Evidence map›Paper›PMID 34870134›Full record

ArticleEClinicalMedicine2021

Effectiveness of BNT162b2 mRNA COVID-19 vaccine against SARS-CoV-2 variant Beta (B.1.351) among persons identified through contact tracing in Israel: A prospective cohort study.

Shepherd R Singer, Frederick J Angulo, David L Swerdlow, John M McLaughlin, Itay Hazan, Netanel Ginish, Emilia Anis, Ella Mendelson, Orna Mor, Neta S Zuckerman and 9 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Safety and Immunogenicity of a Fourth Dose of Omicron BA.1-Adapted BNT162b2 COVID-19 Vaccines in Adults 18-55 Years Old.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Trial
  2. A Bivalent Omicron-BA.4/BA.5-Adapted BNT162b2 Booster in ≥12-Year-Olds.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. From Immunogen to COVID-19 vaccines: Prospects for the post-pandemic era.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. The impact of SARS-CoV-2 on respiratory syndromic and sentinel surveillance in Israel, 2020: a new perspective on established systems.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  18. Article
  19. Review
  20. Review
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

19 authors.

Shepherd R SingerPublic Health Services, Israel Ministry of Health, Jerusalem, Israel.
Frederick J AnguloPfizer Inc., Collegeville, PA, USA.
David L SwerdlowPfizer Inc., Collegeville, PA, USA.
John M McLaughlinPfizer Inc., Collegeville, PA, USA.
Itay HazanMinistry of Defense, Tel Aviv, Israel.
Netanel GinishMinistry of Defense, Tel Aviv, Israel.
Emilia AnisPublic Health Services, Israel Ministry of Health, Jerusalem, Israel.
Ella MendelsonCentral Virology Laboratory, Sheba Medical Center, Ramat Gan, Israel.
Orna MorCentral Virology Laboratory, Sheba Medical Center, Ramat Gan, Israel.
Neta S ZuckermanCentral Virology Laboratory, Sheba Medical Center, Ramat Gan, Israel.
Oran ErsterCentral Virology Laboratory, Sheba Medical Center, Ramat Gan, Israel.
Jo SouthernPfizer Inc., Collegeville, PA, USA.
Kaijie PanPfizer Inc., Collegeville, PA, USA.
Gabriel MircusPfizer Pharmaceuticals Israel Ltd, Herzliya, Israel.
Marc LipsitchHarvard University, Boston, MA, USA.
Eric J HaasPublic Health Services, Israel Ministry of Health, Jerusalem, Israel.
Luis JodarPfizer Inc., Collegeville, PA, USA.
Yeheskel LevyIsrael Ministry of Health, Jerusalem, Israel.
Sharon Alroy-PreisPublic Health Services, Israel Ministry of Health, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 variant Beta (B.1.351) was designated as a Variant of Concern (VoC) after becoming the dominant strain in South Africa and spreading internationally. BNT162b2 showed lower levels of neutralizing antibodies against Beta than against other strains raising concerns about effectiveness of vaccines against infections caused by Beta. We estimated BNT162b2 vaccine effectiveness (VE) against Beta infections in Israel, a country with high vaccine uptake.

methodsThe Ministry of Health (MoH) identified Beta cases through mandatory reporting of SARS-CoV-2 cases and whole genome sequencing (WGS) of specimens from vaccination-breakthrough infections, reinfections, arriving international travelers, and a selection of other infected persons. A cohort analysis was conducted of exposure events of contacts of primary Beta cases. WGS was conducted on available PCR-positive specimens collected from contacts. VE estimates with 95% confidence intervals (CIs) against confirmed and probable Beta infections were determined by comparing infection risk between unvaccinated and fully-vaccinated (≥7 days after the second dose) contacts, and between unvaccinated and partially-vaccinated (<7 days after the second dose) contacts.

findingsMoH identified 310 Beta cases through Jun 27, 2021. During the study period (Dec 11, 2020 - Mar 25, 2021), 164 non-institutionalized primary Beta cases, with 552 contacts aged ≥16 years, were identified. 343/552 (62%) contacts were interviewed and tested. 71/343 (21%) contacts were PCR-positive. WGS was performed on 7/71 (10%) PCR-positive specimens; all were Beta. Among SARS-CoV-2-infected contacts, 48/71 (68%) were symptomatic, 10/71 (14%) hospitalized, and 2/71 (3%) died. Fully-vaccinated VE against confirmed or probable Beta infections was 72% (95% CI -5 - 97%; p=0·04) and against symptomatic confirmed or probable Beta infections was 100% (95% CI 19 - 100%; p=0·01). There was no evidence of protection in partially-vaccinated contacts.

interpretationIn a prospective observational study, two doses of BNT162b2 were effective against confirmed and probable Beta infections. Through the end of June 2021, introductions of Beta did not interrupt control of the pandemic in Israel.

fundingIsrael Ministry of Health and Pfizer.

Indexed as

COVID-19epidemiologymRNA vaccinespreventionSARS-CoV-2vaccine effectivenessvariant Beta (B.1.351)

Identifiers

PMID34870134
PMCPMC8628463

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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.