Table 2 32-week incidence of and comparative mRNA booster effectiveness against breakthrough COVID-19 and death or hospitalization with COVID-19 pneumonia following vaccination and booster in adults

From: Comparative mRNA booster effectiveness against death or hospitalization with COVID-19 pneumonia across at-risk US Veteran populations

 

Overall cohort (N = 1,703,189)

Average-risk populations (N = 110,485)

High-risk populations (N = 1,592,704)

COVID-19 outcome by vaccination and booster

32-week Risk (95% CI)a

Risk diff. (95% CI)a

NNVb (95% CI)a

32-week Risk (95% CI)a

Risk diff. (95% CI)a

NNVb (95% CI)a

32-week Risk (95% CI)a

Risk diff. (95% CI)a

NNVb (95% CI)a

 

Events per

10,000 persons

Events per

10,000 persons

 

Events per

10,000 persons

Events per

10,000 persons

 

Events per 10,000 persons

Events per 10,000 persons

 

Breakthrough COVID-19 (N = 22,848)

  Overall

149.3 (147.3, 152.1)

-

-

199.5 (184.1, 215.1)

-

-

147.1 (143.9, 149.6)

-

-

  mRNA-1273 ×3

137.5 (133.6, 140.9)

Ref.

Ref.

188.7 (165.7, 217.5)

Ref.

Ref.

134.7 (130.8, 138.6)

Ref.

Ref.

  BNT162b2 ×3

161.5 (158.1, 165.0)

23.9 (19.8, 29.9)

415.5 (334.7, 505.3)

210.1 (190.4, 229.4)

21.4 (−12.7, 53.4)

411.1 (−7,320.8, 4,913.9)

159.2 (154.9, 162.4)

24.5d (18.7, 29.4)

414.2 (340.0, 534.7)

Death or hospitalization with COVID-19 pneumoniac (N = 1649)

 

 Overall

10.9 (10.2, 11.8)

-

-

1.4 (0.6, 2.6)

-

-

11.5 (10.8, 12.4)

-

-

 

 mRNA-1273 ×3

9.8 (8.8, 11.1)

Ref.

Ref.

1.1 (0.1, 2.6)

Ref.

Ref.

10.3 (9.5, 11.6)

Ref.

Ref.

 

 BNT162b2 ×3

11.9 (12.9, 10.8)

2.1 (0.6, 3.3)

4,936.6 (3,028.8, 16,670.3)

1.7 (0.4, 3.6)

0.6 (−1.4, 2.7)

7,110.7 (−87,369.5, 216,408.7)

12.5 (11.7, 13.7)

2.2d (0.9, 3.6)

4,505.9 (2,674.5, 10,665.9)

  1. aCI indicates “confidence interval”.
  2. bNNV indicates number needed to vaccinate.
  3. cDeath due to all causes within 30 days of breakthrough COVID-19 infection.
  4. dThere was evidence of additive interaction for death or hospitalization with COVID-19 pneumonia when comparing the risk differences among high-risk populations with the risk differences among average-risk populations (relative excess risk due to interaction [RERI]: 1.6), but there was no evidence of additive interaction for breakthrough COVID-19 (RERI: 0.0).