Evidence map›Paper›PMID 35214599›Full record

ArticleVaccines2022

The Population-Wide Risk-Benefit Profile of Extending the Primary COVID-19 Vaccine Course Compared with an mRNA Booster Dose Program.

Tinevimbo Shiri, Marc Evans, Carla A Talarico, Angharad R Morgan, Maaz Mussad, Philip O Buck, Phil McEwan, William David Strain

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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

8 authors at 5 institutions in 2 countries.

Tinevimbo ShiriHealth Economics and Outcomes Research Ltd., Cardiff CF23 8RB, UK.
Marc EvansDiabetes Resource Centre, University Hospital Llandough, Cardiff CF64 2XX, UK.
Carla A TalaricoModerna, Inc., Cambridge, MA 02139, USA.
Angharad R MorganHealth Economics and Outcomes Research Ltd., Cardiff CF23 8RB, UK.
Maaz MussadAshfield Healthcare on Behalf of Moderna, Ashby-de-la-Zouch LE65 1HW, UK.
Philip O BuckModerna, Inc., Cambridge, MA 02139, USA.ORCID 0000-0002-3898-3669
Phil McEwanHealth Economics and Outcomes Research Ltd., Cardiff CF23 8RB, UK.
William David StrainDiabetes and Vascular Research Centre, University of Exeter Medical School, Exeter EX1 2HZ, UK.ORCID 0000-0002-6826-418X
Health Economics and Outcomes Research (United Kingdom) · GBModerna Therapeutics (United States) · USAshfield Healthcare · GBUniversity Hospital Llandough · GBUniversity of Exeter · GB

Funding

Moderna Therapeutics (United States) NA
6 · The paper itself

Abstract

The vaccination program is reducing the burden of COVID-19. However, recently, COVID-19 infections have been increasing across Europe, providing evidence that vaccine efficacy is waning. Consequently, booster doses are required to restore immunity levels. However, the relative risk-benefit ratio of boosters, compared to pursuing a primary course in the unvaccinated population, remains uncertain. In this study, a susceptible-exposed-infectious-recovered (SEIR) transmission model of SARS-CoV-2 was used to investigate the impact of COVID-19 vaccine waning on disease burden, the benefit of a booster vaccine program compared to targeting the unvaccinated population, and the population-wide risk-benefit profile of vaccination. Our data demonstrates that the rate of vaccine efficacy waning has a significant impact on COVID-19 hospitalisations with the greatest effect in populations with lower vaccination coverage. There was greater benefit associated with a booster vaccination strategy compared to targeting the unvaccinated population, once >50% of the population had received their primary vaccination course. The population benefits of vaccination (reduced hospitalisations, long-COVID and deaths) outweighed the risks of myocarditis/pericarditis by an order of magnitude. Vaccination is important in ending the COVID-19 pandemic sooner, and the reduction in hospitalisations, death and long-COVID associated with vaccination significantly outweigh any risks. Despite these obvious benefits some people are vaccine reluctant, and as such remain unvaccinated. However, when most of a population have been vaccinated, a focus on a booster vaccine strategy for this group is likely to offer greater value, than targeting the proportion of the population who choose to remain unvaccinated.

Indexed as

boostersCOVID-19modellingpopulation risk

Identifiers

PMID35214599
PMCPMC8880242
OpenAlexW4205562205

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.