Type 1 diabetes

COVID-19 Vaccinations, SARS-CoV-2 Infections, and Type 1 Diabetes in Finnish Children

Diabetes CarePublished Matched case-control study

Main finding · Risk of T1D associated with preceding COVID-19 vaccinationsResult — go to the resultHazard ratio 1.30 95% CI 0.97–1.72

Authors' conclusion

There was no significant association between SARS-CoV-2 vaccination and risk of type 1 diabetes. Neither COVID-19 vaccinations nor SARS-CoV-2 infections explain the more severe symptoms at type 1 diabetes diagnosis observed in Finnish children after the beginning of the COVID-19 pandemic.

Study context

Population
Every Finnish child aged 5–14 years diagnosed with T1D during a 16-month period (September 2021 to December 2022); vaccinations from the National Vaccination Register; SARS-CoV-2 infections by antibody titer soon after diagnosis433 cases, 3 controls each
Comparison
COVID-19 vaccination vs no vaccination
  • Casen = 433
Outcome
Risk of T1D associated with SARS-CoV-2 vaccination
Methodological detailsnationwide, matched for age, sex, and municipality, 3 controls per case
  • Nationwide
  • Matched for age, sex, and municipality
  • 3 controls per case

Main finding

As reported in the abstract

Risk of T1D associated with preceding COVID-19 vaccinations

Hazard ratio

1.30

95% CI 0.97–1.72

P = 0.076

COVID-19 vaccinationvs no vaccination
HR 1.30 (95% CI 0.97–1.72); P = 0.076

Observational data: associations, not effects.

Further findings

Severity of symptoms at T1D diagnosis

Vaccinations were linked to less severe symptoms at diagnosis

Protective HLA genotypes among case subjects

Protective HLA genotypes more common among vaccinated vs unvaccinated case subjects

Insulin autoantibody positivity · at diagnosis

Vaccinations inversely associated with insulin autoantibody positivity

SARS-CoV-2 infection and T1D symptoms or autoantibodies · at diagnosis

No association between SARS-CoV-2 and T1D symptoms or autoantibodies at diagnosis

Original publication

COVID-19 Vaccinations, SARS-CoV-2 Infections, and Type 1 Diabetes in Finnish Children. Diabetes Care. Published 5 May 2026. doi:10.2337/dc25-2913

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