Effectiveness of BNT162b2 COVID-19 vaccination in prevention of hospitalisations and severe disease in adults with SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) variant between June 2021 and July 2022: a prospective test negative case–control study

Whilst other studies have reported the effectiveness of mRNA vaccination against hospitalisation, including emergency department or intensive care admission, few have assessed effectiveness against other more clinically robust indices of COVID-19 severity. A prospective single-centre test-negative d...

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Veröffentlicht in:The Lancet regional health. Europe 2023-02, Vol.25, p.100552-100552, Article 100552
Hauptverfasser: Chatzilena, Anastasia, Hyams, Catherine, Challen, Rob, Marlow, Robin, King, Jade, Adegbite, David, Kinney, Jane, Clout, Madeleine, Maskell, Nick, Oliver, Jennifer, Danon, Leon, Finn, Adam, Morley, Anna, Langdon, Amelia, Turner, Anabella, Mattocks, Anya, Osborne, Bethany, Grimes, Charli, Mitchell, Claire, Bridgeman, Emma, Scott, Emma, Perkins, Fiona, Bayley, Francesca, Ruffino, Gabriella, Valentine, Gabriella, Tilzey, Grace, Kellett Wright, Johanna, Brzezinska, Julia, Cloake, Julie, Milutinovic, Katarina, Helliker, Kate, Maughan, Katie, Fox, Kazminder, Minou, Konstantina, Ward, Lana, Fleming, Leah, Morrison, Leigh, Smart, Lily, Wright, Louise, Grimwood, Lucy, Bellavia, Maddalena, Vasquez, Marianne, Garcia Gonzalez, Maria, Jeenes-Flanagan, Milo, Chang, Natalie, Grace, Niall, Manning, Nicola, Griffiths, Oliver, Croxford, Pip, Sequenza, Peter, Lazarus, Rajeka, Walters, Rhian, Heath, Robyn, Antico, Rupert, Nammuni Arachchge, Sandi, Suppiah, Seevakumar, Mona, Taslima, Riaz, Tawassal, Mackay, Vicki, Maseko, Zandile, Taylor, Zoe, Friedrich, Zsolt, Szasz-Benczur, Zsuzsa
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container_title The Lancet regional health. Europe
container_volume 25
creator Chatzilena, Anastasia
Hyams, Catherine
Challen, Rob
Marlow, Robin
King, Jade
Adegbite, David
Kinney, Jane
Clout, Madeleine
Maskell, Nick
Oliver, Jennifer
Danon, Leon
Finn, Adam
Morley, Anna
Langdon, Amelia
Turner, Anabella
Mattocks, Anya
Osborne, Bethany
Grimes, Charli
Mitchell, Claire
Bridgeman, Emma
Scott, Emma
Perkins, Fiona
Bayley, Francesca
Ruffino, Gabriella
Valentine, Gabriella
Tilzey, Grace
Kellett Wright, Johanna
Brzezinska, Julia
Cloake, Julie
Milutinovic, Katarina
Helliker, Kate
Maughan, Katie
Fox, Kazminder
Minou, Konstantina
Ward, Lana
Fleming, Leah
Morrison, Leigh
Smart, Lily
Wright, Louise
Grimwood, Lucy
Bellavia, Maddalena
Vasquez, Marianne
Garcia Gonzalez, Maria
Jeenes-Flanagan, Milo
Chang, Natalie
Grace, Niall
Manning, Nicola
Griffiths, Oliver
Croxford, Pip
Sequenza, Peter
Lazarus, Rajeka
Walters, Rhian
Marlow, Robin
Heath, Robyn
Antico, Rupert
Nammuni Arachchge, Sandi
Suppiah, Seevakumar
Mona, Taslima
Riaz, Tawassal
Mackay, Vicki
Maseko, Zandile
Taylor, Zoe
Friedrich, Zsolt
Szasz-Benczur, Zsuzsa
description Whilst other studies have reported the effectiveness of mRNA vaccination against hospitalisation, including emergency department or intensive care admission, few have assessed effectiveness against other more clinically robust indices of COVID-19 severity. A prospective single-centre test-negative design case–control study of adults hospitalised with COVID-19 disease or other acute respiratory disease between 1 June 2021 and 20 July 2022. We assessed VE (vaccine effectiveness) against hospitalisation, length of stay [LOS] >3 days, WHO COVID Score >5 and supplementary oxygen FiO2 (fraction inspired oxygen) >28%, conducting regression analyses controlling for age, gender, index of multiple deprivation, Charlson comorbidity index, time, and community infection prevalence. 