Evidence map›Paper›PMID 35172072›Full record

ArticleThe New England journal of medicine2022

Effectiveness of the BNT162b2 Vaccine after Recovery from Covid-19.

Ariel Hammerman, Ruslan Sergienko, Michael Friger, Tanya Beckenstein, Alon Peretz, Doron Netzer, Shlomit Yaron, Ronen Arbel

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The New England journal of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 3 pooled it
12.2field-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

84 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ariel HammermanFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.ORCID 0000-0002-4396-5246
Ruslan SergienkoFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Michael FrigerFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Tanya BeckensteinFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Alon PeretzFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Doron NetzerFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Shlomit YaronFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.
Ronen ArbelFrom the Division of Community Medical Services, Clalit Health Services, Tel Aviv (A.H., T.B., A.P., D.N., S.Y., R.A.), the Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba (R.S., M.F.), and the Maximizing Health Outcomes Research Lab, Sapir College, Sderot (R.A.) - all in Israel.ORCID 0000-0002-6058-8665
Clalit Health Services · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) decreases substantially among patients who have recovered from coronavirus disease 2019 (Covid-19). However, it is unknown how long protective immunity lasts. Current guidelines recommend vaccination of recovered patients even though data regarding vaccine effectiveness in such cases are still limited.

methodsIn this retrospective cohort study, we reviewed electronic medical records from a large health care organization in Israel to assess reinfection rates in patients who had recovered from SARS-CoV-2 infection before any vaccination against Covid-19. We compared reinfection rates among patients who had subsequently received the BNT162b2 vaccine (Pfizer-BioNTech) and those who had not been vaccinated between March 1 and November 26, 2021. We used a Cox proportional-hazards regression model with time-dependent covariates to estimate the association between vaccination and reinfection after adjustment for demographic factors and coexisting illnesses. Vaccine effectiveness was estimated as 1 minus the hazard ratio. In a secondary analysis, we evaluated the vaccine effectiveness of one dose as compared with two doses.

resultsA total of 149,032 patients who had recovered from SARS-CoV-2 infection met the eligibility criteria. Of these patients, 83,356 (56%) received subsequent vaccination during the 270-day study period. Reinfection occurred in 354 of the vaccinated patients (2.46 cases per 100,000 persons per day) and in 2168 of 65,676 unvaccinated patients (10.21 cases per 100,000 persons per day). Vaccine effectiveness was estimated at 82% (95% confidence interval [CI], 80 to 84) among patients who were 16 to 64 years of age and 60% (95% CI, 36 to 76) among those 65 years of age or older. No significant difference in vaccine effectiveness was found for one dose as compared with two doses.

conclusionsAmong patients who had recovered from Covid-19, the receipt of at least one dose of the BNT162b2 vaccine was associated with a significantly lower risk of recurrent infection.

Indexed as

BNT162 VaccineCOVID-19ReinfectionAdolescentAdultAgedCOVID-19 VaccinesHumansMiddle AgedRetrospective StudiesSARS-CoV-2Vaccine EfficacyVaccinesYoung AdultBNT162 VaccineCOVID-19 VaccinesVaccines

Identifiers

PMID35172072
PMCPMC8908846
OpenAlexW4212810463

What OpenQuestion holds

Textmetadata
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.