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COVID-19 Vaccines: New Insights on Effectiveness

A study reveals the impact of new bivalent vaccines on COVID-19 infections.

Leora R. Feldstein, Jasmine Ruffin, Ryan E. Wiegand, Jade James-Gist, Tara M. Babu, Craig B. Borkowf, Melissa Briggs-Hagen, James Chappell, Helen Y. Chu, Janet A. Englund, Jennifer L. Kuntz, Adam S. Lauring, Natalie Lo, Marco Carone, Christina Lockwood, Emily T. Martin, Claire M. Midgley, Arnold S. Monto, Allison L. Naleway, Tara Ogilvie, Sharon Saydah, Mark A. Schmidt, Jonathan E. Schmitz, Ning Smith, Ine Sohn, Lea Starita, H. Keipp Talbot, Ana A. Weil, Carlos G. Grijalva

― 5 min read


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COVID-19 has made a huge impact on adults, leading to more than 1.2 million deaths in the United States. Most of these deaths are people aged 18 and over. At the beginning, the mRNA vaccines worked well in preventing serious illness and death, but their effectiveness faded over time, especially against the Omicron variant. To tackle this, the FDA approved a new bivalent mRNA vaccine that targets both the original Covid-19 virus and the Omicron variants BA.4 and BA.5.

The Study

This report focuses on how effective these new vaccines are in preventing infections and mild illness. Many studies have looked at how well vaccines prevent severe cases and hospitalizations, but fewer have examined the Protection they provide against mild symptoms and infections. This study looked at data from three different studies conducted in various locations across the United States.

Who Was Included in the Study?

The study included adults (those aged 18 and up) from four areas: Oregon, Washington, Michigan, and Tennessee. Participants came from diverse backgrounds and had different health conditions. They were asked to consent to participate and provide information about their health and Vaccination Status.

How Was Data Collected?

Participants completed surveys at the start and later on to report their demographics and health history. Blood samples were also taken, and participants were asked to collect nasal swabs once a week to test for COVID-19. This was to ensure that even asymptomatic people would be checked for the virus.

Testing for COVID-19

All nasal swab samples were tested using reliable methods to confirm whether they were positive for SARS-CoV-2, the virus that causes COVID-19. Very few samples were inconclusive, meaning the results were mostly trustworthy.

Understanding Participant Status

Vaccination status was collected from multiple sources, including self-reports and medical records. Symptoms associated with COVID-19 were also monitored closely. Participants who had tested positive for the virus or reported having it before the study began were also tracked.

Analyzing the Data

The study compared two groups of participants: those who became infected during the study and those who did not. Statistics were used to analyze the effectiveness of the vaccines based on variables, including age, sex, and underlying health conditions.

Who Participated?

A total of 3,343 people took part. The majority were women, with an average age of 41. Most participants were White, and many lived in larger households. About 60% reported having a chronic health issue. Throughout the study, many participants did catch COVID-19, but the severity varied.

Vaccine Uptake

Around half of the participants received at least one dose of the Bivalent Vaccine. Those living in Oregon and Washington showed the highest uptake of the new vaccine, while those in Tennessee were the least likely to get it. Race also played a role, with White participants more likely to be vaccinated than Black or Hispanic participants.

Vaccine Effectiveness

Of the individuals who contracted COVID-19 during the study, more than half were either unvaccinated or had received a monovalent vaccine over six months ago. Those who had received a bivalent vaccine recently had a much lower rate of infection.

Impact of Timing

The effectiveness of the bivalent vaccine was found to be highest when it was given within 60 days. After that, the protective benefits decreased significantly. For those who had both the vaccine and a previous infection, the protection was notably stronger, compared to those who had no prior infection.

Hybrid Immunity

Combining vaccination with prior infection created the best protection. People who had both were less likely to get infected or to experience symptoms compared to those who were only vaccinated or had no vaccine or prior infection.

Rates of Protection

For people with prior infections who received the bivalent vaccine within the last 180 days, the protection against getting the virus was over 60%. For symptomatic cases, that number jumped to 73%.