935 controls and 546 cases were hospitalised during the Delta period, with 721 controls and 372 cases hospitalised during the Omicron study period. Two-dose BNT162b2 was associated with VE 82.5% [95% confidence interval 76.2%–87.2%] against hospitalisation following Delta infection, 63.3% [26.9–81.8%], 58.5% [24.8–77.3%], and 51.5% [16.7–72.1%] against LOS >3 days, WHO COVID Score >5, and requirement for FiO2 >28% respectively. Three-dose BNT162b2 protection against hospitalisation with Omicron infection was 30.9% [5.9–49.3%], with sensitivity analyses ranging from 28.8–72.6%. Protection against LOS >3 days, WHO COVID Score >5 and requirement for FiO2 >28% was 56.1% [20.6–76.5%], 58.8% [31.2–75.8%], and 41.5% [−0.4–66.3%], respectively. In the UK, BNT162b2 was prioritised for high-risk individuals and those aged >75 years. In the latter group we found a higher estimate of VE against hospitalisation of 47.2% [16.8–66.6%]. BNT162b2 vaccination results in risk reductions for hospitalisation and multiple patient outcomes following Delta and Omicron COVID-19 infection, particularly in older adults. BNT162b2 remains effective against severe SARS-CoV-2 disease. AvonCAP is an investigator-led project funded under a collaborative agreement by Pfizer.
doi_str_mv 10.1016/j.lanepe.2022.100552
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A prospective single-centre test-negative design case–control study of adults hospitalised with COVID-19 disease or other acute respiratory disease between 1 June 2021 and 20 July 2022. We assessed VE (vaccine effectiveness) against hospitalisation, length of stay [LOS] &gt;3 days, WHO COVID Score &gt;5 and supplementary oxygen FiO2 (fraction inspired oxygen) &gt;28%, conducting regression analyses controlling for age, gender, index of multiple deprivation, Charlson comorbidity index, time, and community infection prevalence. 935 controls and 546 cases were hospitalised during the Delta period, with 721 controls and 372 cases hospitalised during the Omicron study period. Two-dose BNT162b2 was associated with VE 82.5% [95% confidence interval 76.2%–87.2%] against hospitalisation following Delta infection, 63.3% [26.9–81.8%], 58.5% [24.8–77.3%], and 51.5% [16.7–72.1%] against LOS &gt;3 days, WHO COVID Score &gt;5, and requirement for FiO2 &gt;28% respectively. Three-dose BNT162b2 protection against hospitalisation with Omicron infection was 30.9% [5.9–49.3%], with sensitivity analyses ranging from 28.8–72.6%. Protection against LOS &gt;3 days, WHO COVID Score &gt;5 and requirement for FiO2 &gt;28% was 56.1% [20.6–76.5%], 58.8% [31.2–75.8%], and 41.5% [−0.4–66.3%], respectively. In the UK, BNT162b2 was prioritised for high-risk individuals and those aged &gt;75 years. In the latter group we found a higher estimate of VE against hospitalisation of 47.2% [16.8–66.6%]. BNT162b2 vaccination results in risk reductions for hospitalisation and multiple patient outcomes following Delta and Omicron COVID-19 infection, particularly in older adults. BNT162b2 remains effective against severe SARS-CoV-2 disease. 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Europe</title><addtitle>Lancet Reg Health Eur</addtitle><description>Whilst other studies have reported the effectiveness of mRNA vaccination against hospitalisation, including emergency department or intensive care admission, few have assessed effectiveness against other more clinically robust indices of COVID-19 severity. A prospective single-centre test-negative design case–control study of adults hospitalised with COVID-19 disease or other acute respiratory disease between 1 June 2021 and 20 July 2022. We assessed VE (vaccine effectiveness) against hospitalisation, length of stay [LOS] &gt;3 days, WHO COVID Score &gt;5 and supplementary oxygen FiO2 (fraction inspired oxygen) &gt;28%, conducting regression analyses controlling for age, gender, index of multiple deprivation, Charlson comorbidity index, time, and community infection prevalence. 