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Article History

Accepted: 17 December 2024

First Online: 15 January 2025

Declarations

:

: This project is sponsored by the Uniformed Services University of the Health Sciences (USU) (Award Number HU00012220065); however, the information or content and conclusions do not necessarily represent the official position or policy of, nor should any official endorsement be inferred on the part of, USU, the Department of Defense, the Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., or the US Government.

: The authors (J.L.T., P.K.C., S.A., A.G.V., G.F.H., M.A., M.O., R.C.C., and K.B.H.) declare no conflicts of interest.

: Not applicable.

: Not applicable.

: The datasets generated and analyzed in this study are not publicly available due data sharing regulations and requirements of the US Department of Defense. Requests for data must be made directly to the US Defense Health Agency by investigators through data sharing agreement procedures, as indicated here: .

: This retrospective observational study was provided an exempt research determination by the Uniformed Services University Institutional Review Board (DBS.2022.350).

: J.L.T.: conceptualization, analysis, and writing of original draft. P.K.C.: formal analysis, investigation, and editing of draft. A.G.V.: formal analysis and statistical software and editing of draft. G.F.H.: formal analysis, investigation, statistical software, and editing of draft. M.A.: formal analysis, investigation, statistical software, and editing of draft. M.O.: formal analysis, investigation, statistical software, and editing of draft. R.C.C.: investigation and editing of draft. K.B.H.: conceptualization, methodology, project administration, supervision, formal analysis, review, and writing of original draft and editing of draft.