Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
06 10 2022
Historique:
received: 19 05 2022
accepted: 02 09 2022
entrez: 6 10 2022
pubmed: 7 10 2022
medline: 12 10 2022
Statut: epublish

Résumé

The effectiveness of inactivated vaccines (VE) against symptomatic and severe COVID-19 caused by omicron is unknown. We conducted a nationwide, test-negative, case-control study to estimate VE for homologous and heterologous (BNT162b2) booster doses in adults who received two doses of CoronaVac in Brazil in the Omicron context. Analyzing 1,386,544 matched-pairs, VE against symptomatic disease was 8.6% (95% CI, 5.6-11.5) and 56.8% (95% CI, 56.3-57.3) in the period 8-59 days after receiving a homologous and heterologous booster, respectively. During the same interval, VE against severe Covid-19 was 73.6% (95% CI, 63.9-80.7) and 86.0% (95% CI, 84.5-87.4) after receiving a homologous and heterologous booster, respectively. Waning against severe Covid-19 after 120 days was only observed after a homologous booster. Heterologous booster might be preferable to individuals with completed primary series inactivated vaccine.

Identifiants

pubmed: 36202800
doi: 10.1038/s41467-022-33169-0
pii: 10.1038/s41467-022-33169-0
pmc: PMC9537178
doi:

Substances chimiques

COVID-19 Vaccines 0
Vaccines, Inactivated 0
BNT162 Vaccine N38TVC63NU

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5536

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Otavio T Ranzani (OT)

Barcelona Institute for Global Health, ISGlobal, Universitat Pompeu Fabra (UPF), Barcelona, Spain.
Pulmonary Division, Heart Institute, Hospital das Clínicas, Faculdade de Medicina, São Paulo, SP, Brazil.
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

Matt D T Hitchings (MDT)

Department of Biostatistics, College of Public Health & Health Professions, University of Florida, Gainesville, FL, USA.

Rosana Leite de Melo (RL)

Secretaria Extraordinária de Enfrentamento à Covid-19, Ministério da Saúde, Brasília, DF, Brazil.

Giovanny V A de França (GVA)

Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brazil.

Cássia de Fátima R Fernandes (CFR)

Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brazil.

Margaret L Lind (ML)

Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.

Mario Sergio Scaramuzzini Torres (MSS)

Municipal Health Secretary of Manaus, Manaus, AM, Brazil.

Daniel Henrique Tsuha (DH)

Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Campo Grande, MS, Brazil.

Leticia C S David (LCS)

Pan American Health Organization, Brasilia, DF, Brazil.

Rodrigo F C Said (RFC)

Pan American Health Organization, Brasilia, DF, Brazil.

Maria Almiron (M)

Pan American Health Organization, Brasilia, DF, Brazil.

Roberto D de Oliveira (RD)

State University of Mato Grosso do Sul, Dourados, MS, Brazil.

Derek A T Cummings (DAT)

Department of Biology, University of Florida, Gainesville, FL, USA.
Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.

Natalie E Dean (NE)

Department of Biostatistics & Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Jason R Andrews (JR)

Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA.

Albert I Ko (AI)

Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, BA, Brazil.

Julio Croda (J)

Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA. julio.croda@fiocruz.br.
Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Campo Grande, MS, Brazil. julio.croda@fiocruz.br.
Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brazil. julio.croda@fiocruz.br.

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Classifications MeSH