Evidence map›Paper›PMID 36854660›Full record

ArticleNature communications2023

Maternal SARS-CoV-2 vaccination and infant protection against SARS-CoV-2 during the first six months of life.

Ousseny Zerbo, G Thomas Ray, Bruce Fireman, Evan Layefsky, Kristin Goddard, Edwin Lewis, Pat Ross, Saad Omer, Mara Greenberg, Nicola P Klein

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

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

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Association Between COVID-19 Vaccination During Pregnancy and Safety Among Infants.Journal of the Pediatric Infectious Diseases Society · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Vaccination in pregnancy to protect the newborn.Nature reviews. Immunology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The Effectiveness and Influence of COVID-19 Vaccination on Perinatal Individuals and Their Newborns: An Updated Meta-Analysis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neonatal SARS-CoV-2 immunoglobulin G antibodies at delivery and their impact on COVID-19.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ousseny ZerboKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA. Ousseny.x.zerbo@kp.org.ORCID 0000-0002-8380-6215
G Thomas RayKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Bruce FiremanKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Evan LayefskyKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Kristin GoddardKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Edwin LewisKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Pat RossKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.
Saad OmerYale University, Institute for Global Health, New Haven, CT, USA.ORCID 0000-0002-5383-3474
Mara GreenbergObstetrics and Gynecology, Kaiser Permanente Northern California Oakland, Oakland, CA, USA.
Nicola P KleinKaiser Permanente Northern California, Vaccine Study Center, Oakland, CA, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
COVID-19 Vaccine Effectiveness in Pregnant Women and their InfantsR01AI168373 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ousseny Zerbo · 2022 to 2026
$2.7M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI168373
6 · The paper itself

Abstract

We examined the effectiveness of maternal vaccination against SARS-CoV-2 infection in 30,311 infants born at Kaiser Permanente Northern California from December 15, 2020, to May 31, 2022. Using Cox regression, the effectiveness of ≥2 doses of COVID-19 vaccine received during pregnancy was 84% (95% confidence interval [CI]: 66, 93), 62% (CI: 39, 77) and 56% (CI: 34,71) during months 0-2, 0-4 and 0- 6 of a child's life, respectively, in the Delta variant period. In the Omicron variant period, the effectiveness of maternal vaccination in these three age intervals was 21% (CI: -21,48), 14% (CI: -9,32) and 13% (CI: -3,26), respectively. Over the entire study period, the incidence of hospitalization for COVID-19 was lower during the first 6 months of life among infants of vaccinated mothers compared with infants of unvaccinated mothers (21/100,000 person-years vs. 100/100,000 person-years). Maternal vaccination was protective, but protection was lower during Omicron than during Delta. Protection during both periods decreased as infants aged.

Indexed as

COVID-19Pregnancy Complications, InfectiousChildCOVID-19 VaccinesFemaleHumansInfantMothersPregnancySARS-CoV-2VaccinationCOVID-19 Vaccines

Identifiers

PMID36854660
PMCPMC9974935

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.