Early COVID-19 and protection from Omicron in a highly vaccinated population in Ontario, Canada: a matched prospective cohort study.

Publication date: Feb 08, 2025

Predictions regarding the on-going burden of SARS-CoV-2, and vaccine recommendations, require an understanding of infection-associated immune protection. We assessed whether early COVID-19 provided protection against Omicron infection. We enrolled a cohort of adults in Ontario, Canada, with COVID-19 prior to October 2020 (early infection, EI), and a matched cohort with COVID-19 testing and a negative PCR (non-EI). Participants completed baseline surveys then surveys every two weeks until January 2023. Multivariable Cox regression was used to assess factors associated with COVID-19 infection during the first 14 months of Omicron. Overall, 624 EI (70%) and 175 (77%) non-EI participants met criteria for analysis; 590 (95%) EI and 164 (94%) non-EI had received at least 2 COVID-19 vaccine doses prior to Omicron. Of 624 EI, 175 (28%) had one SARS-CoV-2 re-infection and 8 (1. 3%) had two, compared to 84 (48%) non-EI participants with one, 5 (2. 9%) with two and 1 (0. 6%) with 3 infections (P 

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Concepts Keywords
Canada Adult
Cox Aged
October Cohort Studies
Pcr COVID-19
Vaccinated COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Female
Humans
Male
Middle Aged
Ontario
Prospective Studies
Re-infection
SARS-CoV-2
SARS-CoV-2 infection
Vaccination
Vaccination
Young Adult

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
drug DRUGBANK Methionine
disease MESH re-infection
disease MESH Long Covid
disease MESH Infectious Diseases
pathway REACTOME Reproduction
disease MESH influenza
drug DRUGBANK Coenzyme M
disease IDO history
disease MESH death
drug DRUGBANK Aspartame
disease MESH asthma
pathway KEGG Asthma
disease MESH complications
disease MESH Diabetes mellitus
pathway REACTOME SARS-CoV-2 Infection

Original Article

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