| COPD stage  | 
        Before vaccination | 
        After 3 months | 
        After 6 months  | 
        After 12 months  | 
       
      
        | unit/ml | 
        unit/ml  | 
        unit/ml  | 
        unit/ml  | 
       
      
        | 1 (n=2) | 
        1.59 ± 0.33 | 
        2.72 ± 1.19 | 
        0.92 ± 0.32 | 
        0.93 ± 0.27 | 
       
      
        | 2 (n=21) | 
        0.84 ± 0.07 | 
        1.54 ± 0.25*** | 
        1.37 ± 0.16*** | 
        1.29 ± 0.12*** | 
       
      
        | 3 (n=14) | 
        0.89 ± 0.1 | 
        1.61 ± 0.31*** | 
        1.39 ± 0.14*** | 
        1.26 ± 0.12*** | 
       
      
        | 4 (n=4) | 
        0.96 ± 0.11 | 
        2.79 ± 1.2 | 
        2.54 ± 0.59 | 
        2.12 ± 0.46 | 
       
      
        | Total (n=41)  | 
        0.91 ± 0.06 | 
        1.76 ± 0.21*** | 
        1.47 ± 0.12*** | 
        1.35 ± 0.09*** | 
       
     
    Note: *** - p<0.001 – as compared to baseline values. |