COVID-19 vaccine antibody responses in community-dwelling adults to 48 weeks post primary vaccine series.

Health sciences Immune response Immunology Microbiology Public health

Journal

iScience
ISSN: 2589-0042
Titre abrégé: iScience
Pays: United States
ID NLM: 101724038

Informations de publication

Date de publication:
21 Apr 2023
Historique:
received: 23 12 2022
revised: 16 02 2023
accepted: 22 03 2023
medline: 19 4 2023
pubmed: 19 4 2023
entrez: 19 04 2023
Statut: ppublish

Résumé

We report a decentralized prospective cohort study of self-reported adverse events and antibody responses to COVID vaccines derived from dried blood spots. Data are presented for 911 older (aged >70 years) and 375 younger (30-50 years) recruits to 48 weeks after the primary vaccine series. After a single vaccine, 83% younger and 45% older participants had overall seropositivity (p < 0.0001) increasing to 100/98% with the second dose, respectively (p = 0.084). A cancer diagnosis (p = 0.009), no mRNA-1273 vaccine doses (p <0 .0001), and older age (p <0 .0001) predicted lower responses. Antibody levels declined in both cohorts at 12 and 24 weeks increasing with booster doses. At 48 weeks, for participants with 3 vaccine doses, the median antibody levels were higher in the older cohort (p = 0.04) with any dose of mRNA-1273 (p <0 .0001) and with COVID infection (p <0 .001). The vaccines were well tolerated. Breakthrough COVID infections were uncommon (16% older cohort, 29% younger cohort; p < 0.0001) and mild

Identifiants

pubmed: 37073374
doi: 10.1016/j.isci.2023.106506
pii: S2589-0042(23)00583-7
pmc: PMC10043971
doi:

Types de publication

Journal Article

Langues

eng

Pagination

106506

Informations de copyright

© 2023 The Author(s).

Déclaration de conflit d'intérêts

None of the authors has any financial or other conflicts of interest related to this study. SW has served on advisory boards, spoken at continuing medical education events, and received research funds from ViiV Canada, Glaxo-Smith Kline, Merck, and Gilead pharmaceutical companies.

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Auteurs

Sharon L Walmsley (SL)

Department of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.
Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Leah Szadkowski (L)

Biostatistics Research Unit, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Bradly Wouters (B)

Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Rosemarie Clarke (R)

Department of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.

Karen Colwill (K)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Paula Rochon (P)

Women's College Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Michael Brudno (M)

Department of Computer Science, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Rizanni Ravindran (R)

Department of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Janet Raboud (J)

Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Allison McGeer (A)

Department of Medicine, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Amit Oza (A)

Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Christopher Graham (C)

Trillium Health Partners, Department of Medicine, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Amanda Silva (A)

Department of BioInformatics, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Dorin Manase (D)

Department of BioInformatics, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Peter Maksymowsky (P)

Department of BioInformatics, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Laura Parente (L)

Health Care Human Factors, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Roaya Monica Dayam (RM)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Jacqueline Simpson (J)

Health Care Human Factors, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Adrian Pasculescu (A)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Anne-Claude Gingras (AC)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Classifications MeSH