Evidence map›Paper›PMID 34268515›Full record

ArticlemedRxiv : the preprint server for health sciences2021

Effectiveness of SARS-CoV-2 mRNA Vaccines for Preventing Covid-19 Hospitalizations in the United States.

Mark W Tenforde, Manish M Patel, Adit A Ginde, David J Douin, H Keipp Talbot, Jonathan D Casey, Nicholas M Mohr, Anne Zepeski, Manjusha Gaglani, Tresa McNeal and 49 more

Open access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Journal fur klinische Endokrinologie und Stoffwechsel · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

59 authors at 20 institutions in 1 country.

Mark W TenfordeCDC COVID-19 Response Team, Atlanta, Georgia.
Manish M PatelCDC COVID-19 Response Team, Atlanta, Georgia.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.
David J DouinDepartment of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado.
H Keipp TalbotDepartments of Medicine and Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
Jonathan D CaseyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Nicholas M MohrDepartment of Emergency Medicine, University of Iowa, Iowa City, Iowa.
Anne ZepeskiDepartment of Emergency Medicine, University of Iowa, Iowa City, Iowa.
Manjusha GaglaniBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas.
Tresa McNealBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas.
Shekhar GhamandeBaylor Scott and White Health, Texas A&M University College of Medicine, Temple, Texas.
Nathan I ShapiroDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Kevin W GibbsDepartment of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
D Clark FilesDepartment of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
David N HagerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Arber ShehuDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Matthew E PrekkerDepartment of Emergency Medicine and Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
Heidi L EricksonDepartment of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
Matthew C ExlineDepartment of Medicine, The Ohio State University, Columbus, Ohio.
Michelle N GongDepartment of Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York.
Amira MohamedDepartment of Medicine, Montefiore Medical Center, Bronx, New York.
Daniel J HenningDepartment of Emergency Medicine, University of Washington, Seattle, Washington.
Jay S SteingrubDepartment of Medicine, Baystate Medical Center, Springfield, Massachusetts.
Ithan D PeltanDepartment of Medicine, Intermountain Medical Center, Murray, Utah and University of Utah, Salt Lake City, Utah.
Samuel M BrownDepartment of Medicine, Intermountain Medical Center, Murray, Utah and University of Utah, Salt Lake City, Utah.
Emily T MartinSchool of Public Health, University of Michigan, Ann Arbor, Michigan.
Arnold S MontoSchool of Public Health, University of Michigan, Ann Arbor, Michigan.
Akram KhanDepartment of Medicine, Oregon Health and Sciences University, Portland, Oregon.
C Terri HoughDepartment of Medicine, Oregon Health and Sciences University, Portland, Oregon.
Laurence BusseDepartment of Medicine, Emory University, Atlanta, Georgia.
Caitlin C Ten LohuisEmory Critical Care Center, Emory Healthcare, Atlanta, Georgia.
Abhijit DuggalDepartment of Medicine, Cleveland Clinic, Cleveland, Ohio.
Jennifer G WilsonDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
Alexandra June GordonDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
Nida QadirDepartment of Medicine, University of California-Los Angeles, Los Angeles, California.
Steven Y ChangDepartment of Medicine, University of California-Los Angeles, Los Angeles, California.
Christopher MallowDepartment of Medicine, University of Miami, Miami, Florida.
Hayley B GershengornDepartment of Medicine, University of Miami, Miami, Florida.
Hilary M BabcockDepartment of Medicine, Washington University, St. Louis, Missouri.
Jennie H KwonDepartment of Medicine, Washington University, St. Louis, Missouri.
Natasha HalasaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
James D ChappellDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Adam S LauringDepartments of Internal Medicine and Microbiology and Immunology, University of Michigan, Ann Arbor, Michigan.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
Todd W RiceDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Ian D JonesDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
William B StubblefieldDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Adrienne BaughmanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Kelsey N WomackVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee.
Christopher J LindsellDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Kimberly W HartDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Samantha M OlsonCDC COVID-19 Response Team, Atlanta, Georgia.
Meagan StephensonCDC COVID-19 Response Team, Atlanta, Georgia.
Stephanie J SchragCDC COVID-19 Response Team, Atlanta, Georgia.
Miwako KobayashiCDC COVID-19 Response Team, Atlanta, Georgia.
Jennifer R Verani *CDC COVID-19 Response Team, Atlanta, Georgia.
Wesley H Self *Department of Emergency Medicine and Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee.
Influenza and Other Viruses in the Acutely Ill (IVY) Network
Vanderbilt University Medical Center · USCDC Foundation · USBaylor Scott & White Health · USUniversity of Michigan · USHennepin County Medical Center · USJohns Hopkins University · USOregon Health & Science University · USStanford University · USUniversity of California, Los Angeles · USUniversity of Colorado Denver · USUniversity of Iowa · USUniversity of Miami · USUniversity of Utah · USWake Forest University · USWashington University in St. Louis · USAlbert Einstein College of Medicine · USBaystate Medical Center · USBeth Israel Deaconess Medical Center · USCleveland Clinic · USEmory Healthcare · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002243NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

Background: As SARS-CoV-2 vaccination coverage increases in the United States (US), there is a need to understand the real-world effectiveness against severe Covid-19 and among people at increased risk for poor outcomes. Methods: In a multicenter case-control analysis of US adults hospitalized March 11 - May 5, 2021, we evaluated vaccine effectiveness to prevent Covid-19 hospitalizations by comparing odds of prior vaccination with an mRNA vaccine (Pfizer-BioNTech or Moderna) between cases hospitalized with Covid-19 and hospital-based controls who tested negative for SARS-CoV-2. Results: Among 1210 participants, median age was 58 years, 22.8% were Black, 13.8% were Hispanic, and 20.6% had immunosuppression. SARS-CoV-2 lineage B.1.1.7 was most common variant (59.7% of sequenced viruses). Full vaccination (receipt of two vaccine doses ≥14 days before illness onset) had been received by 45/590 (7.6%) cases and 215/620 (34.7%) controls. Overall vaccine effectiveness was 86.9% (95% CI: 80.4 to 91.2%). Vaccine effectiveness was similar for Pfizer-BioNTech and Moderna vaccines, and highest in adults aged 18-49 years (97.3%; 95% CI: 78.9 to 99.7%). Among 45 patients with vaccine-breakthrough Covid hospitalizations, 44 (97.8%) were ≥50 years old and 20 (44.4%) had immunosuppression. Vaccine effectiveness was lower among patients with immunosuppression (59.2%; 95% CI: 11.9 to 81.1%) than without immunosuppression (91.3%; 95% CI: 85.5 to 94.7%). Conclusion: During March-May 2021, SARS-CoV-2 mRNA vaccines were highly effective for preventing Covid-19 hospitalizations among US adults. SARS-CoV-2 vaccination was beneficial for patients with immunosuppression, but effectiveness was lower in the immunosuppressed population.

Indexed as

COVID-19hospitalizedimmunocompromisedmRNA vaccinesvaccine effectiveness

Identifiers

PMID34268515
PMCPMC8282104
OpenAlexW3180665384

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.