy for ITP.

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