Vaccine effectiveness against COVID-19 hospitalisation in adults (≥ 20 years) during Omicron-dominant circulation: I-MOVE-COVID-19 and VEBIS SARI VE networks, Europe, 2021 to 2022

IntroductionThe I-MOVE-COVID-19 and VEBIS hospital networks have been measuring COVID-19 vaccine effectiveness (VE) in participating European countries since early 2021.AimWe aimed to measure VE against PCR-confirmed SARS-CoV-2 in patients ≥ 20 years hospitalised with severe acute respiratory infect...

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Veröffentlicht in:Euro surveillance : bulletin européen sur les maladies transmissibles 2023-11, Vol.28 (47), p.1
Hauptverfasser: Rose, Angela Mc, Nicolay, Nathalie, Sandonis Martín, Virginia, Mazagatos, Clara, Petrović, Goranka, Baruch, Joaquin, Denayer, Sarah, Seyler, Lucie, Domegan, Lisa, Launay, Odile, Machado, Ausenda, Burgui, Cristina, Vaikutyte, Roberta, Niessen, F Annabel, Loghin, Isabela I, Husa, Petr, Aouali, Nassera, Panagiotakopoulos, George, Tolksdorf, Kristin, Horváth, Judit Krisztina, Howard, Jennifer, Pozo, Francisco, Gallardo, Virtudes, Nonković, Diana, Džiugytė, Aušra, Bossuyt, Nathalie, Demuyser, Thomas, Duffy, Róisín, Luong Nguyen, Liem Binh, Kislaya, Irina, Martínez-Baz, Iván, Gefenaite, Giedre, Knol, Mirjam J, Popescu, Corneliu, Součková, Lenka, Simon, Marc, Michelaki, Stella, Reiche, Janine, Ferenczi, Annamária, Delgado-Sanz, Concepción, Lovrić Makarić, Zvjezdana, Cauchi, John Paul, Barbezange, Cyril, Van Nedervelde, Els, O'Donnell, Joan, Durier, Christine, Guiomar, Raquel, Castilla, Jesús, Jonikaite, Indrė, Bruijning-Verhagen, Patricia Cjl, Lazar, Mihaela, Demlová, Regina, Wirtz, Gil, Amerali, Marina, Dürrwald, Ralf, Kunstár, Mihály Pál, Kissling, Esther, Bacci, Sabrina, Valenciano, Marta
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container_title Euro surveillance : bulletin européen sur les maladies transmissibles
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creator Rose, Angela Mc
Nicolay, Nathalie
Sandonis Martín, Virginia
Mazagatos, Clara
Petrović, Goranka
Baruch, Joaquin
Denayer, Sarah
Seyler, Lucie
Domegan, Lisa
Launay, Odile
Machado, Ausenda
Burgui, Cristina
Vaikutyte, Roberta
Niessen, F Annabel
Loghin, Isabela I
Husa, Petr
Aouali, Nassera
Panagiotakopoulos, George
Tolksdorf, Kristin
Horváth, Judit Krisztina
Howard, Jennifer
Pozo, Francisco
Gallardo, Virtudes
Nonković, Diana
Džiugytė, Aušra
Bossuyt, Nathalie
Demuyser, Thomas
Duffy, Róisín
Luong Nguyen, Liem Binh
Kislaya, Irina
Martínez-Baz, Iván
Gefenaite, Giedre
Knol, Mirjam J
Popescu, Corneliu
Součková, Lenka
Simon, Marc
Michelaki, Stella
Reiche, Janine
Ferenczi, Annamária
Delgado-Sanz, Concepción
Lovrić Makarić, Zvjezdana
Cauchi, John Paul
Barbezange, Cyril
Van Nedervelde, Els
O'Donnell, Joan
Durier, Christine
Guiomar, Raquel
Castilla, Jesús
Jonikaite, Indrė
Bruijning-Verhagen, Patricia Cjl
Lazar, Mihaela
Demlová, Regina
Wirtz, Gil
Amerali, Marina
Dürrwald, Ralf
Kunstár, Mihály Pál
Kissling, Esther
Bacci, Sabrina
Valenciano, Marta
description IntroductionThe I-MOVE-COVID-19 and VEBIS hospital networks have been measuring COVID-19 vaccine effectiveness (VE) in participating European countries since early 2021.AimWe aimed to measure VE against PCR-confirmed SARS-CoV-2 in patients ≥ 20 years hospitalised with severe acute respiratory infection (SARI) from December 2021 to July 2022 (Omicron-dominant period).MethodsIn both networks, 46 hospitals (13 countries) follow a similar test-negative case-control protocol. We defined complete primary series vaccination (PSV) and first booster dose vaccination as last dose of either vaccine received ≥ 14 days before symptom onset (stratifying first booster into received 
