Variants of Concern Are Overrepresented Among Postvaccination Breakthrough Infections of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in Washington State

Author:

McEwen Abbye E1,Cohen Seth2,Bryson-Cahn Chloe2,Liu Catherine3,Pergam Steven A3,Lynch John2,Schippers Adrienne4,Strand Kathy4,Whimbey Estella2,Mani Nandita S2,Zelikoff Allison J5,Makarewicz Vanessa A5,Brown Elizabeth R3,Bakhash Shah A Mohamed1,Baker Noah R1,Castor Jared1,Livingston Robert J1,Huang Meei-Li1,Jerome Keith R13,Greninger Alexander L13,Roychoudhury Pavitra13ORCID

Affiliation:

1. Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA

2. Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington, USA

3. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA

4. Department of Infection Prevention and Employee Health, University of Washington Medical Center, Seattle, Washington, USA

5. Harborview Medical Center, University of Washington, Seattle, Washington, USA

Abstract

Abstract Across 20 vaccine breakthrough cases detected at our institution, all 20 (100%) infections were due to variants of concern (VOCs) and had a median Ct of 20.2 (IQR, 17.1–23.3). When compared with 5174 contemporaneous samples sequenced in our laboratory, VOCs were significantly enriched among breakthrough infections (P < .05).

Funder

National Institutes of Health

UW-Fred Hutch CFAR New Investigator

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference17 articles.

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2. Vaccine breakthrough infections with SARS-CoV-2 variants;Hacisuleyman,2021

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4. Comparative performance of SARS-CoV-2 detection assays using seven different primer-probe sets and one assay kit;Nalla,2020

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