Evidence map›Paper›PMID 42313401›Full record

ArticleJournal of medical virology2026

Booster mRNA Vaccination Prevents Breakthrough Severe COVID-19 Infections.

Harika Öykü Dinç, Hayriye Kirkoyun Uysal, Günay Can, Beyhan Budak, Ferhat Osman Daşdemir, Elif Keskin, Okan Aydoğan, İlker İnanç Balkan, Rıdvan Karaali, Suat Saribaş and 3 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Harika Öykü DinçDepartment of Medical Microbiology, Faculty of Medicine, Üsküdar University, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-3628-7392
Hayriye Kirkoyun UysalDepartment of Medical Microbiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-2476-3796
Günay CanDepartment of Public Health, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-5815-6700
Beyhan BudakDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-3790-6474
Ferhat Osman DaşdemirDepartment of Medical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-3836-1680
Elif KeskinDepartment of Medical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-8264-0703
Okan AydoğanDepartment of Medical Microbiology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-7275-8724
İlker İnanç BalkanDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-8977-5931
Rıdvan KaraaliDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-2440-7529
Suat SaribaşDepartment of Medical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-4549-3887
Sevgi ErginDepartment of Medical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-2039-3078
Neşe SaltoğluDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-4239-9585
Bekir KocazeybekDepartment of Medical Microbiology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-1072-3846

Funding

IUC Scientific Research Projects Unit 36991
6 · The paper itself

Abstract

This study aimed to assess the humoral immune response following administration of a BNT162b2 mRNA COVID-19 booster dose and to evaluate its association with the development of SARS-CoV-2 infection after vaccination. Between July 2021 and February 2022, serum samples were collected from 313 individuals 28 days after receiving a COVID-19 booster dose. Quantitative SARS-CoV-2 IgG antibodies directed against the receptor-binding domain (RBD) of the spike protein were measured using a chemiluminescent microparticle immunoassay. Neutralizing antibody activity, defined as inhibition of the RBD-ACE2 interaction, was evaluated semi-quantitatively by a competitive ELISA. Participants were followed for 6 months after the final dose to identify confirmed SARS-CoV-2 infections. The cohort included 97 males (31%) and 216 females (69%), with a mean age of 39.43 years. The median SARS-CoV-2 IgG antibody level at day 28 was 7713.3 AU/mL, and the median neutralizing antibody inhibition rate was 99.2%. Antibody levels were not significantly associated with age or comorbidities. Booster vaccination induced a strong humoral immune response in all participants. However, the occurrence of post-vaccination infections despite high antibody levels suggests immune escape by emerging variants. While vaccines may not fully prevent infection, they provide substantial protection against severe disease and mortality.

Indexed as

BNT162 VaccineCOVID-19COVID-19 VaccinesImmunization, SecondarySARS-CoV-2AdultAgedAntibodies, NeutralizingAntibodies, ViralBreakthrough InfectionsFemaleHumansImmunity, HumoralImmunoglobulin GMaleMiddle AgedAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineCOVID-19 VaccinesImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Vaccines, SyntheticantibodyBNT162b2COVID‐19ELISASARS‐CoV‐2

Identifiers

PMID42313401
PMCPMC13277776

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.