Risk of SARS-CoV-2 infection and subsequent hospital admission and death at different time intervals since first dose of COVID-19 vaccine administration, Italy, 27 December 2020 to mid-April 2021

Author:

Mateo-Urdiales Alberto12ORCID,Spila Alegiani Stefania3,Fabiani Massimo2,Pezzotti Patrizio2,Filia Antonietta2,Massari Marco3,Riccardo Flavia2,Tallon Marco4,Proietti Valeria5,Del Manso Martina12,Puopolo Maria6,Spuri Matteo2,Morciano Cristina7,D’Ancona Fortunato (Paolo)2,Da Cas Roberto3,Battilomo Serena5,Bella Antonino2,Menniti-Ippolito Francesca3, ,

Affiliation:

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

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

3. National Centre for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy

4. Department of Informatics, Istituto Superiore di Sanità, Rome, Italy

5. DG-SISS, Ministero della Salute, Rome, Italy

6. Department of Neuroscience, Istituto Superiore di Sanità, Rome, Italy

7. Research Coordination and Support Service, Istituto Superiore di Sanità, Rome, Italy

Abstract

To assess the real-world impact of vaccines on COVID-19 related outcomes, we analysed data from over 7 million recipients of at least one COVID-19 vaccine dose in Italy. Taking 0–14 days post-first dose as reference, the SARS-CoV-2 infection risk subsequently decreased, reaching a reduction by 78% (incidence rate ratios (IRR): 0.22; 95% CI: 0.21–0.24) 43–49 days post-first dose. Similarly, hospitalisation and death risks decreased, with 89% (IRR: 0.11; 95% CI: 0.09–0.15) and 93% (IRR: 0.07; 95% CI: 0.04–0.11) reductions 36–42 days post-first dose. Our results support ongoing vaccination campaigns.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference13 articles.

1. Agenzia Italiana del Farmaco (AIFA). Vaccini COVID-19. Rome: AIFA. [COVID-19 Vaccines]. [Accessed 19 May 2021]. Available from: https://www.aifa.gov.it/vaccini-covid-19

2. Ministero della Salute. Piano strategico per la vaccinazione anti-SARS-CoV-2/COVID-19. [Strategic plan for SARS-CoV-2 / COVID-19 vaccination]. Rome: Ministero della Salute; 2020. Italian. Available from: https://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2021&codLeg=78657&parte=1&serie=null

3. Epidemiological characteristics of COVID-19 cases and estimates of the reproductive numbers 1 month into the epidemic, Italy, 28 January to 31 March 2020.;Riccardo;Euro Surveill,2020

4. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine.;Polack;N Engl J Med,2020

5. Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine.;Baden;N Engl J Med,2021

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