Article
Vaccine effectiveness of heterologous CoronaVac plus BNT162b2 in Brazil
Registro en:
Silva, T. Cerqueira. et al. Vaccine effectiveness of heterologous CoronaVac plus BNT162b2 in Brazil. Nature Medicine, p. 1-20, 2022.
1546-170X
10.1038/s41591-022-01701-w
Autor
Silva, Thiago Cerqueira
Katikireddi, Srinivasa Vittal
Oliveira, Vinicius de Araujo
Ortiz, Renzo Flores
Bertoldo Júnior, Juracy
Paixão, Enny S.
Robertson, Chris
Penna, Gerson O.
Werneck, Guilherme L.
Barreto, Maurício L.
Pearce, Neil
Sheikh, Aziz
Barral Netto, Manoel
Boaventura, Viviane S.
Resumen
Programa ‘Fazer o bem faz bem". Conselho Nacional de Pesquisa do Brasil (CNPq). Fundação Carlos Chagas Filho de Amparo. Pesquisa do Estado do Rio de Janeiro. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Senior Clinical Fellowship. Medical Research Council. Scottish Government Chief Scientist Office. Data and Connectivity National Core Study. Health Data Research UK. Office for National Statistics. UK Research and Innovation. National Institute for Health Research There is considerable interest in the waning of effectiveness of coronavirus disease 2019 (COVID-19) vaccines and vaccine effectiveness (VE) of booster doses. Using linked national Brazilian databases, we undertook a test-negative design study involving almost 14 million people (~16 million tests) to estimate VE of CoronaVac over time and VE of BNT162b2 booster vaccination against RT–PCR-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and severe COVID-19 outcomes (hospitalization or death). Compared with unvaccinated individuals, CoronaVac VE at 14–30 d after the second dose was 55.0% (95% confidence interval (CI): 54.3–55.7) against confirmed infection and 82.1% (95% CI: 81.4–82.8) against severe outcomes. VE decreased to 34.7% (95% CI: 33.1–36.2) against infection and 72.5% (95% CI: 70.9–74.0) against severe outcomes over 180 d after the second dose. A BNT162b2 booster, 6 months after the second dose of CoronaVac, improved VE against infection to 92.7% (95% CI: 91.0−94.0) and VE against severe outcomes to 97.3% (95% CI: 96.1−98.1) 14–30 d after the booster. Compared with younger age groups, individuals 80 years of age or older had lower protection after the second dose but similar protection after the booster. Our findings support a BNT162b2 booster vaccine dose after two doses of CoronaVac, particularly for the elderly.