2021
DOI: 10.1101/2021.09.13.21262519
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Two doses of the mRNA BNT162b2 vaccine reduce severe outcomes, viral load and secondary attack rate: evidence from a SARS-CoV-2 Alpha outbreak in a nursing home in Germany, January-March 2021

Abstract: A SARS-CoV-2 Alpha outbreak was detected in a nursing home after residents and staff had completed vaccination with BNT162b. In a retrospective cohort study, we estimated an age-adjusted vaccine effectiveness of 88% [95% confidence interval (95%CI) 41-98%] against hospitalization/death. Ct values at diagnosis were higher with longer intervals since the second vaccination [>21 vs. ≤21 days: 4.82 cycles, 95%CI: 0.06-9.58]. Secondary attack rates were 67% lower in households of vaccinated [2/9 (22.2%)] than un… Show more

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Cited by 12 publications
(20 citation statements)
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“…For an individual, the goal of vaccination against COVID-19 is to prevent disease, but from a population perspective, there is an additional goal to reduce transmission, which can eliminate the need for complete vaccine coverage. Some studies have observed a reduction in transmission in vaccinated individuals infected with SARS-CoV-2 201 by testing close contacts of cases 10,123,143,149,162,202204 . Others have reported reductions in viral load in the respiratory tract - expected to be a determinant of infectiousness - in vaccinated (versus unvaccinated) cases 19,166,176,205 .…”
Section: Discussionmentioning
confidence: 99%
“…For an individual, the goal of vaccination against COVID-19 is to prevent disease, but from a population perspective, there is an additional goal to reduce transmission, which can eliminate the need for complete vaccine coverage. Some studies have observed a reduction in transmission in vaccinated individuals infected with SARS-CoV-2 201 by testing close contacts of cases 10,123,143,149,162,202204 . Others have reported reductions in viral load in the respiratory tract - expected to be a determinant of infectiousness - in vaccinated (versus unvaccinated) cases 19,166,176,205 .…”
Section: Discussionmentioning
confidence: 99%
“…Data visualization and Spearman's rank correlation analyses were performed in GraphPad Prism software (version 8.3). The reported vaccine efficacy data has been taken from current literature (Table S2) [2,3,5,[14][15][16][17][18]20,[22][23][24][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52].…”
Section: Discussionmentioning
confidence: 99%
“…24 This may accelerate the spread of Omicron in South Africa, highlighting the urgent need of increasing the vaccination coverage in the country. Although the authorized COVID-19 vaccines showed decreased effectiveness against the variant viruses, [25][26][27][28][29][30][31] it has been shown that the vaccines remain effective in preventing severe diseases, hospitalization, and death. [32][33][34] It is also noteworthy that the low antibody level in the infected or the vaccinated against SARS-CoV-2 might promote the evolution and selection of new variants.…”
Section: Improving Covid-19 Vaccine Coveragementioning
confidence: 99%