doi_str_mv 10.2807/1560-7917.ES.2023.28.47.2300187
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We defined complete primary series vaccination (PSV) and first booster dose vaccination as last dose of either vaccine received ≥ 14 days before symptom onset (stratifying first booster into received &lt; 150 and ≥ 150 days after last PSV dose). We measured VE overall, by vaccine category/product, age group and time since first mRNA booster dose, adjusting by site as a fixed effect, and by swab date, age, sex, and presence/absence of at least one commonly collected chronic condition.ResultsWe included 2,779 cases and 2,362 controls. The VE of all vaccine products combined against hospitalisation for laboratory-confirmed SARS-CoV-2 was 43% (95% CI: 29-54) for complete PSV (with last dose received ≥ 150 days before onset), while it was 59% (95% CI: 51-66) after addition of one booster dose. The VE was 85% (95% CI: 78-89), 70% (95% CI: 61-77) and 36% (95% CI: 17-51) for those with onset 14-59 days, 60-119 days and 120-179 days after booster vaccination, respectively.ConclusionsOur results suggest that, during the Omicron period, observed VE against SARI hospitalisation improved with first mRNA booster dose, particularly for those having symptom onset &lt; 120 days after first booster dose.</description><identifier>ISSN: 1560-7917</identifier><identifier>ISSN: 1025-496X</identifier><identifier>EISSN: 1560-7917</identifier><identifier>EISSN: 1025-496X</identifier><identifier>DOI: 10.2807/1560-7917.ES.2023.28.47.2300187</identifier><identifier>PMID: 37997665</identifier><language>eng</language><publisher>Sweden: Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</publisher><subject>Adult ; COVID-19 ; COVID-19 - prevention &amp; control ; COVID-19 Vaccines ; Europe - epidemiology ; Hospitalization ; Humans ; Immunization ; Immunology ; Life Sciences ; Pneumonia ; RNA, Messenger ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Vaccine Efficacy ; Vaccinology</subject><ispartof>Euro surveillance : bulletin européen sur les maladies transmissibles, 2023-11, Vol.28 (47), p.1</ispartof><rights>Copyright Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) Nov 23, 2023</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-5fb3235e63324314b4188904c37960cf26568feffbcf110db4fa3b4b228d01333</citedby><cites>FETCH-LOGICAL-c406t-5fb3235e63324314b4188904c37960cf26568feffbcf110db4fa3b4b228d01333</cites><orcidid>0000-0003-3559-6847 ; 0000-0002-2056-1062 ; 0000-0002-4213-9209 ; 0000-0002-3405-2277 ; 0000-0002-5916-7855 ; 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MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-paris.hal.science/hal-04338396$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Rose, Angela Mc</creatorcontrib><creatorcontrib>Nicolay, Nathalie</creatorcontrib><creatorcontrib>Sandonis