Evidence map›Paper›PMID 36376507›Full record

ArticlePediatric research2023

Humoral and cellular response to the COVID-19 vaccine in immunocompromised children.

Heather A Morgans, Todd Bradley, Linda Flebbe-Rehwaldt, Rangaraj Selvarangan, Amber Bagherian, Aliessa P Barnes, Julie Bass, Ashley M Cooper, Ryan Fischer, Steve Kleiboeker and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Impact of Respiratory Viral Infections in Transplant Recipients.Journal of the Pediatric Infectious Diseases Society · 2024
    Review
  13. Article
  14. Observational
  15. COVID-19 in immunocompromised children and adolescents.Clinical and experimental pediatrics · 2023
    Article
  16. Review
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

21 authors at 3 institutions in 1 country.

Heather A MorgansChildren's Mercy Kansas City, Kansas City, MO, 64108, USA. hamorgans@cmh.edu.
Todd BradleyChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Linda Flebbe-RehwaldtEurofins Viracor, Lenexa, KS, 66219, USA.
Rangaraj SelvaranganChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Amber BagherianChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Aliessa P BarnesChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Julie BassChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Ashley M CooperChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Ryan FischerChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Steve KleiboekerEurofins Viracor, Lenexa, KS, 66219, USA.
Brian R LeeChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Cas LeMasterChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Kelsey MarkusChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Stephen MorrisonChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Angela MyersChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Doug MyersChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Erin PayneChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Jennifer E SchusterChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Sarah StandleyChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Andrea WieserChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Bradley WaradyChildren's Mercy Kansas City, Kansas City, MO, 64108, USA.
Children's Mercy Hospital · USUniversity of Missouri–Kansas City · USEurofins (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA suboptimal response to the 2-dose COVID-19 vaccine series in the immunocompromised population prompted recommendations for a 3rd primary dose. We aimed to determine the humoral and cellular immune response to the 3rd COVID-19 vaccine in immunocompromised children.

methodsProspective cohort study of immunocompromised participants, 5-21 years old, who received 2 prior doses of an mRNA COVID-19 vaccine. Humoral and CD4/CD8 T-cell responses were measured to SARS-CoV-2 spike antigens prior to receiving the 3rd vaccine dose and 3-4 weeks after the 3rd dose was given.

resultsOf the 37 participants, approximately half were solid organ transplant recipients. The majority (86.5%) had a detectable humoral response after the 2nd and 3rd vaccine doses, with a significant increase in antibody levels after the 3rd dose. Positive T-cell responses increased from being present in 86.5% to 100% of the cohort after the 3rd dose.

conclusionsMost immunocompromised children mount a humoral and cellular immune response to the 2-dose COVID-19 vaccine series, which is significantly augmented after receiving the 3rd vaccine dose. This supports the utility of the 3rd vaccine dose and the rationale for ongoing emphasis for vaccination against COVID-19 in this population. IMPACT: Most immunocompromised children mount a humoral and cellular immune response to the 2-dose COVID-19 vaccine series, which is significantly augmented after receiving the 3rd vaccine dose. This is the first prospective cohort study to analyze both the humoral and T-cell immune response to the 3rd COVID-19 primary vaccine dose in children who are immunocompromised. The results of this study support the utility of the 3rd vaccine dose and the rationale for ongoing emphasis for vaccination against COVID-19 in the immunosuppressed pediatric population.

Indexed as

COVID-19COVID-19 VaccinesAdolescentAdultAntibodies, ViralCD8-Positive T-LymphocytesChildChild, PreschoolHumansImmunity, CellularImmunity, HumoralProspective StudiesSARS-CoV-2VaccinationYoung AdultAntibodies, ViralCOVID-19 Vaccines

Identifiers

PMID36376507
PMCPMC9662120
OpenAlexW4308965817

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.