Table 3 Characteristics and acute TBE manifestations in previously unvaccinated TBE cases, cases with vaccination breakthrough infections, and cases with incomplete TBE vaccination at 1–2 doses.

From: Tick-borne encephalitis vaccine effectiveness and barriers to vaccination in Germany

Age group

Unvaccinated cases

VBI cases

Cases with 1–2 doses

p-value

p-value

n = 497a

n = 17a

n = 37a

VBI vs. unvaccinated

1–2 doses vs. unvaccinated

n (%)

n (%)

n (%)

2–13 years

48 (9.7%)

1 (5.9%)

3 (8.1%)

0.037

0.058

14–64 years

345 (69.4%)

8 (47.1%)

32 (86.5%)

 ≥ 65 years

104 (20.9%)

8 (47.1%)

2 (5.4%)

Demographics

Male

314 (63.2%)

9 (52.9%)

23 (62.2%)

0.390

0.902

≥ 1 comorbidityb

193 (38.8%)

12 (70.6%)

17 (45.9%)

0.009

0.393

Immunosuppression in exposure time

13 (2.6%)

1 (5.9%)

0 (0.0%)

0.128

0.500

Acute TBE severityc

Mild

102 (20.5%)

0 (0.0%)

9 (24.3%)

< 0.001

0.255

Moderate

306 (61.6%)

6 (35.3%)

18 (48.6%)

Severe

89 (17.9%)

11 (64.7%)

10 (27.0%)

Clinical characteristics

Biphasic course

197 (39.6%)

10 (58.8%)

21 (56.8%)

< 0.001

< 0.001

Hospitalised

443 (89.1%)

17 (100.0%)

33 (89.2%)

0.151

0.992

Median hospital stay (days, range)

10 (1–84)

14 (6–90)

10.5 (2–40)

ICU admission

54 (10.9%)

8 (47.1%)

6 (16.2%)

< 0.001

0.320

RANKIN score22 and interval between symptom onset and measuring RANKIN

Median interval (days, interquartile range)

93 (66–144)

96 (66–198)

100 (76–177)

0: No symptoms

243 (50.8%)

3 (20.0%)

15 (42.9%)

< 0.001

0.629

1: No significant disability

145 (30.3%)

1 (6.7%)

13 (37.1%)

≥ 2: Slight disability, or worse

90 (18.8%)

10 (66.7%)

7 (20.0%)

  1. Significant values are in bold.
  2. aOf these, 478 unvaccinated cases, 15 VBI cases, and 35 cases with 1–2 doses had interview data. These denominators were used to calculate proportions within purely interview-derived variables (RANKIN score).
  3. bFrom medical data sources and self-reported, for details see Ref.20.
  4. cAs defined in Ref.20.