Martín, Virginia</creatorcontrib><creatorcontrib>Mazagatos, Clara</creatorcontrib><creatorcontrib>Petrović, Goranka</creatorcontrib><creatorcontrib>Baruch, Joaquin</creatorcontrib><creatorcontrib>Denayer, Sarah</creatorcontrib><creatorcontrib>Seyler, Lucie</creatorcontrib><creatorcontrib>Domegan, Lisa</creatorcontrib><creatorcontrib>Launay, Odile</creatorcontrib><creatorcontrib>Machado, Ausenda</creatorcontrib><creatorcontrib>Burgui, Cristina</creatorcontrib><creatorcontrib>Vaikutyte, Roberta</creatorcontrib><creatorcontrib>Niessen, F Annabel</creatorcontrib><creatorcontrib>Loghin, Isabela I</creatorcontrib><creatorcontrib>Husa, Petr</creatorcontrib><creatorcontrib>Aouali, Nassera</creatorcontrib><creatorcontrib>Panagiotakopoulos, George</creatorcontrib><creatorcontrib>Tolksdorf, Kristin</creatorcontrib><creatorcontrib>Horváth, Judit Krisztina</creatorcontrib><creatorcontrib>Howard, Jennifer</creatorcontrib><creatorcontrib>Pozo, Francisco</creatorcontrib><creatorcontrib>Gallardo, Virtudes</creatorcontrib><creatorcontrib>Nonković, Diana</creatorcontrib><creatorcontrib>Džiugytė, Aušra</creatorcontrib><creatorcontrib>Bossuyt, Nathalie</creatorcontrib><creatorcontrib>Demuyser, Thomas</creatorcontrib><creatorcontrib>Duffy, Róisín</creatorcontrib><creatorcontrib>Luong Nguyen, Liem Binh</creatorcontrib><creatorcontrib>Kislaya, Irina</creatorcontrib><creatorcontrib>Martínez-Baz, Iván</creatorcontrib><creatorcontrib>Gefenaite, Giedre</creatorcontrib><creatorcontrib>Knol, Mirjam J</creatorcontrib><creatorcontrib>Popescu, Corneliu</creatorcontrib><creatorcontrib>Součková, Lenka</creatorcontrib><creatorcontrib>Simon, Marc</creatorcontrib><creatorcontrib>Michelaki, Stella</creatorcontrib><creatorcontrib>Reiche, Janine</creatorcontrib><creatorcontrib>Ferenczi, Annamária</creatorcontrib><creatorcontrib>Delgado-Sanz, Concepción</creatorcontrib><creatorcontrib>Lovrić Makarić, Zvjezdana</creatorcontrib><creatorcontrib>Cauchi, John Paul</creatorcontrib><creatorcontrib>Barbezange, Cyril</creatorcontrib><creatorcontrib>Van Nedervelde, Els</creatorcontrib><creatorcontrib>O'Donnell, Joan</creatorcontrib><creatorcontrib>Durier, Christine</creatorcontrib><creatorcontrib>Guiomar, Raquel</creatorcontrib><creatorcontrib>Castilla, Jesús</creatorcontrib><creatorcontrib>Jonikaite, Indrė</creatorcontrib><creatorcontrib>Bruijning-Verhagen, Patricia Cjl</creatorcontrib><creatorcontrib>Lazar, Mihaela</creatorcontrib><creatorcontrib>Demlová, Regina</creatorcontrib><creatorcontrib>Wirtz, Gil</creatorcontrib><creatorcontrib>Amerali, Marina</creatorcontrib><creatorcontrib>Dürrwald, Ralf</creatorcontrib><creatorcontrib>Kunstár, Mihály Pál</creatorcontrib><creatorcontrib>Kissling, Esther</creatorcontrib><creatorcontrib>Bacci, Sabrina</creatorcontrib><creatorcontrib>Valenciano, Marta</creatorcontrib><creatorcontrib>VEBIS hospital study team</creatorcontrib><creatorcontrib>Members of the I-MOVE-COVID-19 and VEBIS hospital study teams (in addition to authors above)</creatorcontrib><creatorcontrib>I-MOVE-COVID-19 hospital study team</creatorcontrib><title>Vaccine effectiveness against COVID-19 hospitalisation in adults (≥ 20 years) during Omicron-dominant circulation: I-MOVE-COVID-19 and VEBIS SARI VE networks, Europe, 2021 to 2022</title><title>Euro surveillance : bulletin européen sur les maladies transmissibles</title><addtitle>Euro Surveill</addtitle><description>IntroductionThe I-MOVE-COVID-19 and VEBIS hospital networks have been measuring COVID-19 vaccine effectiveness (VE) in participating European countries since early 2021.AimWe