935 controls and 546 cases were hospitalised during the Delta period, with 721 controls and 372 cases hospitalised during the Omicron study period. Two-dose BNT162b2 was associated with VE 82.5% [95% confidence interval 76.2%–87.2%] against hospitalisation following Delta infection, 63.3% [26.9–81.8%], 58.5% [24.8–77.3%], and 51.5% [16.7–72.1%] against LOS &gt;3 days, WHO COVID Score &gt;5, and requirement for FiO2 &gt;28% respectively. Three-dose BNT162b2 protection against hospitalisation with Omicron infection was 30.9% [5.9–49.3%], with sensitivity analyses ranging from 28.8–72.6%. Protection against LOS &gt;3 days, WHO COVID Score &gt;5 and requirement for FiO2 &gt;28% was 56.1% [20.6–76.5%], 58.8% [31.2–75.8%], and 41.5% [−0.4–66.3%], respectively. In the UK, BNT162b2 was prioritised for high-risk individuals and those aged &gt;75 years. In the latter group we found a higher estimate of VE against hospitalisation of 47.2% [16.8–66.6%]. BNT162b2 vaccination results in risk reductions for hospitalisation and multiple patient outcomes following Delta and Omicron COVID-19 infection, particularly in older adults. BNT162b2 remains effective against severe SARS-CoV-2 disease. AvonCAP is an investigator-led project funded under a collaborative agreement by Pfizer.</description><subject>COVID-19</subject><subject>Respiratory infection</subject><subject>SARS-CoV-2</subject><subject>Vaccination</subject><issn>2666-7762</issn><issn>2666-7762</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9UsFO3DAUDFWrgih_UFU-wiFpnpM4mx4qwUJbECpSoVwtx35hvcrai-0s2lv_oX_YL6k3Sym9VDk4z555njeeJHkLeQY5sPfzrBcGl5jRnNK4lVcVfZHsUcZYWteMvnz2v5sceD_P85xWUFAoXye7BatyVjewt7Nz1nUog16hQe-J7cjJ1xtgtKVkenV7fppCQ1ZCSm1E0NYQbcjSYUSPVYTPrF_qIHrtR4AnwijiI8IhUdqj8LghCTX0wZMHHWbk-vjbdTq1tyklp9gHQQ5PMsgY1Bk9GulXCy1dbD_uQ1bR5iiKcFqYQFoMD4iGXAwGSZweRsbF0K83Ff1ARBQYNW2HIgF9IAbvxFjJqObXj5_SmuBsT3wY1PpN8qoTvceDx3U_-f7p7Gb6Jb28-nw-Pb5MZcmKkFJgFbRlSSvVKuhgwqCoBVPR4PhNmmKCrGylVExCS7uuFQhVIVhVVqDKLi_2k4_bvsuhXaCS0UIner50eiHcmluh-b8nRs_4nV3xpqaT-HaxweFjA2fvhzgXX2gvsd8kwQ6e07oqGGugaCK03EKjjd477J6ugZxvAsTnfBsgvjGNbwMUae-eS3wi_YnL3xkwGrXS6LiXGo1EpV00nCur_3_Db5ZP13Q</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Chatzilena, Anastasia</creator><creator>Hyams, Catherine</creator><creator>Challen, Rob</creator><creator>Marlow, Robin</creator><creator>King, Jade</creator><creator>Adegbite, David</creator><creator>Kinney, Jane</creator><creator>Clout, Madeleine</creator><creator>Maskell, Nick</creator><creator>Oliver, Jennifer</creator><creator>Danon, Leon</creator><creator>Finn, Adam</creator><creator>Morley, Anna</creator><creator>Langdon, Amelia</creator><creator>Turner, Anabella</creator><creator>Mattocks, Anya</creator><creator>Osborne, Bethany</creator><creator>Grimes, Charli</creator><creator>Mitchell, Claire</creator><creator>Bridgeman, Emma</creator><creator>Scott, Emma</creator><creator>Perkins, Fiona</creator><creator>Bayley, Francesca</creator><creator>Ruffino, Gabriella</creator><creator>Valentine, Gabriella</creator><creator>Tilzey, Grace</creator><creator>Kellett