Table 1 Clinical and laboratory characteristics of vaccinated MM patients with SARS-CoV-2 infection.

From: SARS-CoV-2 infection in fully vaccinated patients with multiple myeloma

Pt

Age (yrs)

Sex

Comorbidities

Tipe of MM

Hematologic therapies at the time of infection

Previous therapies for MM

Immunoparesisa

Lympho penia (<1000/ mm3)

Date of diagnosis of SARS-CoV-2 infection

Date of first/second dose of BNT162b2 mRNA vaccine

Days from fully vaccination to SARS-CoV-2 infection

COVID-19 Symptoms

SARS-CoV-2 Variant of Concern

Anti-spike IgGb before infection/days from fully vaccination

Anti-spike IgGb post infection/days from fully vaccination

Anti SARS-CoV-2c IgM/IgG days from infection

1

76

F

Hypertension

Severe obesity

Chronic obstructive bronchopathy

Chronic renal failure

SMM, IgA λ

No

No

No

No

03/06/2021

21/04/2021

12/05/2021

21

Diarrhea

Alpha (lineage B.1.1.7)

N.A.

2812/184

IgM−/IgG−

162

2

71

F

Diabetes mellitus Hypothyroidism

MM, IgG k

Radiotherapy

No

Yes

Yes

09/08/2021

22/04/2021

18/05/2021

83

Dry cough

Delta (lineage B.1.617.2)

N.A.

495/178

IgM−/IgG−

95

3

56

M

Hypertension

Glomerulonephritis with C3-deposits

Kidney-transplant recipient

SMM, IgG λ

Cyclosporin

No

No

No

24/08/2021

27/03/2021

17/04/2021

129

Fever

Pneumonia

Delta (lineage B.1.617.2)

N.A

592/205

IgM−/IgG+

76

4

70

M

Hypertension

MM, IgG k

DRd

VAD, sASCT, VTD

No

No

06/09/2021

06/05/2021

12/06/2021

86

No

Delta (lineage B.1.617.2)

N.A.

682/149

IgM+/IgG−

63

5

54

F

Hypothyroidism

MM, IgG k

Lenalidomide

VTD, dASCT

Yes

Yes

10/09/2021

01/04/2021

23/04/2021

140

Fever

Delta (lineage B.1.617.2)

828/30

26710/199

IgM−/IgG+

59

  1. dASCT: double autologous stem cell transplantation; DRd: daratumumab, lenalidomide, dexamethasone; MM: multiple myeloma; N.A.: not available; sASCT: single autologous stem cell transplantation; Pt patient; SMM: smoldering multiple myeloma; yrs: years; VAD: vincristine, doxorubicin, dexamethasone; VTD: bortezomib, thalidomide, dexamethasone.
  2. aReduced levels of at least one not involved immunoglobulin.
  3. bChemiluminescent microparticle immunoassay (CMIA) technology: results were reported as arbitrary units (AU), with a positivity cut-off level of ≥50 AU/ml.
  4. cCMIA qualitative test: negative (−) or positive (+).