Evidence map›Paper›PMID 35534723›Full record

ArticleNature immunology2022

Superior immunogenicity and effectiveness of the third compared to the second BNT162b2 vaccine dose.

Yaniv Lustig, Tal Gonen, Lilac Meltzer, Mayan Gilboa, Victoria Indenbaum, Carmit Cohen, Sharon Amit, Hanaa Jaber, Ram Doolman, Keren Asraf and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing 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

68 citing papers in PubMed.

  1. Trial
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  4. Construction of a localized immune nicheActa pharmaceutica Sinica. B · 2026
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  6. Review
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  10. Mechanistic models of humoral kinetics following COVID-19 vaccination.Journal of the Royal Society, Interface · 2025
    Article
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  12. Article
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  20. Article

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

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

16 authors.

Yaniv Lustig *Central Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel HaShomer, Israel.
Tal Gonen *Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Lilac MeltzerSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Mayan GilboaSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Victoria IndenbaumCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel HaShomer, Israel.
Carmit CohenThe Infection Prevention & Control Unit, Sheba Medical Center, Tel HaShomer, Israel.
Sharon AmitClinical Microbiology, Sheba Medical Center, Tel HaShomer, Israel.
Hanaa JaberThe Infection Prevention & Control Unit, Sheba Medical Center, Tel HaShomer, Israel.
Ram DoolmanAutomated Mega-Laboratory, Laboratory division, Sheba Medical Center, Tel HaShomer, Israel.
Keren AsrafAutomated Mega-Laboratory, Laboratory division, Sheba Medical Center, Tel HaShomer, Israel.
Carmit RubinThe Infection Prevention & Control Unit, Sheba Medical Center, Tel HaShomer, Israel.
Ronen FlussBiostatistics and Biomathematics Unit, Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Tel HaShomer, Israel.
Ella MendelsonCentral Virology Laboratory, Public Health Services, Ministry of Health, Sheba Medical Center, Tel HaShomer, Israel.
Laurence FreedmanBiostatistics and Biomathematics Unit, Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Tel HaShomer, Israel.ORCID http://orcid.org/0000-0002-6767-7900
Gili Regev-YochaySackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel. gili.regev@sheba.health.gov.il.ORCID http://orcid.org/0000-0001-7163-4607
Yitshak KreissSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the effectiveness of a two-dose messenger RNA (mRNA) severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine regimen decreases with time, a third dose has been recommended. Here, we assessed immunogenicity, vaccine effectiveness and safety of the third BNT162b2 vaccine dose in a prospective cohort study of 12,413 healthcare workers (HCWs). Anti-RBD immunoglobulin G (IgG) levels were increased 1.7-fold after a third dose compared with following the second dose. Increased avidity from 61.1% (95% confidence interval (CI), 56.1-66.7) to 96.3% (95% CI, 94.2-98.5) resulted in a 6.1-fold increase in neutralization titer. Peri-infection humoral markers of 13 third-dose Delta variant of concern (VOC) breakthrough cases were lower compared with 52 matched controls. Vaccine effectiveness of the third dose relative to two doses was 85.6% (95% CI, 79.2-90.1). No serious adverse effects were reported. These results suggest that the third dose is superior to the second dose in both quantity and quality of IgG antibodies and safely boosts protection from infection.

Indexed as

COVID-19VaccinesAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesHumansImmunogenicity, VaccineImmunoglobulin GProspective StudiesSARS-CoV-2Antibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin GVaccines

Identifiers

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.