Wright, Johanna</creator><creator>Brzezinska, Julia</creator><creator>Cloake, Julie</creator><creator>Milutinovic, Katarina</creator><creator>Helliker, Kate</creator><creator>Maughan, Katie</creator><creator>Fox, Kazminder</creator><creator>Minou, Konstantina</creator><creator>Ward, Lana</creator><creator>Fleming, Leah</creator><creator>Morrison, Leigh</creator><creator>Smart, Lily</creator><creator>Wright, Louise</creator><creator>Grimwood, Lucy</creator><creator>Bellavia, Maddalena</creator><creator>Vasquez, Marianne</creator><creator>Garcia Gonzalez, Maria</creator><creator>Jeenes-Flanagan, Milo</creator><creator>Chang, Natalie</creator><creator>Grace, Niall</creator><creator>Manning, Nicola</creator><creator>Griffiths, Oliver</creator><creator>Croxford, Pip</creator><creator>Sequenza, Peter</creator><creator>Lazarus, Rajeka</creator><creator>Walters, Rhian</creator><creator>Marlow, Robin</creator><creator>Heath, Robyn</creator><creator>Antico, Rupert</creator><creator>Nammuni Arachchge, Sandi</creator><creator>Suppiah, Seevakumar</creator><creator>Mona, Taslima</creator><creator>Riaz, Tawassal</creator><creator>Mackay, Vicki</creator><creator>Maseko, Zandile</creator><creator>Taylor, Zoe</creator><creator>Friedrich, Zsolt</creator><creator>Szasz-Benczur, Zsuzsa</creator><general>Elsevier Ltd</general><general>The Author(s). Published by Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1756-5668</orcidid></search><sort><creationdate>20230201</creationdate><title>Effectiveness of BNT162b2 COVID-19 vaccination in prevention of hospitalisations and severe disease in adults with SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) variant between June 2021 and July 2022: a prospective test negative case–control study</title><author>Chatzilena, Anastasia ; Hyams, Catherine ; Challen, Rob ; Marlow, Robin ; King, Jade ; Adegbite, David ; Kinney, Jane ; Clout, Madeleine ; Maskell, Nick ; Oliver, Jennifer ; Danon, Leon ; Finn, Adam ; Morley, Anna ; Langdon, Amelia ; Turner, Anabella ; Mattocks, Anya ; Osborne, Bethany ; Grimes, Charli ; Mitchell, Claire ; Bridgeman, Emma ; Scott, Emma ; Perkins, Fiona ; Bayley, Francesca ; Ruffino, Gabriella ; Valentine, Gabriella ; Tilzey, Grace ; Kellett Wright, Johanna ; Brzezinska, Julia ; Cloake, Julie ; Milutinovic, Katarina ; Helliker, Kate ; Maughan, Katie ; Fox, Kazminder ; Minou, Konstantina ; Ward, Lana ; Fleming, Leah ; Morrison, Leigh ; Smart, Lily ; Wright, Louise ; Grimwood, Lucy ; Bellavia, Maddalena ; Vasquez, Marianne ; Garcia Gonzalez, Maria ; Jeenes-Flanagan, Milo ; Chang, Natalie ; Grace, Niall ; Manning, Nicola ; Griffiths, Oliver ; Croxford, Pip ; Sequenza, Peter ; Lazarus, Rajeka ; Walters, Rhian ; Marlow, Robin ; Heath, Robyn ; Antico, Rupert ; Nammuni Arachchge, Sandi ; Suppiah, Seevakumar ; Mona, Taslima ; Riaz, Tawassal ; Mackay, Vicki ; Maseko, Zandile ; Taylor, Zoe ; Friedrich, Zsolt ; Szasz-Benczur, Zsuzsa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-21651b4425dbd1f186137a6d7626268938e64bccd6c1b2ffbae153a65451d4f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>COVID-19</topic><topic>Respiratory infection</topic><topic>SARS-CoV-2</topic><topic>Vaccination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chatzilena, Anastasia</creatorcontrib><creatorcontrib>Hyams, Catherine</creatorcontrib><creatorcontrib>Challen, Rob</creatorcontrib><creatorcontrib>Marlow, Robin</creatorcontrib><creatorcontrib>King, Jade</creatorcontrib><creatorcontrib>Adegbite, David</creatorcontrib><creatorcontrib>Kinney, Jane</creatorcontrib><creatorcontrib>Clout, Madeleine</creatorcontrib><creatorcontrib>Maskell, Nick</creatorcontrib><creatorcontrib>Oliver, Jennifer</creatorcontrib><creatorcontrib>Danon, Leon</creatorcontrib><creatorcontrib>Finn, Adam</creatorcontrib><creatorcontrib>Morley, Anna</creatorcontrib><creatorcontrib>Langdon, Amelia</creatorcontrib><creatorcontrib>Turner, Anabella</creatorcontrib><creatorcontrib>Mattocks, Anya</creatorcontrib><creatorcontrib>Osborne, Bethany</creatorcontrib><creatorcontrib>Grimes, Charli</creatorcontrib><creatorcontrib>Mitchell, Claire</creatorcontrib><creatorcontrib>Bridgeman, Emma</creatorcontrib><creatorcontrib>Scott, Emma</creatorcontrib><creatorcontrib>Perkins, Fiona</creatorcontrib><creatorcontrib>Bayley, Francesca</creatorcontrib><creatorcontrib>Ruffino, Gabriella</creatorcontrib><creatorcontrib>Valentine, Gabriella</creatorcontrib><creatorcontrib>Tilzey, Grace</creatorcontrib><creatorcontrib>Kellett