Evidence map›Paper›PMID 37246146›Full record

ArticleInfluenza and other respiratory viruses2023

Prior SARS-CoV-2 infection and COVID-19 vaccine effectiveness against outpatient illness during widespread circulation of SARS-CoV-2 Omicron variant, US Flu VE network.

Sara Y Tartof, Fagen Xie, Ruchi Yadav, Karen J Wernli, Emily T Martin, Edward A Belongia, Manjusha Gaglani, Richard K Zimmerman, H Keipp Talbot, Natalie Thornburg and 2 more

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Article
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  4. Improved Methods for Vaccine Effectiveness Studies.The Journal of infectious diseases · 2025
    Article
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  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Sara Y TartofDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Fagen XieDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Ruchi YadavCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Karen J WernliKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Emily T MartinUniversity of Michigan School of Public Health, Ann Arbor, Michigan, USA.ORCID 0000-0002-5771-8895
Edward A BelongiaMarshfield Clinic Research Institute, Marshfield, Wisconsin, USA.ORCID 0000-0001-7478-0415
Manjusha GaglaniBaylor Scott & White Health, Temple, Texas, USA.
Richard K ZimmermanUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennessee, USA.
Natalie ThornburgCenters for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-3523-3616
Brendan FlanneryCenters for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-5041-308X
US Flu VE Network Investigators

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
NCATS NIH HHS 5UL1TR002243-03NCATS NIH HHS UL1 TR001857NCATS NIH HHS UL1 TR002243NCIRD CDC HHS 75D30121C11513NCIRD CDC HHS 75D30121C11519NCIRD CDC HHS 75D30121C11529NCIRD CDC HHS 75D30121C11909NCIRD CDC HHS 75D30121C12246NCIRD CDC HHS 75D30121C12279NCIRD CDC HHS 75D30121C12339NIH HHS UL1TR001857
6 · The paper itself

Abstract

backgroundWe estimated combined protection conferred by prior SARS-CoV-2 infection and COVID-19 vaccination against COVID-19-associated acute respiratory illness (ARI).

methodsDuring SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) variant circulation between October 2021 and April 2022, prospectively enrolled adult patients with outpatient ARI had respiratory and filter paper blood specimens collected for SARS-CoV-2 molecular testing and serology. Dried blood spots were tested for immunoglobulin-G antibodies against SARS-CoV-2 nucleocapsid (NP) and spike protein receptor binding domain antigen using a validated multiplex bead assay. Evidence of prior SARS-CoV-2 infection also included documented or self-reported laboratory-confirmed COVID-19. We used documented COVID-19 vaccination status to estimate vaccine effectiveness (VE) by multivariable logistic regression by prior infection status.

resultsFour hundred fifty-five (29%) of 1577 participants tested positive for SARS-CoV-2 infection at enrollment; 209 (46%) case-patients and 637 (57%) test-negative patients were NP seropositive, had documented previous laboratory-confirmed COVID-19, or self-reported prior infection. Among previously uninfected patients, three-dose VE was 97% (95% confidence interval [CI], 60%-99%) against Delta, but not statistically significant against Omicron. Among previously infected patients, three-dose VE was 57% (CI, 20%-76%) against Omicron; VE against Delta could not be estimated.

conclusionsThree mRNA COVID-19 vaccine doses provided additional protection against SARS-CoV-2 Omicron variant-associated illness among previously infected participants.

Indexed as

COVID-19Influenza VaccinesAdultCOVID-19 VaccinesHumansOutpatientsSARS-CoV-2Vaccine EfficacyCOVID-19 VaccinesInfluenza VaccinesCOVID-19hybrid immunityvaccine effectiveness

Identifiers

PMID37246146
PMCPMC10209645

What OpenQuestion holds

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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.