Evidence map›Paper›PMID 34529636›Full record

ArticleMMWR. Morbidity and mortality weekly report2021

Effectiveness of COVID-19 mRNA Vaccines Against COVID-19-Associated Hospitalization - Five Veterans Affairs Medical Centers, United States, February 1-August 6, 2021.

Kristina L Bajema, Rebecca M Dahl, Mila M Prill, Elissa Meites, Maria C Rodriguez-Barradas, Vincent C Marconi, David O Beenhouwer, Sheldon T Brown, Mark Holodniy, Cynthia Lucero-Obusan and 16 more

Abstract read
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 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

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. VA Big Data Science: A Model for Improved National Pandemic Response Present and Future.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
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19 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

26 authors.

Kristina L Bajema
Rebecca M Dahl
Mila M Prill
Elissa Meites
Maria C Rodriguez-Barradas
Vincent C Marconi
David O Beenhouwer
Sheldon T Brown
Mark Holodniy
Cynthia Lucero-Obusan
Gilberto Rivera-Dominguez
Rosalba Gomez Morones
Alexis Whitmire
Evan B Goldin
Steve L Evener
Maraia Tremarelli
Suxiang Tong
Aron J Hall
Stephanie J Schrag
Meredith McMorrow
Miwako Kobayashi
Jennifer R Verani
Diya Surie
SUPERNOVA COVID-19
Surveillance Group
Surveillance Platform for Enteric and Respiratory Infectious Organisms at the VA (SUPERNOVA) COVID-19 Surveillance Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 mRNA vaccines (Pfizer-BioNTech and Moderna) have been shown to be highly protective against COVID-19-associated hospitalizations (1-3). Data are limited on the level of protection against hospitalization among disproportionately affected populations in the United States, particularly during periods in which the B.1.617.2 (Delta) variant of SARS-CoV-2, the virus that causes COVID-19, predominates (2). U.S. veterans are older, more racially diverse, and have higher prevalences of underlying medical conditions than persons in the general U.S. population (2,4). CDC assessed the effectiveness of mRNA vaccines against COVID-19-associated hospitalization among 1,175 U.S. veterans aged ≥18 years hospitalized at five Veterans Affairs Medical Centers (VAMCs) during February 1-August 6, 2021. Among these hospitalized persons, 1,093 (93.0%) were men, the median age was 68 years, 574 (48.9%) were non-Hispanic Black (Black), 475 were non-Hispanic White (White), and 522 (44.4%) had a Charlson comorbidity index score of ≥3 (5). Overall adjusted vaccine effectiveness against COVID-19-associated hospitalization was 86.8% (95% confidence interval [CI] = 80.4%-91.1%) and was similar before (February 1-June 30) and during (July 1-August 6) SARS-CoV-2 Delta variant predominance (84.1% versus 89.3%, respectively). Vaccine effectiveness was 79.8% (95% CI = 67.7%-87.4%) among adults aged ≥65 years and 95.1% (95% CI = 89.1%-97.8%) among those aged 18-64 years. COVID-19 mRNA vaccines are highly effective in preventing COVID-19-associated hospitalization in this older, racially diverse population of predominately male U.S. veterans. Additional evaluations of vaccine effectiveness among various age groups are warranted. To prevent COVID-19-related hospitalizations, all eligible persons should receive COVID-19 vaccination.

Indexed as

AdolescentAdultAgedCOVID-19COVID-19 VaccinesFemaleHospitalizationHospitals, VeteransHumansMaleMiddle AgedmRNA VaccinesUnited StatesUnited States Department of Veterans AffairsVaccines, SyntheticVeteransCOVID-19 VaccinesmRNA VaccinesVaccines, Synthetic

Identifiers

PMID34529636
PMCPMC8445376

What OpenQuestion holds

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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.