aimed to measure VE against PCR-confirmed SARS-CoV-2 in patients ≥ 20 years hospitalised with severe acute respiratory infection (SARI) from December 2021 to July 2022 (Omicron-dominant period).MethodsIn both networks, 46 hospitals (13 countries) follow a similar test-negative case-control protocol. We defined complete primary series vaccination (PSV) and first booster dose vaccination as last dose of either vaccine received ≥ 14 days before symptom onset (stratifying first booster into received &lt; 150 and ≥ 150 days after last PSV dose). We measured VE overall, by vaccine category/product, age group and time since first mRNA booster dose, adjusting by site as a fixed effect, and by swab date, age, sex, and presence/absence of at least one commonly collected chronic condition.ResultsWe included 2,779 cases and 2,362 controls. The VE of all vaccine products combined against hospitalisation for laboratory-confirmed SARS-CoV-2 was 43% (95% CI: 29-54) for complete PSV (with last dose received ≥ 150 days before onset), while it was 59% (95% CI: 51-66) after addition of one booster dose. The VE was 85% (95% CI: 78-89), 70% (95% CI: 61-77) and 36% (95% CI: 17-51) for those with onset 14-59 days, 60-119 days and 120-179 days after booster vaccination, respectively.ConclusionsOur results suggest that, during the Omicron period, observed VE against SARI hospitalisation improved with first mRNA booster dose, particularly for those having symptom onset &lt; 120 days after first booster dose.</description><subject>Adult</subject><subject>COVID-19</subject><subject>COVID-19 - prevention &amp; control</subject><subject>COVID-19 Vaccines</subject><subject>Europe - epidemiology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunology</subject><subject>Life Sciences</subject><subject>Pneumonia</subject><subject>RNA, Messenger</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Vaccine Efficacy</subject><subject>Vaccinology</subject><issn>1560-7917</issn><issn>1025-496X</issn><issn>1560-7917</issn><issn>1025-496X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdks9u1DAQxiMEoqXwCsgSB1qpCf4XO-GCliXQlRatxMJeLcdxWpfEXuykqDeuPAhnjrxPnwSHXVaI04xGv_nsmfmS5DmCGS4gf4FyBlNeIp5V6wxDTGI5ozzDBEJU8HvJ8YG4_09-lDwK4RpCSmCJHyZHhJclZyw_Tn5tpFLGaqDbVqvB3GirQwDyUhobBjBfbRZvUlSCKxe2ZpCdCXIwzgJjgWzGbgjg9O77j7tvPzEEt1r6cAaa0Rt7CVa9Ud7ZtHG9sdIOQBmvxu5P-0uwSN-vNlV60Je2AZvq9WIN1rMPi5gCq4evzn8O56AavdvqcxDnRWBwU8SPkwet7IJ-so8nyae31cf5RbpcvVvMZ8tUUciGNG9rgkmuGSGYEkRrioqihFTFDTCoWsxyVrRx9lq1CMGmpq0kNa0xLhqICCEnydlO90p2YutNL_2tcNKIi9lSTLW4U1KQkt2gyJ7u2K13X0YdBtGboHTXSavdGAQuyojynE2yz_5Dr93obZxkoihlmDMeqVc7Ki4yBK_bww8QFJMfxHRhMV1YVGsx-SGWBeVi74eo8HT_zlj3ujn0_zUA-Q21Mq7_</recordid><startdate>20231123</startdate><enddate>20231123</enddate><creator>Rose, Angela Mc</creator><creator>Nicolay, 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effectiveness against COVID-19 hospitalisation in adults (≥ 20 years) during Omicron-dominant circulation: I-MOVE-COVID-19 and VEBIS SARI VE networks, Europe, 2021 to 2022</title><author>Rose, Angela Mc ; Nicolay, Nathalie ; Sandonis Martín, Virginia ; Mazagatos, Clara ; Petrović, Goranka ; Baruch, Joaquin ; Denayer, Sarah ; Seyler, Lucie ; Domegan, Lisa ; Launay, Odile ; Machado, Ausenda ; Burgui, Cristina ; Vaikutyte, Roberta ; Niessen, F Annabel ; Loghin, Isabela I ; Husa, Petr ; Aouali, Nassera ; Panagiotakopoulos, George ; Tolksdorf, Kristin ; Horváth, Judit Krisztina ; Howard, Jennifer ; Pozo, Francisco ; Gallardo, Virtudes ; Nonković, Diana ; Džiugytė, Aušra ; Bossuyt, Nathalie ; Demuyser, Thomas ; Duffy, Róisín ; Luong Nguyen, Liem Binh ; Kislaya, Irina ; Martínez-Baz, Iván ; Gefenaite, Giedre ; Knol, Mirjam J ; Popescu, Corneliu ; Součková, Lenka ; Simon, Marc ; Michelaki, Stella ; Reiche, Janine ; Ferenczi, Annamária ; Delgado-Sanz, Concepción ; Lovrić Makarić, Zvjezdana ; Cauchi, John Paul ; Barbezange, Cyril ; Van Nedervelde, Els ; O'Donnell, Joan ; Durier, Christine ; Guiomar, Raquel ; Castilla, Jesús ; Jonikaite, Indrė ; Bruijning-Verhagen, Patricia Cjl ; Lazar, Mihaela ; Demlová, Regina ; Wirtz, Gil ; Amerali, Marina ; Dürrwald, Ralf ; Kunstár, Mihály Pál ; Kissling, Esther ; Bacci, Sabrina ; Valenciano, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-5fb3235e63324314b4188904c37960cf26568feffbcf110db4fa3b4b228d01333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>COVID-19</topic><topic>COVID-19 - prevention &amp; control</topic><topic>COVID-19 Vaccines</topic><topic>Europe - epidemiology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunology</topic><topic>Life Sciences</topic><topic>Pneumonia</topic><topic>RNA, Messenger</topic><topic>SARS-CoV-2</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Vaccine Efficacy</topic><topic>Vaccinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rose, Angela Mc</creatorcontrib><creatorcontrib>Nicolay, Nathalie</creatorcontrib><creatorcontrib>Sandonis Martín, Virginia</creatorcontrib><creatorcontrib>Mazagatos, Clara</creatorcontrib><creatorcontrib>Petrović, Goranka</creatorcontrib><creatorcontrib>Baruch, Joaquin</creatorcontrib><creatorcontrib>Denayer, Sarah</creatorcontrib><creatorcontrib>Seyler, Lucie</creatorcontrib><creatorcontrib>Domegan, Lisa</creatorcontrib><creatorcontrib>Launay, Odile</creatorcontrib><creatorcontrib>Machado, Ausenda</creatorcontrib><creatorcontrib>Burgui, Cristina</creatorcontrib><creatorcontrib>Vaikutyte, Roberta</creatorcontrib><creatorcontrib>Niessen, F Annabel</creatorcontrib><creatorcontrib>Loghin, Isabela I</creatorcontrib><creatorcontrib>Husa, 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Marc</creatorcontrib><creatorcontrib>Michelaki, Stella</creatorcontrib><creatorcontrib>Reiche, Janine</creatorcontrib><creatorcontrib>Ferenczi, Annamária</creatorcontrib><creatorcontrib>Delgado-Sanz, Concepción</creatorcontrib><creatorcontrib>Lovrić Makarić, Zvjezdana</creatorcontrib><creatorcontrib>Cauchi, John Paul</creatorcontrib><creatorcontrib>Barbezange, Cyril</creatorcontrib><creatorcontrib>Van Nedervelde, Els</creatorcontrib><creatorcontrib>O'Donnell, Joan</creatorcontrib><creatorcontrib>Durier, Christine</creatorcontrib><creatorcontrib>Guiomar, Raquel</creatorcontrib><creatorcontrib>Castilla, Jesús</creatorcontrib><creatorcontrib>Jonikaite, Indrė</creatorcontrib><creatorcontrib>Bruijning-Verhagen, Patricia Cjl</creatorcontrib><creatorcontrib>Lazar, Mihaela</creatorcontrib><creatorcontrib>Demlová, Regina</creatorcontrib><creatorcontrib>Wirtz, Gil</creatorcontrib><creatorcontrib>Amerali, Marina</creatorcontrib><creatorcontrib>Dürrwald, 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rose, Angela Mc</au><au>Nicolay, Nathalie</au><au>Sandonis