2024-2025 BNT162b2 COVID-19 vaccine effectiveness in non-immunocompromised adults: mid-season estimates from vaccine registries in two states linked to administrative claims

Publication date: May 28, 2025

Background: Data are limited on 2024-2025 BNT162b2 COVID-19 vaccine effectiveness (VE). Methods: Retrospective cohort study among non-immunocompromised adults from August 22, 2024 (index) to December 31, 2024, among residents of California or Louisiana continuously enrolled in health insurance plans reporting to HealthVerity for >=1 year prior to index. Receipt of 2024-2025 BNT162b2 COVID-19 vaccine was defined using state vaccine registries with health insurance claims, using a time-varying exposure definition. VE against COVID-19-associated hospital admissions was estimated as (1-hazard ratio), using adjusted Cox proportional hazards models with 95% confidence intervals (CI). Results: Overall, 6,900,361 individuals met selection criteria for the study. By the end of follow-up (median 4.4 months), 325,362 (4.7%) had received a BNT162b2 2024-2025 COVID-19 vaccine dose. VE against COVID-19-associated hospital admission was 41% (95% CI 2-64). Discussion: The 2024-2025 formulation of BNT162b2 COVID-19 vaccine provided significant protection, particularly for older adults, in mid-season estimates. This study is registered on clinicaltrials.gov as NCT06923137.

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Concepts Keywords
Diabetes Bnt162b2
Fdaauthorized Covid
Programmer Doi
Sandwich Funder
Https
Individuals
International
License
Medrxiv
Preprint
Received
Season
Vaccine
Version
Years

Semantics

Type Source Name
disease MESH COVID-19
drug DRUGBANK Methionine
drug DRUGBANK Methylphenidate
drug DRUGBANK Coenzyme M
disease MESH infection
disease MESH death
disease MESH incidental finding
disease MESH mental illness
disease MESH influenza
disease MESH herpes zoster
disease MESH obesity
disease MESH diabetes mellitus
disease IDO history
disease MESH critical illness
disease MESH post COVID conditions
disease IDO country
drug DRUGBANK Tropicamide
disease MESH emergency
disease MESH syndrome
disease MESH lung diseases
disease MESH liver diseases
disease MESH Asthma
pathway KEGG Asthma
disease MESH Tuberculosis
pathway KEGG Tuberculosis
disease IDO blood
disease MESH Cystic fibrosis

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