Table 4 Effectiveness of the mRNA-1273 vaccine against symptomatic SARS-CoV-2 BA.1 Omicron infection, BA.2 Omicron infection, and any Omicron infectiona.

From: Duration of mRNA vaccine protection against SARS-CoV-2 Omicron BA.1 and BA.2 subvariants in Qatar

Sub-studiesb

Cases (PCR-positive)

Controls (PCR-negative)

Effectiveness in % (95% CI)c

Vaccinated

Unvaccinated

Vaccinated

Unvaccinated

Effectiveness against symptomatic BA.1 Omicron infectiond

 Dose 1

     

  0–13 days after Dose 1 and no Dose 2

3

1942

8

3400

50.0 (−91.3 to 86.9)

  ≥14 days after Dose 1 and no Dose 2

14

1942

19

3405

−16.8 (−137.8 to 42.6)

 Dose 2

     

  1–3 months after Dose 2 and no Dose 3

6

1943

27

3396

71.0 (24.0 to 89.0)

  4–6 months after Dose 2 and no Dose 3

289

1976

667

3377

31.3 (19.1 to 41.7)

  ≥7 months after Dose 2 and no Dose 3

1125

1999

1847

3638

−10.2 (−23.1 to 1.3)

 Dose 3 (booster dose)

     

  <1 month after Dose 3

55

1951

182

3377

51.5 (32.3 to 65.2)

  ≥1 month after Dose 3

36

1953

102

3396

45.3 (17.8 to 63.5)

Effectiveness against symptomatic BA.2 Omicron infectione

 Dose 1

     

  0–13 days after Dose 1 and no Dose 2

8

5651

10

5649

20.0 (−102.7 to 68.4)

  ≥14 days after Dose 1 and no Dose 2

31

5645

27

5649

−15.4 (−95.1 to 31.8)

 Dose 2

     

  1–3 months after Dose 2 and no Dose 3

26

5664

40

5650

35.9 (−5.9 to 61.2)

  4–6 months after Dose 2 and no Dose 3

989

5756

1059

5686

9.9 (−0.3 to 19.0)

  ≥7 months after Dose 2 and no Dose 3

2917

5627

2686

5858

−20.4 (−30.2 to −11.2)

 Dose 3 (booster dose)

     

  <1 month after Dose 3

164

5727

250

5641

39.4 (24.8 to 51.2)

  ≥1 month after Dose 3

92

5709

149

5652

41.9 (23.4 to 56.0)

Effectiveness against any symptomatic Omicron infectionf

 Dose 1

     

  0–13 days after Dose 1 and no Dose 2

17

11,987

11

7153

9.8 (−94.1 to 58.1)

  ≥14 days after Dose 1 and no Dose 2

52

11,984

36

7150

9.5 (−39.9 to 41.5)

 Dose 2

     

  1–3 months after Dose 2 and no Dose 3

47

12,014

51

7151

43.2 (15.0 to 62.1)

  4–6 months after Dose 2 and no Dose 3

1863

12,321

1294

7205

18.7 (11.3 to 25.5)

  ≥7 months after Dose 2 and no Dose 3

5820

12,144

3112

7374

−13.7 (−21.3 to −6.6)

 Dose 3 (booster dose)g

     

  1 week after Dose 3

100

11,912

73

7132

19.7 (−9.7 to 41.2)

  2–3 weeks after Dose 3

151

12,038

182

7126

53.7 (41.5 to 63.3)

  4–5 weeks after Dose 3

109

12,000

135

7131

53.7 (39.6 to 64.6)

  ≥6 weeks after Dose 3

124

11,963

113

7134

34.9 (14.6 to 50.4)

  1. CI confidence interval, PCR polymerase chain reaction.
  2. aA symptomatic infection was defined as a PCR-positive nasopharyngeal swab conducted because of clinical suspicion due to presence of symptoms compatible with a respiratory tract infection.
  3. bIn each analysis for a specific time-since-vaccination stratum, we included only those vaccinated in this specific time-since-vaccination stratum and those unvaccinated. Only matched pairs of PCR-positive and PCR-negative persons, in which both members of the pair were either unvaccinated or fell within each time-since-vaccination stratum have been included in the corresponding vaccine effectiveness estimate. Thus, the number of cases (and controls) varied across time-since-vaccination analyses.
  4. cVaccine effectiveness was estimated using the test-negative, case–control study design11,12.
  5. dCases and controls were matched one-to-two by sex, 10-year-age group, nationality, and calendar week of PCR test.
  6. eCases and controls were matched one-to-one by sex, 10-year-age group, nationality, and calendar week of PCR test.
  7. fCases and controls were matched two-to-one by sex, 10-year-age group, nationality, and calendar week of PCR test.
  8. gTo assess booster effectiveness over longer time interval, the analysis for effectiveness against any symptomatic Omicron infection was subsequently extended until April 11, 2022. This extended analysis was done for only effectiveness against any symptomatic Omicron infection to optimize statistical precision with the larger case numbers.