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Challenges in Estimating the Effectiveness of 2 Doses of COVID-19 Vaccine Beyond 6 Months in England
This paper discusses the challenges in estimating long-term (>6 months) vaccine effectiveness in observational data, primarily due to high uptake of a subsequent third vaccine dose.
Summary
Understanding how the effectiveness of coronavirus disease 2019 (COVID-19) vaccine changes over time and in response to new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants is crucial to scheduling subsequent doses. In a previous study, Horne et al. quantified vaccine effectiveness (VE) over 6 consecutive 4-week periods from 2 weeks to 26 weeks after the second dose. Waning of hazard ratios (HRs) when comparing vaccinated persons with unvaccinated persons was approximately log-linear over time and was consistent across COVID-19–related outcomes and risk-based subgroups. To investigate waning beyond 26 weeks and in the era of the Omicron variant, we extended follow-up to the earliest of 50 weeks after the second dose or March 31, 2022.
We found that it is challenging to estimate the long-term effectiveness of 2 COVID-19 vaccine doses in populations in which uptake of a third dose was high. These challenges also affect investigations of VE against the Omicron variant, whose emergence coincided with rapid uptake of third doses and of incremental effectiveness of a third dose against the second dose.
- Elsie Horne,
- Will Hulme,
- Ruth Keogh,
- Tom Palmer,
- Elizabeth Williamson,
- Edward Parker,
- Venexia Walker,
- Rochelle Knight,
- Yinghui Wei,
- Kurt Taylor,
- Louis Fisher,
- Jess Morley,
- Amir Mehrkar,
- Iain Dillingham,
- Seb Bacon,
- Ben Goldacre,
- Jonathan Sterne