Martín, Virginia</au><au>Mazagatos, Clara</au><au>Petrović, Goranka</au><au>Baruch, Joaquin</au><au>Denayer, Sarah</au><au>Seyler, Lucie</au><au>Domegan, Lisa</au><au>Launay, Odile</au><au>Machado, Ausenda</au><au>Burgui, Cristina</au><au>Vaikutyte, Roberta</au><au>Niessen, F Annabel</au><au>Loghin, Isabela I</au><au>Husa, Petr</au><au>Aouali, Nassera</au><au>Panagiotakopoulos, George</au><au>Tolksdorf, Kristin</au><au>Horváth, Judit Krisztina</au><au>Howard, Jennifer</au><au>Pozo, Francisco</au><au>Gallardo, Virtudes</au><au>Nonković, Diana</au><au>Džiugytė, Aušra</au><au>Bossuyt, Nathalie</au><au>Demuyser, Thomas</au><au>Duffy, Róisín</au><au>Luong Nguyen, Liem Binh</au><au>Kislaya, Irina</au><au>Martínez-Baz, Iván</au><au>Gefenaite, Giedre</au><au>Knol, Mirjam J</au><au>Popescu, Corneliu</au><au>Součková, Lenka</au><au>Simon, Marc</au><au>Michelaki, Stella</au><au>Reiche, Janine</au><au>Ferenczi, Annamária</au><au>Delgado-Sanz, Concepción</au><au>Lovrić Makarić, Zvjezdana</au><au>Cauchi, John Paul</au><au>Barbezange, Cyril</au><au>Van Nedervelde, Els</au><au>O'Donnell, Joan</au><au>Durier, Christine</au><au>Guiomar, Raquel</au><au>Castilla, Jesús</au><au>Jonikaite, Indrė</au><au>Bruijning-Verhagen, Patricia Cjl</au><au>Lazar, Mihaela</au><au>Demlová, Regina</au><au>Wirtz, Gil</au><au>Amerali, Marina</au><au>Dürrwald, Ralf</au><au>Kunstár, Mihály Pál</au><au>Kissling, Esther</au><au>Bacci, Sabrina</au><au>Valenciano, Marta</au><aucorp>VEBIS hospital study team</aucorp><aucorp>Members of the I-MOVE-COVID-19 and VEBIS hospital study teams (in addition to authors above)</aucorp><aucorp>I-MOVE-COVID-19 hospital study team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaccine effectiveness against COVID-19 hospitalisation in adults (≥ 20 years) during Omicron-dominant circulation: I-MOVE-COVID-19 and VEBIS SARI VE networks, Europe, 2021 to 2022</atitle><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle><addtitle>Euro Surveill</addtitle><date>2023-11-23</date><risdate>2023</risdate><volume>28</volume><issue>47</issue><spage>1</spage><pages>1-</pages><issn>1560-7917</issn><issn>1025-496X</issn><eissn>1560-7917</eissn><eissn>1025-496X</eissn><abstract>IntroductionThe I-MOVE-COVID-19 and VEBIS hospital networks have been measuring COVID-19 vaccine effectiveness (VE) in participating European countries since early 2021.AimWe aimed to measure VE against PCR-confirmed SARS-CoV-2 in patients ≥ 20 years hospitalised with severe acute respiratory infection (SARI) from December 2021 to July 2022 (Omicron-dominant period).MethodsIn both networks, 46 hospitals (13 countries) follow a similar test-negative case-control protocol. We defined complete primary series vaccination (PSV) and first booster dose vaccination as last dose of either vaccine received ≥ 14 days before symptom onset (stratifying first booster into received &lt; 150 and ≥ 150 days after last PSV dose). We measured VE overall, by vaccine category/product, age group and time since first mRNA booster dose, adjusting by site as a fixed effect, and by swab date, age, sex, and presence/absence of at least one commonly collected chronic condition.ResultsWe included 2,779 cases and 2,362 controls. The VE of all vaccine products combined against hospitalisation for laboratory-confirmed SARS-CoV-2 was 43% (95% CI: 29-54) for complete PSV (with last dose received ≥ 150 days before onset), while it was 59% (95% CI: 51-66) after addition of one booster dose. The VE was 85% (95% CI: 78-89), 70% (95% CI: 61-77) and 36% (95% CI: 17-51) for those with onset 14-59 days, 60-119 days and 120-179 days after booster vaccination, respectively.ConclusionsOur results suggest that, during the Omicron period, observed VE against SARI hospitalisation improved with first mRNA booster dose, particularly for those having symptom onset &lt; 120 days after first booster dose.