Effectiveness of mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections during the SARS-CoV-2 Omicron BA.1 and BA.2 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS)

Evaluating COVID-19 vaccine effectiveness (VE) domestically is crucial for assessing and determining national vaccination policy. This study aimed to evaluate VE of mRNA COVID-19 vaccines in Japan. We conducted a multicenter test-negative case-control study. The study comprised individuals aged ≥16...

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Veröffentlicht in:Expert review of vaccines 2023-12, Vol.22 (1), p.288-298
Hauptverfasser: Maeda, Haruka, Saito, Nobuo, Igarashi, Ataru, Ishida, Masayuki, Terada, Mayumi, Ito, Takayasu, Ikeda, Hideko, Kamura, Hiroshi, Motohashi, Iori, Kimura, Yuya, Komino, Masaru, Arai, Hiromi, Kuwamitsu, Osamu, Akuzawa, Nobuhiro, Sando, Eiichiro, Morikawa, Toru, Imura, Haruki, Inoue, Hiroki, Hayakawa, Tomoichiro, Teshigahara, Osamu, Ohara, Yasuji, Suzuki, Motoi, Morimoto, Konosuke
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container_issue 1
container_start_page 288
container_title Expert review of vaccines
container_volume 22
creator Maeda, Haruka
Saito, Nobuo
Igarashi, Ataru
Ishida, Masayuki
Terada, Mayumi
Ito, Takayasu
Ikeda, Hideko
Kamura, Hiroshi
Motohashi, Iori
Kimura, Yuya
Komino, Masaru
Arai, Hiromi
Kuwamitsu, Osamu
Akuzawa, Nobuhiro
Sando, Eiichiro
Morikawa, Toru
Imura, Haruki
Inoue, Hiroki
Hayakawa, Tomoichiro
Teshigahara, Osamu
Ohara, Yasuji
Suzuki, Motoi
Morimoto, Konosuke
description Evaluating COVID-19 vaccine effectiveness (VE) domestically is crucial for assessing and determining national vaccination policy. This study aimed to evaluate VE of mRNA COVID-19 vaccines in Japan. We conducted a multicenter test-negative case-control study. The study comprised individuals aged ≥16 visiting medical facilities with COVID-19-related signs or symptoms from 1 January to 26 June 2022, when Omicron BA.1 and BA.2 were dominant nationwide. We evaluated VE of primary and booster vaccination against symptomatic SARS-CoV-2 infections and relative VE of booster compared with primary. We enrolled 7,931 episodes, including 3,055 test positive. The median age was 39, 48.0% were male, and 20.5% had underlying medical conditions. In individuals aged 16 to 64, VE of primary vaccination within 90 days was 35.6% (95% CI, 19.0-48.8%). After booster, VE increased to 68.7% (60.6-75.1%). In individuals aged ≥65, VE of primary and booster was 31.2% (−44.0-67.1%) and 76.5% (46.7-89.7%), respectively. Relative VE of booster compared with primary vaccination was 52.9% (41.0-62.5%) in individuals aged 16 to 64 and 65.9% (35.7-81.9%) in individuals aged ≥65. During BA.1 and BA.2 epidemic in Japan, mRNA COVID-19 primary vaccination provided modest protection. Booster vaccination was necessary to protect against symptomatic infections.
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subjects BA.1
BA.2
Case-Control Studies
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 Vaccines
COVID19
Female
Humans
Japan
Japan - epidemiology
Male
omicron
RNA, Messenger
SARS-CoV-2 - genetics
SARSCoV2
vaccine effectiveness
Vaccine Efficacy
title Effectiveness of mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections during the SARS-CoV-2 Omicron BA.1 and BA.2 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS)
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