Evidence map›Paper›PMID 34401865›Full record

ArticleThe lancet. Healthy longevity2021

Immunogenicity of single vaccination with BNT162b2 or ChAdOx1 nCoV-19 at 5-6 weeks post vaccine in participants aged 80 years or older: an exploratory analysis.

Helen Parry, Rachel Bruton, Gokhan Tut, Myah Ali, Christine Stephens, David Greenwood, Sian Faustini, Sam Hughes, Aarnoud Huissoon, Rory Meade and 7 more

Open access · goldAbstract read
In one paragraph

Article in The lancet. Healthy longevity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.6field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 43 citations in OpenAlex.

  1. Developing the next-generation of adenoviral vector vaccines.Human vaccines & immunotherapeutics · 2025
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  2. Unlocking cancer vaccine potential: What are the key factors?Human vaccines & immunotherapeutics · 2024
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  16. The bullwhip effect, T-cell telomeres, and SARS-CoV-2.The lancet. Healthy longevity · 2022
    Review
  17. Article
  18. Article
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Helen ParryInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Rachel BrutonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Gokhan TutInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Myah AliInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Christine StephensInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
David GreenwoodInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Sian FaustiniInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Sam HughesDepartment of Immunology, Birmingham Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
Aarnoud HuissoonDepartment of Immunology, Birmingham Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
Rory MeadeHarborne Medical Practice, Harborne, Birmingham, UK.
Kevin BrownNational Infection Service, Public Health England, Colindale, London, UK.
Gayatri AmirthalingamNational Infection Service, Public Health England, Colindale, London, UK.
Ashley OtterNational Infection Service, Public Health England, Porton Down, Salisbury, UK.
Bassam HallisNational Infection Service, Public Health England, Porton Down, Salisbury, UK.
Alex RichterInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Jianmin ZuoInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
University of Birmingham · GBPublic Health England · GBHeartlands Hospital · GB

Funding

Medical Research Council MC_PC_20031Medical Research Council MC_PC_20060Medical Research Council MR/V028448/1
6 · The paper itself

Abstract

backgroundIn several countries, extended interval COVID-19 vaccination regimens are now used to accelerate population coverage, but the relative immunogenicity of different vaccines in older people remains uncertain. In this study we aimed to assess the antibody and cellular responses of older people after a single dose of either the BNT162b2 vaccine (tozinameran; Pfizer-BioNTech) or ChAdOx1 nCoV-19 vaccine (Oxford University-AstraZeneca).

methodsParticipants aged 80 years or older, who did not live in a residential or care home or require assisted living, and had received a single dose of either the BNT162b2 vaccine or ChAdOx1 nCoV-19 vaccine were eligible to participate. Participants were recruited through local primary care networks in the West Midlands, UK. Blood samples and dried blood spots were taken 5-6 weeks after vaccination to assess adaptive immune responses using Elecsys electrochemiluminescence immunoassay and cellular responses by ELISpot. Primary endpoints were percentage response and quantification of adaptive immunity.

findingsBetween Dec 29, 2020, and Feb 28, 2021, 165 participants were recruited and included in the analysis. 76 participants had received BNT162b2 (median age 84 years, IQR 82-89; range 80-98) and 89 had received ChAdOx1 nCoV-19 (median age 84 years, 81-87; 80-99). Antibody responses against the spike protein were detectable in 69 (93%) of 74 BNT162b2 vaccine recipients and 77 (87%) of 89 ChAdOx1 nCoV-19 vaccine recipients. Median antibody titres were of 19·3 U/mL (7·4-79·4) in the BNT162b2 vaccine recipients and 19·6 U/mL (6·1-60·0) in the ChAdOx1 nCoV-19 vaccine recipients (p=0·41). Spike protein-specific T-cell responses were observed in nine (12%) of 73 BNT162b2 vaccine recipients and 27 (31%) of 88 ChAdOx1 nCoV-19 vaccine recipients, and median responses were three-times higher in ChAdOx1 nCoV-19 vaccine recipients (24 spots per 1 × 10

interpretationSingle doses of either BNT162b2 or ChAdOx1 nCoV-19 in older people induces humoral immunity in most participants, and is markedly enhanced by previous infection. Cellular responses were weaker, but showed enhancement after the ChAdOx1 nCoV-19 vaccine at the 5-6 week timepoint.

fundingMedical Research Council, National Institute for Health Research, and National Core Studies.

Indexed as

COVID-19COVID-19 VaccinesAged, 80 and overAntibodies, ViralBNT162 VaccineChAdOx1 nCoV-19HumansLeukocytes, MononuclearSARS-CoV-2Spike Glycoprotein, CoronavirusVaccinationAntibodies, ViralBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID34401865
PMCPMC8357462
OpenAlexW3187298692

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.