Durability analysis of the highly effective mRNA-1273 vaccine against COVID-19.

COVID-19 SARS-CoV-2 mRNA-1273 vaccine durability vaccine effectiveness

Journal

PNAS nexus
ISSN: 2752-6542
Titre abrégé: PNAS Nexus
Pays: England
ID NLM: 9918367777906676

Informations de publication

Date de publication:
May 2022
Historique:
received: 22 01 2022
accepted: 17 05 2022
entrez: 30 1 2023
pubmed: 31 1 2023
medline: 31 1 2023
Statut: epublish

Résumé

COVID-19 vaccines are effective, but breakthrough infections have been increasingly reported. We conducted a test-negative case-control study to assess the durability of protection against symptomatic infection after vaccination with mRNA-1273. We fit conditional logistic regression (CLR) models stratified on residential county and calendar date of SARS-CoV-2 PCR testing to assess the association between the time elapsed since vaccination and the odds of symptomatic infection, adjusted for several covariates. There were 2,364 symptomatic individuals who had a positive SARS-CoV-2 PCR test after full vaccination with mRNA-1273 ("cases") and 12,949 symptomatic individuals who contributed 15,087 negative tests after full vaccination ("controls"). The odds of symptomatic infection were significantly higher 250 days after full vaccination compared to the date of full vaccination (Odds Ratio [OR]: 2.47, 95% confidence interval [CI]: 1.19-5.13). The odds of non-COVID-19 associated hospitalization and non-COVID-19 pneumonia (negative control outcomes) remained relatively stable over the same time interval (Day 250 OR

Identifiants

pubmed: 36713311
doi: 10.1093/pnasnexus/pgac058
pii: pgac058
pmc: PMC9802296
doi:

Types de publication

Journal Article

Langues

eng

Pagination

pgac058

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the National Academy of Sciences.

Références

N Engl J Med. 2021 Dec 9;385(24):e83
pubmed: 34614327
N Engl J Med. 2021 Jul 8;385(2):187-189
pubmed: 33951357
Lancet. 2022 Feb 12;399(10325):625-626
pubmed: 35063123
Nat Commun. 2021 Nov 4;12(1):6379
pubmed: 34737312
N Engl J Med. 2021 Apr 15;384(15):1412-1423
pubmed: 33626250
Nat Med. 2021 Dec;27(12):2127-2135
pubmed: 34650248
BMJ. 2021 Nov 24;375:e067873
pubmed: 34819275
N Engl J Med. 2021 Nov 4;385(19):1761-1773
pubmed: 34525277
MMWR Morb Mortal Wkly Rep. 2021 Aug 13;70(32):1088-1093
pubmed: 34383730
N Engl J Med. 2021 Feb 4;384(5):403-416
pubmed: 33378609
JAMA. 2021 Sep 14;326(10):899-900
pubmed: 34431979
Nature. 2022 Feb;602(7898):657-663
pubmed: 35016194
Nature. 2022 Feb;602(7898):676-681
pubmed: 35016198
Science. 2022 Feb 25;375(6583):864-868
pubmed: 35076256
Lancet. 2021 Oct 16;398(10309):1407-1416
pubmed: 34619098
MMWR Morb Mortal Wkly Rep. 2021 Dec 10;70(49):1700-1705
pubmed: 34882654
N Engl J Med. 2020 Nov 12;383(20):1920-1931
pubmed: 32663912
Lancet. 2021 Jul 31;398(10298):385-387
pubmed: 34274038
Med (N Y). 2021 Aug 13;2(8):979-992.e8
pubmed: 34223401
Med (N Y). 2022 Jan 14;3(1):28-41.e8
pubmed: 34927113
Nat Med. 2021 Sep;27(9):1614-1621
pubmed: 34244681
MMWR Morb Mortal Wkly Rep. 2021 Apr 02;70(13):495-500
pubmed: 33793460
Ann Intern Med. 2021 Oct;174(10):1404-1408
pubmed: 34280332
N Engl J Med. 2022 Apr 21;386(16):1532-1546
pubmed: 35249272
Cell. 2022 Mar 3;185(5):860-871.e13
pubmed: 35120603
MMWR Morb Mortal Wkly Rep. 2021 Jul 23;70(29):1013-1019
pubmed: 34292924
MMWR Morb Mortal Wkly Rep. 2021 Aug 27;70(34):1150-1155
pubmed: 34437517
Open Forum Infect Dis. 2020 Oct 23;7(11):ofaa511
pubmed: 33269297
N Engl J Med. 2022 Jan 13;386(2):105-115
pubmed: 34942066
Science. 2022 Jan 21;375(6578):331-336
pubmed: 34735261
Nat Med. 2021 Jul;27(7):1205-1211
pubmed: 34002089
BMJ. 2021 Dec 15;375:e068848
pubmed: 34911691
Cell Mol Immunol. 2022 Feb;19(2):293-295
pubmed: 35017716
N Engl J Med. 2021 Dec 16;385(25):e90
pubmed: 34551224
N Engl J Med. 2021 Aug 12;385(7):585-594
pubmed: 34289274
MMWR Morb Mortal Wkly Rep. 2021 Aug 27;70(34):1167-1169
pubmed: 34437521
MMWR Morb Mortal Wkly Rep. 2021 Aug 27;70(34):1170-1176
pubmed: 34437525
Cells. 2021 Jul 30;10(8):
pubmed: 34440710
Clin Infect Dis. 2019 May 2;68(10):1623-1630
pubmed: 30204855
N Engl J Med. 2020 Dec 31;383(27):2603-2615
pubmed: 33301246
N Engl J Med. 2020 Dec 17;383(25):2439-2450
pubmed: 33053279
EClinicalMedicine. 2022 Mar 05;45:101326
pubmed: 35261970
N Engl J Med. 2021 Oct 7;385(15):1355-1371
pubmed: 34496194

Auteurs

Arjun Puranik (A)

nference, Cambridge, MA 02139, USA.

Patrick J Lenehan (PJ)

nference, Cambridge, MA 02139, USA.

John C O'Horo (JC)

Division of Infectious Diseases, Mayo Clinic, Rochester, MN 55902, USA.
Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55902, USA.

Colin Pawlowski (C)

nference, Cambridge, MA 02139, USA.

Abinash Virk (A)

Division of Infectious Diseases, Mayo Clinic, Rochester, MN 55902, USA.

Melanie D Swift (MD)

Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55902, USA.

Walter Kremers (W)

Division of Biomedical Statistics, Mayo Clinic, Rochester, MN 55902, USA.

A J Venkatakrishnan (AJ)

nference, Cambridge, MA 02139, USA.

Doug W Challener (DW)

Division of Infectious Diseases, Mayo Clinic, Rochester, MN 55902, USA.

Laura Breeher (L)

Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55902, USA.

Joel E Gordon (JE)

Department of Family Medicine, Mayo Clinic Health System, Mankato, MN 56001, USA.

Holly L Geyer (HL)

Division of Hospital Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA.

Leigh Lewis Speicher (LL)

Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.

Venky Soundararajan (V)

nference, Cambridge, MA 02139, USA.
nference Labs, Bengaluru, Karnataka 560017, India.

Andrew D Badley (AD)

Division of Infectious Diseases, Mayo Clinic, Rochester, MN 55902, USA.
Department of Molecular Medicine, Mayo Clinic, Rochester, MN 55902, USA.

Classifications MeSH