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

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 B...

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Autores principales: Ranzani, Otavio T., Hitchings, Matt D. T., de Melo, Rosana Leite, de França, Giovanny V. A., Fernandes, Cássia de Fátima R., Lind, Margaret L., Torres, Mario Sergio Scaramuzzini, Tsuha, Daniel Henrique, David, Leticia C. S., Said, Rodrigo F. C., Almiron, Maria, de Oliveira, Roberto D., Cummings, Derek A. T., Dean, Natalie E., Andrews, Jason R., Ko, Albert I., Croda, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537178/
https://www.ncbi.nlm.nih.gov/pubmed/36202800
http://dx.doi.org/10.1038/s41467-022-33169-0
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author Ranzani, Otavio T.
Hitchings, Matt D. T.
de Melo, Rosana Leite
de França, Giovanny V. A.
Fernandes, Cássia de Fátima R.
Lind, Margaret L.
Torres, Mario Sergio Scaramuzzini
Tsuha, Daniel Henrique
David, Leticia C. S.
Said, Rodrigo F. C.
Almiron, Maria
de Oliveira, Roberto D.
Cummings, Derek A. T.
Dean, Natalie E.
Andrews, Jason R.
Ko, Albert I.
Croda, Julio
author_facet Ranzani, Otavio T.
Hitchings, Matt D. T.
de Melo, Rosana Leite
de França, Giovanny V. A.
Fernandes, Cássia de Fátima R.
Lind, Margaret L.
Torres, Mario Sergio Scaramuzzini
Tsuha, Daniel Henrique
David, Leticia C. S.
Said, Rodrigo F. C.
Almiron, Maria
de Oliveira, Roberto D.
Cummings, Derek A. T.
Dean, Natalie E.
Andrews, Jason R.
Ko, Albert I.
Croda, Julio
author_sort Ranzani, Otavio T.
collection PubMed
description 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.
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spelling pubmed-95371782022-10-08 Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil Ranzani, Otavio T. Hitchings, Matt D. T. de Melo, Rosana Leite de França, Giovanny V. A. Fernandes, Cássia de Fátima R. Lind, Margaret L. Torres, Mario Sergio Scaramuzzini Tsuha, Daniel Henrique David, Leticia C. S. Said, Rodrigo F. C. Almiron, Maria de Oliveira, Roberto D. Cummings, Derek A. T. Dean, Natalie E. Andrews, Jason R. Ko, Albert I. Croda, Julio Nat Commun Article 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. Nature Publishing Group UK 2022-10-06 /pmc/articles/PMC9537178/ /pubmed/36202800 http://dx.doi.org/10.1038/s41467-022-33169-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Ranzani, Otavio T.
Hitchings, Matt D. T.
de Melo, Rosana Leite
de França, Giovanny V. A.
Fernandes, Cássia de Fátima R.
Lind, Margaret L.
Torres, Mario Sergio Scaramuzzini
Tsuha, Daniel Henrique
David, Leticia C. S.
Said, Rodrigo F. C.
Almiron, Maria
de Oliveira, Roberto D.
Cummings, Derek A. T.
Dean, Natalie E.
Andrews, Jason R.
Ko, Albert I.
Croda, Julio
Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title_full Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title_fullStr Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title_full_unstemmed Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title_short Effectiveness of an inactivated Covid-19 vaccine with homologous and heterologous boosters against Omicron in Brazil
title_sort effectiveness of an inactivated covid-19 vaccine with homologous and heterologous boosters against omicron in brazil
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537178/
https://www.ncbi.nlm.nih.gov/pubmed/36202800
http://dx.doi.org/10.1038/s41467-022-33169-0
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