Sensitivity Analysis

When the analysis was limited to a specific timeframe, the results showed that those who received a bivalent dose recently also had a better chance of avoiding infection compared to those who had been vaccinated longer ago.

Conclusion

In summary, vaccines have been shown to effectively reduce the risk of severe cases and hospitalizations due to COVID-19. However, the data indicates that they are less effective at preventing infections altogether. The bivalent vaccine offers some protection, especially when paired with previous infections. But as time progresses, effectiveness wanes, so keeping up with vaccinations is crucial to lower infection rates.

Keeping track of COVID-19 vaccines is as important as remembering to water your plants. Forget one, and you might find yourself in a bit of trouble! Staying informed and getting vaccinated when needed can help ensure that we keep COVID-19 at bay.

Support and Recommendations

If you want to remain well-protected, it's wise to get vaccinated and to consider the timing of your vaccinations, especially as certain times of the year see a spike in respiratory illnesses. Always consult your healthcare provider to stay on top of your vaccination status and to make informed decisions for your health.

The Key Takeaway

Vaccination, especially with the bivalent COVID-19 vaccines, offers significant but time-limited protection. The best defense combines both vaccination and prior infection. As we move forward, it’s essential to stay updated on vaccine guidelines and protect ourselves and our communities.

Staying safe is a team effort, and when it comes to COVID-19, we are all on the same team!

Original Source

Title: Effectiveness of mRNA COVID-19 vaccines and hybrid immunity in preventing SARS-CoV-2 infection and symptomatic COVID-19 among adults in the United States

Abstract: BackgroundUnderstanding protection against SARS-CoV-2 infection by vaccine and hybrid immunity is important for informing public health strategies as new variants emerge. MethodsWe analyzed data from three cohort studies spanning September 1, 2022-July 31, 2023, to estimate COVID-19 vaccine effectiveness (VE) against SARS-CoV-2 infection and symptomatic COVID-19 among adults with and without prior infection in the United States. Participants collected weekly nasal swabs, irrespective of symptoms, annual blood draws, and completed periodic surveys, which included vaccination status and prior infection history. Swabs were tested molecularly for SARS-CoV-2. VE was estimated using Cox proportional hazards models for the hazard ratios of infections, adjusting for covariates. VE was calculated considering prior infection and recency of vaccination. ResultsAmong 3,343 adults, adjusted VE of bivalent vaccine against infection was 37.2% (95% CI: 11.4-58.5%) within 7-60 days of vaccination and 17.0% (95% CI: -3.7-33.2%) within 60-179 days of vaccination compared to participants who were unvaccinated/received an original monovalent vaccine dose [≥]180 days prior. Overall, adjusted VE of bivalent vaccine, in conjunction with prior infection, was 62.2% (95% CI: 44.2-74.6%) within 7-179 days of vaccination and 39.4% (95% CI: 11.7-61.3%) [≥]180 days compared to naive participants who were unvaccinated/received a monovalent vaccine dose [≥]180 days prior. ConclusionsAdults with both prior infection and recent vaccination had high protection against infection and symptomatic illness. Recent vaccination alone provided moderate protection.

Authors: Leora R. Feldstein, Jasmine Ruffin, Ryan E. Wiegand, Jade James-Gist, Tara M. Babu, Craig B. Borkowf, Melissa Briggs-Hagen, James Chappell, Helen Y. Chu, Janet A. Englund, Jennifer L. Kuntz, Adam S. Lauring, Natalie Lo, Marco Carone, Christina Lockwood, Emily T. Martin, Claire M. Midgley, Arnold S. Monto, Allison L. Naleway, Tara Ogilvie, Sharon Saydah, Mark A. Schmidt, Jonathan E. Schmitz, Ning Smith, Ine Sohn, Lea Starita, H. Keipp Talbot, Ana A. Weil, Carlos G. Grijalva

Last Update: Nov 7, 2024

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.11.01.24316597

Source PDF: https://www.medrxiv.org/content/10.1101/2024.11.01.24316597.full.pdf

Licence: https://creativecommons.org/publicdomain/zero/1.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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