Evidence map›Paper›PMID 35438137›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Effectiveness of Messenger RNA Coronavirus Disease 2019 Vaccines Against Symptomatic Severe Acute Respiratory Syndrome Coronavirus 2 Infections During the Delta Variant Epidemic in Japan: Vaccine Effectiveness Real-time Surveillance for SARS-CoV-2 (VERSUS).

Haruka Maeda, Nobuo Saito, Ataru Igarashi, Masayuki Ishida, Kazuya Suami, Ai Yagiuchi, Yuya Kimura, Masaru Komino, Hiromi Arai, Toru Morikawa and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

22 authors.

Haruka MaedaDepartment of Respiratory Infections, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.ORCID 0000-0002-0014-2602
Nobuo SaitoDepartment of Microbiology, Faculty of Medicine, Oita University, Oita, Japan.
Ataru IgarashiUnit of Public Health and Preventive Medicine, Yokohama City University School of Medicine, Kanagawa, Japan.
Masayuki IshidaChikamori Hospital, Kochi, Japan.
Kazuya SuamiNagoya Ekisaikai Hospital, Aichi, Japan.
Ai YagiuchiNagoya Ekisaikai Hospital, Aichi, Japan.
Yuya KimuraSaiseikai Kurihashi Hospital, Saitama, Japan.
Masaru KominoSaiseikai Kurihashi Hospital, Saitama, Japan.
Hiromi AraiSaiseikai Kurihashi Hospital, Saitama, Japan.
Toru MorikawaNara City Hospital, Nara, Japan.
Iori MotohashiKawasaki Municipal Tama Hospital, Kanagawa, Japan.
Rei MiyazawaKawasaki Municipal Tama Hospital, Kanagawa, Japan.
Tetsu MoriyamaMoriyama Memorial Hospital, Tokyo, Japan.
Hiroshi KamuraLoco Clinic Nakameguro, Tokyo, Japan.
Mayumi TeradaNijigaoka Hospital, Nagasaki, Japan.
Osamu KuwamitsuGohongi Clinic, Tokyo, Japan.
Tomoichiro HayakawaHayakawa Internal Medicine Clinic, Fukuoka, Japan.
Eiichiro SandoKita-Fukushima Medical Center, Fukushima, Japan.
Yasuji OharaTakagi Hospital, Aichi, Japan.
Osamu TeshigaharaMizuho Street Clinic, Aichi, Japan.
Motoi SuzukiInfectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan.
Konosuke MorimotoDepartment of Respiratory Infections, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough high vaccine effectiveness of messenger RNA (mRNA) coronavirus disease 2019 (COVID-19) vaccines has been reported in studies in several countries, data are limited from Asian countries, especially against the Delta (B.1.617.2) variant.

methodsWe conducted a multicenter test-negative case-control study in patients aged ≥16 years visiting hospitals or clinics with signs or symptoms consistent with COVID-19 from 1 July to 30 September 2021, when the Delta variant was dominant (≥90% of SARS-CoV-2 infections) nationwide in Japan. Vaccine effectiveness of BNT162b2 or mRNA-1273 against symptomatic SARS-CoV-2 infections was evaluated. Waning immunity among patients aged 16-64 years was also assessed.

resultsWe enrolled 1936 patients, including 396 test-positive cases and 1540 test-negative controls for SARS-CoV-2. The median age was 49 years, 53.4% were male, and 34.0% had underlying medical conditions. Full vaccination (receiving 2 doses ≥14 days before symptom onset) was received by 6.6% of cases and 38.8% of controls. Vaccine effectiveness of full vaccination against symptomatic SARS-CoV-2 infections was 88.7% (95% confidence interval [CI], 78.8%-93.9%) among patients aged 16-64 years and 90.3% (95% CI, 73.6%-96.4%) among patients aged ≥65 years. Among patients aged 16-64 years, vaccine effectiveness was 91.8% (95% CI, 80.3%-96.6%) within 1-3 months after full vaccination, and 86.4% (95% CI, 56.9%-95.7%) within 4-6 months.

conclusionsmRNA COVID-19 vaccines had high effectiveness against symptomatic SARS-CoV-2 infections in Japan during July-September 2021, when the Delta variant was dominant nationwide.

Indexed as

COVID-19COVID-19 VaccinesBNT162 VaccineCase-Control StudiesFemaleHumansJapanMaleMiddle AgedRNA, MessengerSARS-CoV-2Vaccine EfficacyBNT162 VaccineCOVID-19 VaccinesRNA, MessengerCOVID-19DeltaJapanSARS-CoV-2vaccine effectiveness

Identifiers

PMID35438137
PMCPMC9047210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.