Evidence map›Paper›PMID 39774936›Full record

ArticleThe Journal of infectious diseases2025

Effectiveness of mRNA COVID-19 Vaccines and Hybrid Immunity in Preventing SARS-CoV-2 Infection and Symptomatic COVID-19 Among Adults in the United States.

Leora R Feldstein, Jasmine Ruffin, Ryan E Wiegand, Craig B Borkowf, Jade James-Gist, Tara M Babu, Melissa Briggs-Hagen, James Chappell, Helen Y Chu, Janet A Englund and 19 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  5. Observational
  6. Review
  7. Review
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

29 authors.

Leora R FeldsteinCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-4430-6760
Jasmine RuffinCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-9090-2937
Ryan E WiegandCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-9486-1850
Craig B BorkowfCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jade James-GistCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Tara M BabuDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
Melissa Briggs-HagenCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-7359-9665
James ChappellVanderbilt University Medical Center, Nashville, Tennessee.
Helen Y ChuDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0001-8502-9600
Janet A EnglundDepartment of Pediatrics, University of Washington, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-1134-4178
Jennifer L KuntzKaiser Permanente Center for Health Research, Portland, Oregon.ORCID 0000-0002-0017-6853
Adam S LauringDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-2906-8335
Natalie LoDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
Marco CaroneDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
Christina LockwoodDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
Emily T MartinDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Claire M MidgleyCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-5196-4713
Arnold S MontoDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Allison L NalewayKaiser Permanente Center for Health Research, Portland, Oregon.
Tara OgilvieDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
Sharon SaydahCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-6350-5300
Mark A SchmidtKaiser Permanente Center for Health Research, Portland, Oregon.
Jonathan E SchmitzVanderbilt University Medical Center, Nashville, Tennessee.
Ning SmithKaiser Permanente Center for Health Research, Portland, Oregon.
Ine SohnVanderbilt University Medical Center, Nashville, Tennessee.ORCID 0009-0001-0702-1416
Lea StaritaDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-0141-1760
Ana A WeilDivision of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington.ORCID 0000-0002-6170-4306
Carlos G GrijalvaVanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-2329-7797

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
NIAID Centers of Excellence for Influenza Research and Response: Universal Influenza Vaccine Research Activities75N93021C00015 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HENSLEY, SCOTT · 2021 to 2025
$50.7M
CDC HHS 75D30121C12297Clinical Translational Science Award Program 5UL1TR002243-03HHS 75N93021C00015Kaiser Foundation Hospitals 75D30122C13149National Institute of Allergy and Infectious DiseasesNCATS NIH HHS UL1 TR002243NCIRD CDC HHSNIAID NIH HHS 75N93021C00015NIH HHSUniversity of Michigan 75D30122C13379Vanderbilt Institute for Clinical and Translational ResearchVanderbilt University
6 · The paper itself

Abstract

backgroundUnderstanding protection against SARS-CoV-2 infection by vaccine and hybrid immunity is important for informing public health strategies as new variants emerge.

methodsWe analyzed data from 3 cohort studies spanning 1 September 2022 to 31 July 2023 to estimate COVID-19 vaccine effectiveness (VE) against SARS-CoV-2 infection and symptomatic COVID-19 among adults with and without prior infection in the United States. Participants collected weekly nasal swabs irrespective of symptoms, participated in annual blood draws, and completed periodic surveys, which included vaccination status and infection history. Swabs were tested molecularly for SARS-CoV-2. VE was estimated by Cox proportional hazards models for the hazard ratios of infections, adjusting for covariates. VE was calculated considering prior infection and recency of vaccination.

resultsAmong 3344 adults, the adjusted VE of a bivalent vaccine against infection was 37.2% (95% CI, 12.3%-55.7%) within 7 to 59 days of vaccination and 21.1% (95% CI, -0.5% to 37.1%) within 60 to 179 days of vaccination when compared with participants who were unvaccinated or had received an original monovalent vaccine dose ≥180 days prior. Overall, the adjusted VE of a bivalent vaccine against infection, in conjunction with prior infection, was 62.2% (95% CI, 46.0%-74.5%) within 7 to 179 days of vaccination and 39.4% (95% CI, 12.5%-61.6%) at ≥180 days when compared with naive participants who were unvaccinated or had received a monovalent vaccine dose ≥180 days prior.

conclusionsAdults with prior infection and recent vaccination had high protection against infection and symptomatic illness. Recent vaccination alone provided moderate protection.

Indexed as

COVID-19COVID-19 VaccinesSARS-CoV-2Vaccine EfficacyAdolescentAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedUnited StatesVaccinationYoung AdultCOVID-19 Vaccinescohort studyCOVID-19hybrid immunityprior infectionvaccine effectiveness

Identifiers

PMID39774936
PMCPMC11998566

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.