Evidence map›Paper›PMID 40017392›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2025

COVID-19 vaccine effectiveness in the paediatric population aged 5-17 years: a multicentre cohort study using electronic health registries in six European countries, 2021 to 2022.

Patrícia Soares, Ausenda Machado, Nathalie Nicolay, Susana Monge, Chiara Sacco, Christian Holm Hansen, Hinta Meijerink, Iván Martínez-Baz, Susanne Schmitz, James Humphreys and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

19 authors.

Patrícia SoaresNational Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal.
Ausenda MachadoNational Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal.
Nathalie NicolayVaccine Preventable Diseases and Immunisation, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Susana MongeCentro de Investigación Biomédica en Red (CIBER) on Infectious Diseases, Madrid, Spain.
Chiara SaccoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Christian Holm HansenDepartment of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark.
Hinta MeijerinkNorwegian Institute of Public Health (NIPH), Oslo, Norway.
Iván Martínez-BazInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Susanne SchmitzMinistry of Health and Social Security, Directorate of Health, Service epidemiology and statistics, Luxembourg, Luxembourg.
James HumphreysEpiconcept, Paris, France.
Massimo FabianiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Aitziber EcheverriaInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Ala'a AlKerwiMinistry of Health and Social Security, Directorate of Health, Service epidemiology and statistics, Luxembourg, Luxembourg.
Anthony NardoneEpiconcept, Paris, France.
Alberto Mateo-UrdialesDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Jesús CastillaInstituto de Salud Pública de Navarra - IdiSNA - CIBERESP, Pamplona, Spain.
Esther KisslingEpiconcept, Paris, France.
Baltazar NunesEpiconcept, Paris, France.
VEBIS-Lot 4 working groupThe members of the VEBIS-Lot 4 working group are listed under Collaborators.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundDuring the first year of the COVID-19 pandemic, vaccination programmes targeted children and adolescents to prevent severe outcomes of SARS-CoV-2 infection.AimTo estimate COVID-19 vaccine effectiveness (VE) against hospitalisation due to COVID-19 in the paediatric population, among those with and without previously documented SARS-CoV-2 infection.MethodsWe established a fixed cohort followed for 12 months in Denmark, Norway, Italy, Luxembourg, Navarre (Spain) and Portugal using routine electronic health registries. The study commenced with paediatric COVID-19 vaccination campaign at each site between June 2021 and January 2022. The outcome was hospitalisation with a laboratory-confirmed SARS-CoV-2 infection or COVID-19 as the main diagnosis. Using Cox proportional hazard models, VE was estimated as 1 minus the confounder-adjusted hazard ratio of COVID-19 hospitalisation between vaccinated and unvaccinated. A random-effects meta-analysis was used to pool VE estimates.ResultsWe included 4,144,667 5-11-year-olds and 3,861,841 12-17-year-olds. In 12-17-year-olds without previous infection, overall VE was 69% (95% CI: 40 to 84). VE declined with time since vaccination from 77% ≤ 3 months to 48% 180-365 days after immunisation. VE was 94% (95% CI: 90 to 96), 56% (95% CI: 3 to 80) and 41% (95% CI: -14 to 69) in the Delta, Omicron BA.1/BA.2 and BA.4/BA.5 periods, respectively. In 12-17-year-olds with previous infection, one dose VE was 80% (95% CI: 18 to 95). VE estimates were similar for 5-11-year-olds but with lower precision.ConclusionVaccines recommended for 5-17-year-olds provided protection against COVID-19 hospitalisation, regardless of a previously documented infection of SARS-CoV-2, with high levels of protection in the first 3 months of the vaccination.

Indexed as

COVID-19COVID-19 VaccinesHospitalizationRegistriesVaccine EfficacyAdolescentChildChild, PreschoolCohort StudiesEuropeFemaleHumansMaleProportional Hazards ModelsSARS-CoV-2VaccinationCOVID-19 VaccinesCOVID-19 vaccineselectronic health recordspaediatricsvaccine effectiveness

Identifiers

PMID40017392
PMCPMC11869364

What OpenQuestion holds

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LicenceCC BY
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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.