Table 6 SARS-CoV-2 breakthrough infection severity according to the timing of vaccine doses and SARS-CoV-2 variant of concern period in the whole cohort and in allo-HSCT recipients.

From: SARS-CoV-2-reactive antibody waning, booster effect and breakthrough SARS-CoV-2 infection in hematopoietic stem cell transplant and cell therapy recipients at one year after vaccination

Variable

After 2 doses

After 3 doses

After 4 doses

P value

Alpha-beta period

Delta period

Omicron period

P value

Whole cohort

31

40

8

 

9

15

55

 

Symptomatic SARS-CoV-2

14/31 (45)

20/40 (50)

6/8 (75)

0.3

2/9 (22)

2/15 (13)

36/55 (65)

<0.001

Pneumonia

7/31 (22.6)

2/40 (5)

0

0.03

1/9 (11)

2/15 (13)

6/55 (11)

0.9

Hospital admission

6/31 (19.3)

2/40 (5)

0

0.08

1/9 (11)

1/15 (6.5)

6/55 (11)

0.8

Oxygen requirement

4/31 (13)

1/40 (2.5)

0

0.1

1/9 (11)

1/15 (6.5)

3/55 (5.5)

0.8

ICU admission

1/31 (3.2)

0

0

ns

1/9 (11)

0

0

0.01

Allo-HSCT, n evaluables

17

28

5

 

6

8

39

 

Symptomatic SARS-CoV-2

10/17 (59)

14/28 (50)

4/5 (80)

0.4

2/6 (33)

2/8 (25)

25/39 (64)

0.06

Pneumonia

3/17 (17.6)

1/28 (3.5)

0

0.1

1/6 (16)

2/8 (25)

2/39 (5)

0.1

Hospital admission

2/17 (11.7)

2/28 (7)

0

0.6

1/6 (16)

1/8 (12.5)

3/39 (7)

0.7

Oxygen requirement

2/17 (11.7)

1/28 (3.5)

0

0.4

1/6 (16)

1/8 (12.5)

2/39 (5)

0.5

ICU admission

0

0

0

ns

1/6 (16)

0

0

0.01

  1. ICU intensive care unit, Allo-HSCT refers to allogeneic hematopoietic stem cell transplant.