Author
Listed:
- Aisling R. Caffrey
(Providence Veterans Affairs Healthcare System
Providence Veterans Affairs Healthcare System
University of Rhode Island
Brown University)
- Haley J. Appaneal
(Providence Veterans Affairs Healthcare System
Providence Veterans Affairs Healthcare System
University of Rhode Island)
- Vrishali V. Lopes
(Providence Veterans Affairs Healthcare System)
- Laura Puzniak
(Pfizer Inc. New York)
- Evan J. Zasowski
(Pfizer Inc. New York)
- Luis Jodar
(Pfizer Inc. New York)
- Kerry L. LaPlante
(Providence Veterans Affairs Healthcare System
Providence Veterans Affairs Healthcare System
University of Rhode Island)
- John M. McLaughlin
(Pfizer Inc. New York)
Abstract
Data evaluating effectiveness of XBB.1.5-adapted vaccines against JN.1-related endpoints are scarce. This nationwide test-negative case-control study within the US Veterans Affairs Healthcare System aims to estimate vaccine effectiveness (VE) of BNT162b2 XBB.1.5-adapted vaccine compared to not receiving an XBB vaccine of any kind against COVID-19 hospitalization, emergency department or urgent care visits (ED/UC), and outpatient visits. Between September 25, 2023 and January 31, 2024, effectiveness was 24–35% during a period of JN.1 predominance and 50–61% during XBB predominance across all outcomes. VE within 60 days of vaccination during the likely JN.1 period was 32% (95% confidence interval 3–52%) against hospitalization, 41% (23–54%) against ED/UC visits, and 31% (1–52%) against outpatient visits. Corresponding VE during the likely XBB period was 62% (44–74%), 52% (37–63%), and 50% (25–66%) by setting, respectively. Here, we show the importance of strain match to maximize the public health impact of COVID-19 vaccination.
Suggested Citation
Aisling R. Caffrey & Haley J. Appaneal & Vrishali V. Lopes & Laura Puzniak & Evan J. Zasowski & Luis Jodar & Kerry L. LaPlante & John M. McLaughlin, 2024.
"Effectiveness of BNT162b2 XBB vaccine in the US Veterans Affairs Healthcare System,"
Nature Communications, Nature, vol. 15(1), pages 1-10, December.
Handle:
RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-53842-w
DOI: 10.1038/s41467-024-53842-w
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