Effectiveness of the adapted bivalent mRNA COVID-19 vaccines against hospitalisation in individuals aged ≥ 60 years during the Omicron XBB lineage-predominant period: VEBIS SARI VE network, Europe, February to August, 2023

Author:

Antunes Liliana1ORCID,Mazagatos Clara23ORCID,Martínez-Baz Iván45ORCID,Gomez Verónica6ORCID,Borg Maria-Louise7,Petrović Goranka8ORCID,Duffy Róisín9,Dufrasne François E10ORCID,Dürrwald Ralf11,Lazar Mihaela12ORCID,Jancoriene Ligita13ORCID,Oroszi Beatrix14ORCID,Husa Petr15ORCID,Howard Jennifer1ORCID,Melo Aryse16ORCID,Pozo Francisco17ORCID,Pérez-Gimeno Gloria23ORCID,Castilla Jesús45ORCID,Machado Ausenda6ORCID,Džiugytė Aušra7ORCID,Karabuva Svjetlana18,Fitzgerald Margaret9ORCID,Fierens Sébastien19,Tolksdorf Kristin20,Popovici Silvia-Odette21ORCID,Mickienė Auksė22,Túri Gergő14ORCID,Součková Lenka15ORCID,Nicolay Nathalie23ORCID,Rose Angela MC1ORCID,

Affiliation:

1. Epiconcept, Paris, France

2. Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain

3. National Centre for Epidemiology, Institute of Health Carlos III, Madrid, Spain

4. CIBER Epidemiología y Salud Pública, Madrid, Spain

5. Instituto de Salud Pública de Navarra – IdiSNA, Pamplona, Spain

6. Epidemiology Department, National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal

7. Infectious Disease Prevention and Control Unit (IDCU), Health Promotion and Disease Prevention, Msida, Malta

8. Croatian Institute of Public Health, Zagreb, Croatia

9. Health Service Executive-Health Protection Surveillance Centre (HPSC), Dublin, Ireland

10. National Influenza Centre Laboratory of Viral Diseases, Sciensano, Brussels, Belgium

11. National Reference Centre for Influenza, Robert Koch Institute, Berlin, Germany

12. Cantacuzino National Military-Medical Institute for Research and Development, Bucharest, Romania

13. Clinic of Infectious Diseases and Dermatovenerology, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Lithuania

14. National Laboratory for Health Security, Epidemiology and Surveillance Centre, Semmelweis University, Budapest, Hungary

15. University Hospital Brno, Masaryk University, Brno, Czechia

16. Infectious Diseases Department, National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal

17. National Centre for Microbiology, Institute of Health Carlos III, Madrid, Spain

18. University Hospital Centre Split, Split, Croatia

19. Service Epidemiology of Infectious Diseases, Sciensano, Brussels, Belgium

20. Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany

21. National Institute of Public Health, National Centre for Communicable Diseases Surveillance and Control, Bucharest, Romania

22. Department of Infectious Diseases, Lithuanian University of Health Sciences, Kaunas, Lithuania

23. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

Abstract

We conducted a multicentre hospital-based test-negative case–control study to measure the effectiveness of adapted bivalent COVID-19 mRNA vaccines against PCR-confirmed SARS-CoV-2 infection during the Omicron XBB lineage-predominant period in patients aged ≥ 60 years with severe acute respiratory infection from five countries in Europe. Bivalent vaccines provided short-term additional protection compared with those vaccinated > 6 months before the campaign: from 80% (95% CI: 50 to 94) for 14–89 days post-vaccination, 15% (95% CI: −12 to 35) at 90–179 days, and lower to no effect thereafter.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Reference12 articles.

1. European Medicines Agency (EMA). Authorised COVID-19 vaccines. Amsterdam: EMA. [Accessed: 2 Nov 2023]. Available from: https://www.ema.europa.eu/en/human-regulatory/overview/public-health-threats/coronavirus-disease-covid-19/covid-19-medicines

2. European Centre for Disease Prevention and Control (ECDC). Overview of the implementation of COVID-19 vaccination strategies and deployment plans in the EU/EEA. Stockholm: ECDC; 2023. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Overview-vaccination-strategies-COVID-19-8-September-2022.pdf

3. European Centre for Disease Prevention and Control (ECDC). ECDC de-escalates BA.2, BA.4 and BA.5 from its list of variants of concern. Stockholm: ECDC; 2023. Available from: https://www.ecdc.europa.eu/en/news-events/ecdc-de-escalates-ba2-ba4-and-ba5-its-list-variants-concern

4. European Centre for Disease Prevention and Control (ECDC). Core protocol for ECDC studies of COVID-19 vaccine effectiveness against hospitalisation with severe acute respiratory infection, laboratory-confirmed with SARS-CoV-2 or with seasonal influenza - Version 2.0. Stockholm: ECDC. 2023. Available from: https://www.ecdc.europa.eu/en/publications-data/core-protocol-ecdc-studies-covid-19-vaccine-effectiveness-against-0

5. Peralta-Santos A. Assessment of COVID-19 surveillance case definitions and data reporting in the European Union. Briefing requested by the ENVI committee. Brussels: European Parliament; 2020. Available from: http://www.europarl.europa.eu/RegData/etudes/BRIE/2020/652725/IPOL_BRI(2020)652725_EN.pdf

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