Evidence map›Paper›PMID 39343986›Full record

ArticleInfluenza and other respiratory viruses2024

BNT162b2 Versus mRNA-1273 Vaccines: Comparative Analysis of Long-Term Protection Against SARS-CoV-2 Infection and Severe COVID-19 in Qatar.

Hiam Chemaitelly, Houssein H Ayoub, Peter Coyle, Patrick Tang, Mohammad R Hasan, Hadi M Yassine, Asmaa A Al Thani, Zaina Al-Kanaani, Einas Al-Kuwari, Andrew Jeremijenko and 12 more

Abstract readComparative Study
In one paragraph

Article in Influenza and other respiratory viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

22 authors.

Hiam ChemaitellyInfectious Disease Epidemiology Group, Weill Cornell Medicine-Qatar, Cornell University, Doha, Qatar.ORCID 0000-0002-8756-6968
Houssein H AyoubMathematics Program, Department of Mathematics and Statistics, College of Arts and Sciences, Qatar University, Doha, Qatar.ORCID 0000-0003-2512-6657
Peter CoyleDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Patrick TangDepartment of Pathology, Sidra Medicine, Doha, Qatar.
Mohammad R HasanDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada.ORCID 0000-0002-4658-7949
Hadi M YassineDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Asmaa A Al ThaniDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Zaina Al-KanaaniHamad Medical Corporation, Doha, Qatar.
Einas Al-KuwariHamad Medical Corporation, Doha, Qatar.
Andrew JeremijenkoHamad Medical Corporation, Doha, Qatar.
Anvar Hassan KaleeckalHamad Medical Corporation, Doha, Qatar.
Ali Nizar LatifHamad Medical Corporation, Doha, Qatar.
Riyazuddin Mohammad ShaikHamad Medical Corporation, Doha, Qatar.
Hanan F Abdul-RahimDepartment of Public Health, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.
Gheyath K NasrallahDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0001-9252-1038
Mohamed Ghaith Al-KuwariPrimary Health Care Corporation, Doha, Qatar.
Adeel A ButtDepartment of Population Health Sciences, Weill Cornell Medicine, Cornell University, New York, New York, USA.
Hamad Eid Al-RomaihiMinistry of Public Health, Doha, Qatar.
Mohamed H Al-ThaniMinistry of Public Health, Doha, Qatar.
Abdullatif Al-KhalHamad Medical Corporation, Doha, Qatar.
Roberto BertolliniMinistry of Public Health, Doha, Qatar.
Laith J Abu-RaddadInfectious Disease Epidemiology Group, Weill Cornell Medicine-Qatar, Cornell University, Doha, Qatar.ORCID 0000-0003-0790-0506

Funding

Hamad Medical CorporationMinistry of Public HealthQatar Genome ProgrammeQatar UniversitySidra MedicineWeill Cornell Medicine-Qatar
6 · The paper itself

Abstract

backgroundThis study provides a head-to-head comparison of the protection provided by the BNT162b2 and mRNA-1273 vaccines against SARS-CoV-2 infection and against severe COVID-19, covering primary series and third dose/booster vaccinations over up to 3 years of follow-up, both before and after the emergence of the omicron variant.

methodsTwo national, matched, retrospective cohort studies were conducted on Qatar's vaccinated population from December 16, 2020, to February 18, 2024. Subgroup analyses by pre-vaccination SARS-CoV-2 infection history, as well as sensitivity analyses, were also conducted.

resultsThe adjusted hazard ratio (AHR) comparing infection incidence in those vaccinated with BNT162b2 versus mRNA-1273 was 1.03 (95% CI: 1.02-1.05) after the primary series and 1.11 (95% CI: 1.09-1.13) after the third (booster) dose. The corresponding AHRs for any severe, critical, or fatal COVID-19 were 1.31 (95% CI: 0.81-2.11) and 1.00 (95% CI: 0.20-4.94), respectively. Subgroup analyses by prior infection status hinted at a dose-dependent immune imprinting effect, where a combination of two types of immunity, pre-omicron and omicron, offered greater protection against infection than one type alone, with this effect being amplified by the higher antigen dose of mRNA-1273 compared to BNT162b2. Sensitivity analyses confirmed the study findings.

conclusionsBNT162b2 provided slightly less protection against infection than mRNA-1273 following both primary series and booster vaccinations while offering comparable protection against severe COVID-19 outcomes. The findings suggested that the vaccine antigen dose in interaction with infection history may determine the extent of immune protection against infection.

Indexed as

2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19COVID-19 VaccinesSARS-CoV-2AdolescentAdultAgedFemaleHumansImmunization, SecondaryMaleMiddle AgedQatarRetrospective StudiesVaccination2019-nCoV Vaccine mRNA-1273BNT162 VaccineCOVID-19 Vaccinescohort studyCOVID‐19epidemiologyimmune imprintingimmunityvaccine

Identifiers

PMID39343986
PMCPMC11439586

What OpenQuestion holds

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Registered trials

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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.