Evidence map›Paper›PMID 35365648›Full record

ArticleNature communications2022

High failure rate of ChAdOx1-nCoV19 immunization against asymptomatic infection in healthcare workers during a Delta variant surge.

Rajat Ujjainiya, Akansha Tyagi, Viren Sardana, Salwa Naushin, Nitin Bhatheja, Kartik Kumar, Joydeb Barman, Satyartha Prakash, Rintu Kutum, Akash Kumar Bhaskar and 29 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

39 authors at 5 institutions in 1 country.

Rajat Ujjainiya *CSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Akansha Tyagi *Department of Clinical Research, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Viren Sardana *CSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Salwa NaushinCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Nitin BhathejaCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Kartik KumarCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Joydeb BarmanCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Satyartha PrakashCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Rintu KutumCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.ORCID 0000-0001-8667-6199
Akash Kumar BhaskarCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Prateek SinghCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Kumardeep ChaudharyCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Menka LoombaDepartment of Clinical Research, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Yukti KhannaDepartment of Clinical Research, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Chestha WalechaDepartment of Clinical Research, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Rizwan AhmedDepartment of Clinical Research, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Ashutosh YadavInstitute of Endocrinology, Diabetes, and Metabolism, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Archana BajajMax Hospital Shalimar Bagh, New Delhi, 110088, India.
Gaurav MalikMax Hospital Shalimar Bagh, New Delhi, 110088, India.
Sahar QureshiMax Smart Super Speciality Hospital, New Delhi, 110017, India.
Swati WaghdhareInstitute of Endocrinology, Diabetes, and Metabolism, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Samreen SiddiquiInstitute of Endocrinology, Diabetes, and Metabolism, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Kamal Krishan TrehanMax Hospital Shalimar Bagh, New Delhi, 110088, India.
Manju ManiMax Smart Super Speciality Hospital, New Delhi, 110017, India.
Rajiv DangMax Hospital, Gurgaon, Haryana, 122001, India.
Poonam DasInstitute of Laboratory Medicine & Transfusion Services, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Pankaj DougallMax Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India.
Monica MahajanMax Hospital Panchsheel, New Delhi, 110017, India.
Sudipta SonarTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.
Kamini JakharTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.
Reema KumarTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.
Mahima TiwariTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.ORCID 0000-0003-3707-6992
Shailendra ManiTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.ORCID 0000-0001-8541-8315
Sankar BhattacharyyaTranslational Health Science and Technology Institute, Faridabad, Haryana, 121001, India.
Sandeep BudhirajaDepartment of Internal Medicine, Max Super Speciality Hospital, Saket, New Delhi, 110017, India.
Anurag AgrawalCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India.
Debasis DashCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India. ddash@igib.res.in.ORCID 0000-0002-5647-3785
Sujeet JhaInstitute of Endocrinology, Diabetes, and Metabolism, Max Super Speciality Hospital, Saket, New Delhi (A Unit of Devki Devi Foundation), New Delhi, 110017, India. sujeet.jha@maxhealthcare.com.ORCID 0000-0002-1283-4606
Shantanu SenguptaCSIR-Institute of Genomics and Integrative Biology, New Delhi, 110007, India. shantanus@igib.res.in.ORCID 0000-0001-8461-0735
Max Super Speciality Hospital · INInstitute of Genomics and Integrative Biology · INTranslational Health Science and Technology Institute · INMax Healthcare · INIndraprastha Institute of Information Technology Delhi · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunization is expected to confer protection against infection and severe disease for vaccines while reducing risks to unimmunized populations by inhibiting transmission. Here, based on serial serological studies of an observational cohort of healthcare workers, we show that during a Severe Acute Respiratory Syndrome -Coronavirus 2 Delta-variant outbreak in Delhi, 25.3% (95% Confidence Interval 16.9-35.2) of previously uninfected, ChAdOx1-nCoV19 double vaccinated, healthcare workers were infected within less than two months, based on serology. Induction of anti-spike response was similar between groups with breakthrough infection (541 U/ml, Inter Quartile Range 374) and without (342 U/ml, Inter Quartile Range 497), as was the induction of neutralization activity to wildtype. This was not vaccine failure since vaccine effectiveness estimate based on infection rates in an unvaccinated cohort were about 70% and most infections were asymptomatic. We find that while ChAdOx1-nCoV19 vaccination remains effective in preventing severe infections, it is unlikely to be completely able to block transmission and provide herd immunity.

Indexed as

Asymptomatic InfectionsCOVID-19Health PersonnelHumansImmunizationSARS-CoV-2Vaccination

Identifiers

PMID35365648
PMCPMC8975928
OpenAlexW4220954431

What OpenQuestion holds

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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.