Effectiveness of COVID-19 mRNA vaccine booster dose relative to primary series during a period of Omicron circulation

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Abstract

During a period of Omicron variant circulation, we estimated relative VE of COVID-19 mRNA booster vaccination versus primary two-dose series in an ongoing community cohort. Relative VE was 66% (95% CI: 46%, 79%) favoring the booster dose compared to primary series vaccination. Our results support current booster recommendations.

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  1. SciScore for 10.1101/2022.04.15.22273915: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsIRB: This study was reviewed and approved by the Institutional Review Board at the Marshfield Clinic Research Institute. Participants, or parents of minor participants, provided informed consent prior to participation.
    Consent: This study was reviewed and approved by the Institutional Review Board at the Marshfield Clinic Research Institute. Participants, or parents of minor participants, provided informed consent prior to participation.
    Sex as a biological variablenot detected.
    RandomizationPACC participants include persons <1 to >90 years of age who were randomly sampled and recruited from a defined community cohort in which nearly all residents receive care from the Marshfield Clinic Health System (
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    A limitation of our study was that sample size was insufficient to estimate absolute VE relative to unvaccinated individuals. However, our relative VE estimate is similar to relative VE (66%) estimated by a large national pharmacy-based testing program that also found absolute VE of 67% against Omicron infection for 3 doses of mRNA vaccine[11]. Although absolute primary series VE was not estimated in that study, the nearly identical estimates of relative VE and absolute VE of a booster dose in that study suggest an absolute primary series VE near 1%. A similar study using community testing in England estimated an absolute mRNA booster VE between 64% and 74% against Omicron infection, depending on vaccine type and time since boost[12]. For 2-dose primary series alone, absolute VE was estimated 9% and 15% ≥25 weeks after BTN162b2 and mRNA-1273 vaccination, respectively. Taken together, the results of the current study and others suggest that the primary 2-dose mRNA vaccination provided little to no protection against Omicron infection in winter 2022 among those that did not receive a booster dose. VE against symptomatic SARS-CoV-2 infection in the community provides additional support for current booster recommendations. Our results also further highlight the fact that vaccine-induced protection against SARS-CoV-2 infection is temporary and is impacted by waning immunity as well as evolution of circulating virus. As is the case with influenza, routine vaccination and regular ev...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

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