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Superior immunogenicity and effectiveness of the 3rd BNT162b2 vaccine dose
Yaniv Lustig; Tal Gonen; Lilac Meltzer; Mayan Gilboa; Victoria Indenbaum; Carmit Cohen; Sharon Amit; Hanaa Jaber; Ram Doolman; Keren Asraf; Carmit Rubin; Ronen Fluss; Ella Mendelson; Laurence Freedman; Gili Regev-Yochay; Yitshak Kreiss.
Affiliation
  • Yaniv Lustig; Sheba Medical Center
  • Tal Gonen; Sheba Medical Center
  • Lilac Meltzer; Sheba Medical Center
  • Mayan Gilboa; Sheba Medical Center
  • Victoria Indenbaum; Sheba Medical Center
  • Carmit Cohen; Sheba Medical Center
  • Sharon Amit; Sheba Medical Center
  • Hanaa Jaber; Sheba Medical Center
  • Ram Doolman; Sheba Medical Center
  • Keren Asraf; Sheba Medical Center
  • Carmit Rubin; Sheba Medical Center
  • Ronen Fluss; Sheba Medical Center
  • Ella Mendelson; Sheba Medical Center
  • Laurence Freedman; Sheba Medical Center
  • Gili Regev-Yochay; Sheba Medical Center
  • Yitshak Kreiss; Sheba Medical Center
Preprint in English | medRxiv | ID: ppmedrxiv-21268037
ABSTRACT
In a prospective cohort study involving 12,413 Health Care Workers (HCW), we assessed immunogenicity, vaccine-effectiveness (VE) and safety of the third BNT162b2 vaccine dose. One month after third dose, anti-RBD-IgG were induced 1.7-folds compared to one month after the second. A significant increase in avidity from 61.1% (95%CI56.1-66.7) to 96.3% (95%CI94.2-98.5) resulted in a 6.1-folds neutralizing antibodies induction. Linear mixed model demonstrated that the third dose elicited a greater response among HCW[≥]60 or those with [≥]two comorbidities who had a lower response following the second dose. VE of the third dose relative to two doses was 85.6% (95% CI, 79.2-90.1%). No serious adverse effects were reported. These results suggest that the third dose is superior to the second dose in both quantity and quality of IgG-antibodies and safely boosts protection from SARS-CoV-2 infection by generating high avidity antibodies to levels that are not significantly different between healthy and vulnerable populations.
License
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Cohort_studies / Experimental_studies / Observational study / Prognostic study Language: English Year: 2021 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Cohort_studies / Experimental_studies / Observational study / Prognostic study Language: English Year: 2021 Document type: Preprint
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