Evidence map›Paper›PMID 38250849›Full record

ArticleVaccines2023

Predictors of Breakthrough SARS-CoV-2 Infection after Vaccination.

Sharon Walmsley, Majid Nabipoor, Leif Erik Lovblom, Rizani Ravindran, Karen Colwill, Alison McGeer, Roya Monica Dayam, Dorin Manase, Anne-Claude Gingras, On Behalf Of The STOPCoV Team

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 13 citations in OpenAlex.

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  10. Anti-SARS-CoV-2 Antibody Levels in a Cohort of Health Care Workers Before and After the Omicron Wave in Canada.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
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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

10 authors at 2 institutions in 1 country.

Sharon WalmsleyDivision of Infectious Diseases, Department of Medicine, University Health Network, Toronto, ON M5G1L7, Canada.ORCID 0000-0002-3959-5692
Majid NabipoorBiostatistics Department, University Health Network, Toronto, ON M5G1L7, Canada.
Leif Erik LovblomBiostatistics Department, University Health Network, Toronto, ON M5G1L7, Canada.
Rizani RavindranDivision of Infectious Diseases, Department of Medicine, University Health Network, Toronto, ON M5G1L7, Canada.
Karen ColwillLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, ON M5G1X5, Canada.ORCID 0000-0002-8979-1659
Alison McGeerMount Sinai Hospital, Sinai Health, Toronto, ON M5G1X5, Canada.
Roya Monica DayamLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, ON M5G1X5, Canada.
Dorin ManaseDATA Team, University Health Network, Toronto, ON M5G1L7, Canada.
Anne-Claude GingrasLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, ON M5G1X5, Canada.
On Behalf Of The STOPCoV Team
University Health Network · CAMount Sinai Hospital · CA

Funding

CIHR EG-179431
6 · The paper itself

Abstract

The initial two-dose vaccine series and subsequent booster vaccine doses have been effective in modulating SARS-CoV-2 disease severity and death but do not completely prevent infection. The correlates of infection despite vaccination continue to be under investigation. In this prospective decentralized study (n = 1286) comparing antibody responses in an older- (≥70 years) to a younger-aged cohort (aged 30-50 years), we explored the correlates of breakthrough infection in 983 eligible subjects. Participants self-reported data on initial vaccine series, subsequent booster doses and COVID-19 infections in an online portal and provided self-collected dried blood spots for antibody testing by ELISA. Multivariable survival analysis explored the correlates of breakthrough infection. An association between higher antibody levels and protection from breakthrough infection observed during the Delta and Omicron BA.1/2 waves of infection no longer existed during the Omicron BA.4/5 wave. The older-aged cohort was less likely to have a breakthrough infection at all time-points. Receipt of an original/Omicron vaccine and the presence of hybrid immunity were associated with protection of infection during the later Omicron BA.4/5 and XBB waves. We were unable to determine a threshold antibody to define protection from infection or to guide vaccine booster schedules.

Indexed as

antibodyboosterbreakthroughCOVIDSARS-CoV-2serologyvaccine

Identifiers

PMID38250849
PMCPMC10820583
OpenAlexW4390347976

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.