Wright, Johanna</creatorcontrib><creatorcontrib>Brzezinska, Julia</creatorcontrib><creatorcontrib>Cloake, Julie</creatorcontrib><creatorcontrib>Milutinovic, Katarina</creatorcontrib><creatorcontrib>Helliker, Kate</creatorcontrib><creatorcontrib>Maughan, Katie</creatorcontrib><creatorcontrib>Fox, Kazminder</creatorcontrib><creatorcontrib>Minou, Konstantina</creatorcontrib><creatorcontrib>Ward, Lana</creatorcontrib><creatorcontrib>Fleming, Leah</creatorcontrib><creatorcontrib>Morrison, Leigh</creatorcontrib><creatorcontrib>Smart, Lily</creatorcontrib><creatorcontrib>Wright, Louise</creatorcontrib><creatorcontrib>Grimwood, Lucy</creatorcontrib><creatorcontrib>Bellavia, Maddalena</creatorcontrib><creatorcontrib>Vasquez, Marianne</creatorcontrib><creatorcontrib>Garcia Gonzalez, Maria</creatorcontrib><creatorcontrib>Jeenes-Flanagan, Milo</creatorcontrib><creatorcontrib>Chang, Natalie</creatorcontrib><creatorcontrib>Grace, Niall</creatorcontrib><creatorcontrib>Manning, Nicola</creatorcontrib><creatorcontrib>Griffiths, Oliver</creatorcontrib><creatorcontrib>Croxford, Pip</creatorcontrib><creatorcontrib>Sequenza, Peter</creatorcontrib><creatorcontrib>Lazarus, Rajeka</creatorcontrib><creatorcontrib>Walters, Rhian</creatorcontrib><creatorcontrib>Marlow, Robin</creatorcontrib><creatorcontrib>Heath, Robyn</creatorcontrib><creatorcontrib>Antico, Rupert</creatorcontrib><creatorcontrib>Nammuni Arachchge, Sandi</creatorcontrib><creatorcontrib>Suppiah, Seevakumar</creatorcontrib><creatorcontrib>Mona, Taslima</creatorcontrib><creatorcontrib>Riaz, Tawassal</creatorcontrib><creatorcontrib>Mackay, Vicki</creatorcontrib><creatorcontrib>Maseko, Zandile</creatorcontrib><creatorcontrib>Taylor, Zoe</creatorcontrib><creatorcontrib>Friedrich, Zsolt</creatorcontrib><creatorcontrib>Szasz-Benczur, Zsuzsa</creatorcontrib><creatorcontrib>Avon CAP Research Group</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Lancet regional health. Europe</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chatzilena, Anastasia</au><au>Hyams, Catherine</au><au>Challen, Rob</au><au>Marlow, Robin</au><au>King, Jade</au><au>Adegbite, David</au><au>Kinney, Jane</au><au>Clout, Madeleine</au><au>Maskell, Nick</au><au>Oliver, Jennifer</au><au>Danon, Leon</au><au>Finn, Adam</au><au>Morley, Anna</au><au>Langdon, Amelia</au><au>Turner, Anabella</au><au>Mattocks, Anya</au><au>Osborne, Bethany</au><au>Grimes, Charli</au><au>Mitchell, Claire</au><au>Bridgeman, Emma</au><au>Scott, Emma</au><au>Perkins, Fiona</au><au>Bayley, Francesca</au><au>Ruffino, Gabriella</au><au>Valentine, Gabriella</au><au>Tilzey, Grace</au><au>Kellett Wright, Johanna</au><au>Brzezinska, Julia</au><au>Cloake, Julie</au><au>Milutinovic, Katarina</au><au>Helliker, Kate</au><au>Maughan, Katie</au><au>Fox, Kazminder</au><au>Minou, Konstantina</au><au>Ward, Lana</au><au>Fleming, Leah</au><au>Morrison, Leigh</au><au>Smart, Lily</au><au>Wright, Louise</au><au>Grimwood, Lucy</au><au>Bellavia, Maddalena</au><au>Vasquez, Marianne</au><au>Garcia Gonzalez, Maria</au><au>Jeenes-Flanagan, Milo</au><au>Chang, Natalie</au><au>Grace, Niall</au><au>Manning, Nicola</au><au>Griffiths, Oliver</au><au>Croxford, Pip</au><au>Sequenza, Peter</au><au>Lazarus, Rajeka</au><au>Walters, Rhian</au><au>Marlow, Robin</au><au>Heath, Robyn</au><au>Antico, Rupert</au><au>Nammuni