Evidence map›Paper›PMID 38575149›Full record

ArticleHuman vaccines & immunotherapeutics2024

Effectiveness and durability of mRNA-1273 BA.4/BA.5 bivalent vaccine (mRNA-1273.222) against SARS-CoV-2 BA.4/BA.5 and XBB sublineages.

Bradley K Ackerson, Katia J Bruxvoort, Lei Qian, Lina S Sy, Sijia Qiu, Julia E Tubert, Gina S Lee, Jennifer H Ku, Ana Florea, Yi Luo and 11 more

Open access · goldAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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

21 authors at 2 institutions in 2 countries.

Bradley K AckersonDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.ORCID 0000-0002-0816-7345
Katia J BruxvoortDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Lei QianDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Lina S SyDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Sijia QiuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Julia E TubertDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Gina S LeeDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Jennifer H KuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Ana FloreaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Yi LuoDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Radha BathalaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Julie SternDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Soon K ChoiDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Harpreet S TakharDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Michael AragonesDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Morgan A MarksInfectious Disease, Epidemiology, Moderna Inc, Cambridge, MA, USA.
Evan J AndersonInfectious Disease, Epidemiology, Moderna Inc, Cambridge, MA, USA.
Cindy Ke ZhouInfectious Disease, Epidemiology, Moderna Inc, Cambridge, MA, USA.
Tianyu SunInfectious Disease, Epidemiology, Moderna Inc, Cambridge, MA, USA.
Carla A TalaricoInfectious Disease, Epidemiology, Moderna Inc, Cambridge, MA, USA.
Hung Fu TsengDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.ORCID 0000-0001-6184-6534
Kaiser Permanente · USModerna Therapeutics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging SARS-CoV-2 sublineages continue to cause serious COVID-19 disease, but most individuals have not received any COVID-19 vaccine for >1 year. Assessment of long-term effectiveness of bivalent COVID-19 vaccines against circulating sublineages is important to inform the potential need for vaccination with updated vaccines. In this test-negative study at Kaiser Permanente Southern California, sequencing-confirmed BA.4/BA.5- or XBB-related SARS-CoV-2-positive cases (September 1, 2022 to June 30, 2023), were matched 1:3 to SARS-CoV-2-negative controls. We assessed mRNA-1273 bivalent relative (rVE) and absolute vaccine effectiveness (VE) compared to ≥2 or 0 doses of original monovalent vaccine, respectively. The rVE analysis included 20,966 cases and 62,898 controls. rVE (95%CI) against BA.4/BA.5 at 14-60 days and 121-180 days was 52.7% (46.9-57.8%) and 35.5% (-2.8-59.5%) for infection, and 59.3% (49.7-67.0%) and 33.2% (-28.2-68.0%) for Emergency Department/Urgent Care (ED/UC) encounters. For BA.4/BA.5-related hospitalizations, rVE was 71.3% (44.9-85.1%) and 52.0% (-1.2-77.3%) at 14-60 days and 61-120 days, respectively. rVE against XBB at 14-60 days and 121-180 days was 48.8% (33.4-60.7%) and -3.9% (-18.1-11.3%) for infection, 70.7% (52.4-82.0%) and 15.7% (-6.0-33.2%) for ED/UC encounters, and 87.9% (43.8-97.4%) and 57.1% (17.0-77.8%) for hospitalization. VE and subgroup analyses (age, immunocompromised status, previous SARS-CoV-2 infection) results were similar to rVE analyses. rVE of mRNA-1273 bivalent vaccine against BA.4/BA.5 and XBB infections, ED/UC encounters, and hospitalizations waned over time. Periodic revaccination with vaccines targeting emerging variants may be important in reducing COVID-19 morbidity and mortality.

Indexed as

COVID-19mRNA Vaccines2019-nCoV Vaccine mRNA-1273COVID-19 VaccinesHumansSARS-CoV-2Vaccines, Combined2019-nCoV Vaccine mRNA-1273COVID-19 VaccinesmRNA VaccinesVaccines, CombinedBA.4BA.4/BA.5BA.5BivalentCOVID-19durabilitymRNA-1273omicronvaccine effectivenessXBB

Identifiers

PMID38575149
PMCPMC10996830
OpenAlexW4394753265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.