Relative effectiveness of bivalent Original/Omicron BA.4-5 mRNA vaccine in preventing severe COVID-19 in persons 60 years and above during SARS-CoV-2 Omicron XBB.1.5 and other XBB sublineages circulation, Italy, April to June 2023

Author:

Fabiani Massimo1,Mateo-Urdiales Alberto1,Sacco Chiara1,Rota Maria Cristina1,Fotakis Emmanouil Alexandros21,Petrone Daniele1,Del Manso Martina1,Siddu Andrea3,Stefanelli Paola1,Bella Antonino1,Riccardo Flavia1,Rezza Giovanni3,Palamara Anna Teresa1,Brusaferro Silvio4,Pezzotti Patrizio1,

Affiliation:

1. Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy

2. European Programme on Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, Stockholm, Sweden

3. General Directorate of Prevention, Italian Ministry of Health, Rome, Italy

4. Office of the President, Istituto Superiore di Sanità, Rome, Italy

Abstract

During predominant circulation of SARS-CoV-2 Omicron XBB.1.5 and other XBB sublineages (April–June 2023), we found that a second or third booster of Comirnaty bivalent Original/Omicron BA.4-5 mRNA vaccine, versus a first booster received at least 120 days earlier, was effective in preventing severe COVID-19 for more than 6 months post-administration in persons 60 years and above. In view of autumn 2023 vaccination campaigns, use of bivalent Original/Omicron BA.4-5 mRNA vaccines might be warranted until monovalent COVID-19 vaccines targeting Omicron XBB.1 sublineages become available.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference21 articles.

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2. European Centre for Disease Prevention and Control (ECDC), European Medicines Agency (EMA). ECDC-EMA statement on updating COVID-19 vaccines composition for new SARS-CoV-2 virus variants.Stockholm and Amsterdam: ECDC and EMA. [Accessed: 17 Jul 2023]. Available from: https://www.ema.europa.eu/en/documents/other/ecdc-ema-statement-updating-covid-19-vaccines-composition-new-sars-cov-2-virus-variants_en.pdf

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