Arachchge, Sandi</au><au>Suppiah, Seevakumar</au><au>Mona, Taslima</au><au>Riaz, Tawassal</au><au>Mackay, Vicki</au><au>Maseko, Zandile</au><au>Taylor, Zoe</au><au>Friedrich, Zsolt</au><au>Szasz-Benczur, Zsuzsa</au><aucorp>Avon CAP Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of BNT162b2 COVID-19 vaccination in prevention of hospitalisations and severe disease in adults with SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) variant between June 2021 and July 2022: a prospective test negative case–control study</atitle><jtitle>The Lancet regional health. Europe</jtitle><addtitle>Lancet Reg Health Eur</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>25</volume><spage>100552</spage><epage>100552</epage><pages>100552-100552</pages><artnum>100552</artnum><issn>2666-7762</issn><eissn>2666-7762</eissn><abstract>Whilst other studies have reported the effectiveness of mRNA vaccination against hospitalisation, including emergency department or intensive care admission, few have assessed effectiveness against other more clinically robust indices of COVID-19 severity. A prospective single-centre test-negative design case–control study of adults hospitalised with COVID-19 disease or other acute respiratory disease between 1 June 2021 and 20 July 2022. We assessed VE (vaccine effectiveness) against hospitalisation, length of stay [LOS] &gt;3 days, WHO COVID Score &gt;5 and supplementary oxygen FiO2 (fraction inspired oxygen) &gt;28%, conducting regression analyses controlling for age, gender, index of multiple deprivation, Charlson comorbidity index, time, and community infection prevalence. 935 controls and 546 cases were hospitalised during the Delta period, with 721 controls and 372 cases hospitalised during the Omicron study period. Two-dose BNT162b2 was associated with VE 82.5% [95% confidence interval 76.2%–87.2%] against hospitalisation following Delta infection, 63.3% [26.9–81.8%], 58.5% [24.8–77.3%], and 51.5% [16.7–72.1%] against LOS &gt;3 days, WHO COVID Score &gt;5, and requirement for FiO2 &gt;28% respectively. Three-dose BNT162b2 protection against hospitalisation with Omicron infection was 30.9% [5.9–49.3%], with sensitivity analyses ranging from 28.8–72.6%. Protection against LOS &gt;3 days, WHO COVID Score &gt;5 and requirement for FiO2 &gt;28% was 56.1% [20.6–76.5%], 58.8% [31.2–75.8%], and 41.5% [−0.4–66.3%], respectively. In the UK, BNT162b2 was prioritised for high-risk individuals and those aged &gt;75 years. In the latter group we found a higher estimate of VE against hospitalisation of 47.2% [16.8–66.6%]. BNT162b2 vaccination results in risk reductions for hospitalisation and multiple patient outcomes following Delta and Omicron COVID-19 infection, particularly in older adults. BNT162b2 remains effective against severe SARS-CoV-2 disease. AvonCAP is an investigator-led project funded under a collaborative agreement by Pfizer.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>36506791</pmid><doi>10.1016/j.lanepe.2022.100552</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-1756-5668</orcidid><oa>free_for_read</oa></addata></record>
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subjects COVID-19
Respiratory infection
SARS-CoV-2
Vaccination
title Effectiveness of BNT162b2 COVID-19 vaccination in prevention of hospitalisations and severe disease in adults with SARS-CoV-2 Delta (B.1.617.2) and Omicron (B.1.1.529) variant between June 2021 and July 2022: a prospective test negative case–control study
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