</abstract><cop>Sweden</cop><pub>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</pub><pmid>37997665</pmid><doi>10.2807/1560-7917.ES.2023.28.47.2300187</doi><orcidid>https://orcid.org/0000-0003-3559-6847</orcidid><orcidid>https://orcid.org/0000-0002-2056-1062</orcidid><orcidid>https://orcid.org/0000-0002-4213-9209</orcidid><orcidid>https://orcid.org/0000-0002-3405-2277</orcidid><orcidid>https://orcid.org/0000-0002-5916-7855</orcidid><orcidid>https://orcid.org/0000-0001-8304-5519</orcidid><orcidid>https://orcid.org/0000-0003-4285-2116</orcidid><orcidid>https://orcid.org/0000-0002-1327-6511</orcidid><orcidid>https://orcid.org/0000-0002-2838-9762</orcidid><orcidid>https://orcid.org/0000-0002-1199-4130</orcidid><orcidid>https://orcid.org/0000-0003-4105-9669</orcidid><orcidid>https://orcid.org/0000-0001-6316-0333</orcidid><orcidid>https://orcid.org/0000-0001-8983-8499</orcidid><orcidid>https://orcid.org/0000-0003-0028-4464</orcidid><orcidid>https://orcid.org/0000-0003-3242-7247</orcidid><orcidid>https://orcid.org/0000-0002-9190-2610</orcidid><orcidid>https://orcid.org/0000-0002-2493-8082</orcidid><orcidid>https://orcid.org/0000-0002-3836-0517</orcidid><orcidid>https://orcid.org/0000-0003-0486-8491</orcidid><orcidid>https://orcid.org/0000-0002-3797-4453</orcidid><orcidid>https://orcid.org/0000-0001-7188-8404</orcidid><orcidid>https://orcid.org/0000-0002-0806-3183</orcidid><orcidid>https://orcid.org/0000-0003-0879-3554</orcidid><orcidid>https://orcid.org/0000-0003-0489-3515</orcidid><orcidid>https://orcid.org/0000-0002-1849-1499</orcidid><orcidid>https://orcid.org/0000-0003-0645-5754</orcidid><orcidid>https://orcid.org/0000-0002-7483-6703</orcidid><orcidid>https://orcid.org/0000-0002-5992-7746</orcidid><orcidid>https://orcid.org/0000-0001-9606-2983</orcidid><orcidid>https://orcid.org/0000-0003-2541-1095</orcidid><orcidid>https://orcid.org/0000-0002-6575-3439</orcidid><orcidid>https://orcid.org/0000-0001-9952-9446</orcidid><orcidid>https://orcid.org/0000-0002-9825-2921</orcidid><orcidid>https://orcid.org/0000-0002-8712-6399</orcidid><orcidid>https://orcid.org/0000-0002-6909-6923</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1560-7917
ispartof Euro surveillance : bulletin européen sur les maladies transmissibles, 2023-11, Vol.28 (47), p.1
issn 1560-7917
1025-496X
1560-7917
1025-496X
language eng
recordid cdi_hal_primary_oai_HAL_hal_04338396v1
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
COVID-19
COVID-19 - prevention & control
COVID-19 Vaccines
Europe - epidemiology
Hospitalization
Humans
Immunization
Immunology
Life Sciences
Pneumonia
RNA, Messenger
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Vaccine Efficacy
Vaccinology
title Vaccine effectiveness against COVID-19 hospitalisation in adults (≥ 20 years) during Omicron-dominant circulation: I-MOVE-COVID-19 and VEBIS SARI VE networks, Europe, 2021 to 2022
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