Evidence map›Paper›PMID 34290390›Full record

Trial reportNature microbiology2021

Antibody responses to SARS-CoV-2 vaccines in 45,965 adults from the general population of the United Kingdom.

Jia Wei, Nicole Stoesser, Philippa C Matthews, Daniel Ayoubkhani, Ruth Studley, Iain Bell, John I Bell, John N Newton, Jeremy Farrar, Ian Diamond and 12 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Nature microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 192 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
192citing papers in PubMed, 2 pooled it
20.9field-weighted citation impact, top 1% of its field
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

192 citing papers in PubMed, 2 syntheses or guidelines pooled it, 345 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
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  15. Article
  16. Human genetics of responses to vaccines.Clinical and experimental immunology · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Mechanistic models of humoral kinetics following COVID-19 vaccination.Journal of the Royal Society, Interface · 2025
    Article

132 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 11 institutions in 1 country.

Jia WeiNuffield Department of Medicine, University of Oxford, Oxford, UK.
Nicole StoesserNuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-4508-7969
Philippa C MatthewsNuffield Department of Medicine, University of Oxford, Oxford, UK.
Daniel AyoubkhaniOffice for National Statistics, Newport, UK.
Ruth StudleyOffice for National Statistics, Newport, UK.
Iain BellOffice for National Statistics, Newport, UK.
John I BellOffice of the Regius Professor of Medicine, University of Oxford, Oxford, UK.
John N NewtonHealth Improvement Directorate, Public Health England, London, UK.
Jeremy FarrarWellcome Trust, London, UK.
Ian DiamondOffice for National Statistics, Newport, UK.
Emma RourkeOffice for National Statistics, Newport, UK.
Alison HowarthNuffield Department of Medicine, University of Oxford, Oxford, UK.
Brian D MarsdenNuffield Department of Medicine, University of Oxford, Oxford, UK.
Sarah HoosdallyNuffield Department of Medicine, University of Oxford, Oxford, UK.
E Yvonne JonesNuffield Department of Medicine, University of Oxford, Oxford, UK.
David I StuartNuffield Department of Medicine, University of Oxford, Oxford, UK.
Derrick W CrookNuffield Department of Medicine, University of Oxford, Oxford, UK.
Tim E A PetoNuffield Department of Medicine, University of Oxford, Oxford, UK.
Koen B Pouwels *Nuffield Department of Medicine, University of Oxford, Oxford, UK.
David W Eyre *Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK. david.eyre@bdi.ox.ac.uk.ORCID http://orcid.org/0000-0001-5095-6367
A Sarah Walker *Nuffield Department of Medicine, University of Oxford, Oxford, UK.
COVID-19 Infection Survey team
University of Oxford · GBOffice for National Statistics · GBIQVIA (United Kingdom) · GBJohn Radcliffe Hospital · GBOpen Data Institute · GBDepartment of Health and Social Care · GBOxford University Hospitals NHS Trust · GBPublic Health England · GBUniversity of Manchester · GBNuffield Orthopaedic Centre · GBWellcome Trust · GB

Funding

Medical Research Council MC_UU_00008/6Medical Research Council MC_UU_12023/22Medical Research Council MR/V001329/1Wellcome Trust
6 · The paper itself

Abstract

We report that in a cohort of 45,965 adults, who were receiving either the ChAdOx1 or the BNT162b2 SARS-CoV-2 vaccines, in those who had no prior infection with SARS-CoV-2, seroconversion rates and quantitative antibody levels after a single dose were lower in older individuals, especially in those aged >60 years. Two vaccine doses achieved high responses across all ages. Antibody levels increased more slowly and to lower levels with a single dose of ChAdOx1 compared with a single dose of BNT162b2, but waned following a single dose of BNT162b2 in older individuals. In descriptive latent class models, we identified four responder subgroups, including a 'low responder' group that more commonly consisted of people aged >75 years, males and individuals with long-term health conditions. Given our findings, we propose that available vaccines should be prioritized for those not previously infected and that second doses should be prioritized for individuals aged >60 years. Further data are needed to better understand the extent to which quantitative antibody responses are associated with vaccine-mediated protection.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, ViralAntibody FormationBNT162 VaccineChildCohort StudiesCOVID-19COVID-19 VaccinesFemaleHumansImmunoglobulin GMaleMiddle AgedAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin G

Identifiers

PMID34290390
PMCPMC8294260
OpenAlexW3179750870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.