Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine

Background: to evaluate whether prior SARS-CoV-2 infection affects side effects and specific antibody production after vaccination with BNT162b2. Methods: We included 1106 health care workers vaccinated with BNT162b2. We assessed whether prior SARS-CoV-2 infection affects the number and type of side...

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Main Authors: Ludovica Ferrari, Mirko Compagno, Laura Campogiani, Elisabetta Teti, Tiziana Mulas, Davide Checchi, Grazia Alessio, Federica Caldara, Luigi Coppola, Giuseppe De Simone, Laura Ceccarelli, Ilaria Spalliera, Pietro Vitale, Sandro Grelli, Massimo Andreoni, Loredana Sarmati, Marco Iannetta
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/8/1238
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author Ludovica Ferrari
Mirko Compagno
Laura Campogiani
Elisabetta Teti
Tiziana Mulas
Davide Checchi
Grazia Alessio
Federica Caldara
Luigi Coppola
Giuseppe De Simone
Laura Ceccarelli
Ilaria Spalliera
Pietro Vitale
Sandro Grelli
Massimo Andreoni
Loredana Sarmati
Marco Iannetta
author_facet Ludovica Ferrari
Mirko Compagno
Laura Campogiani
Elisabetta Teti
Tiziana Mulas
Davide Checchi
Grazia Alessio
Federica Caldara
Luigi Coppola
Giuseppe De Simone
Laura Ceccarelli
Ilaria Spalliera
Pietro Vitale
Sandro Grelli
Massimo Andreoni
Loredana Sarmati
Marco Iannetta
author_sort Ludovica Ferrari
collection DOAJ
description Background: to evaluate whether prior SARS-CoV-2 infection affects side effects and specific antibody production after vaccination with BNT162b2. Methods: We included 1106 health care workers vaccinated with BNT162b2. We assessed whether prior SARS-CoV-2 infection affects the number and type of side effects and performed a nested case–control analysis comparing plasma levels of specific IgG titers between SARS-CoV-2-naïve and previously infected subjects after the first and the second vaccine doses. Results: After the first dose, SARS-CoV-2-naïve subjects experienced side effects more often than SARS-CoV-2 naïve subjects. Individuals with prior SARS-CoV-2 infection more often reported pain at the injection site, weakness, and fever than SARS-CoV-2-naïve subjects. After the second dose, the frequency of side effects was similar in the two groups. All subjects with prior SARS-CoV-2 infection developed either a high (>100 AU/mL) or intermediate (10–100 AU/mL) antibody titer. Among SARS-CoV-2-naïve subjects, the majority developed an intermediate titer. After the second dose, a high (>2000 AU/mL) antibody titer was more common among subjects with prior SARS-CoV-2 infection. Conclusions: vaccine-related side effects and a higher anti-SARS-CoV-2-RBD IgG titer were more common in subjects with previous infection than in SARS-CoV-2-naïve after the first, but not after the second dose of the BNT162b2 vaccine.
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spelling doaj.art-1095e62963ea44edbe361b2823a9f2432023-12-02T00:25:11ZengMDPI AGVaccines2076-393X2022-08-01108123810.3390/vaccines10081238Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 VaccineLudovica Ferrari0Mirko Compagno1Laura Campogiani2Elisabetta Teti3Tiziana Mulas4Davide Checchi5Grazia Alessio6Federica Caldara7Luigi Coppola8Giuseppe De Simone9Laura Ceccarelli10Ilaria Spalliera11Pietro Vitale12Sandro Grelli13Massimo Andreoni14Loredana Sarmati15Marco Iannetta16Infectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, ItalyDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyBackground: to evaluate whether prior SARS-CoV-2 infection affects side effects and specific antibody production after vaccination with BNT162b2. Methods: We included 1106 health care workers vaccinated with BNT162b2. We assessed whether prior SARS-CoV-2 infection affects the number and type of side effects and performed a nested case–control analysis comparing plasma levels of specific IgG titers between SARS-CoV-2-naïve and previously infected subjects after the first and the second vaccine doses. Results: After the first dose, SARS-CoV-2-naïve subjects experienced side effects more often than SARS-CoV-2 naïve subjects. Individuals with prior SARS-CoV-2 infection more often reported pain at the injection site, weakness, and fever than SARS-CoV-2-naïve subjects. After the second dose, the frequency of side effects was similar in the two groups. All subjects with prior SARS-CoV-2 infection developed either a high (>100 AU/mL) or intermediate (10–100 AU/mL) antibody titer. Among SARS-CoV-2-naïve subjects, the majority developed an intermediate titer. After the second dose, a high (>2000 AU/mL) antibody titer was more common among subjects with prior SARS-CoV-2 infection. Conclusions: vaccine-related side effects and a higher anti-SARS-CoV-2-RBD IgG titer were more common in subjects with previous infection than in SARS-CoV-2-naïve after the first, but not after the second dose of the BNT162b2 vaccine.https://www.mdpi.com/2076-393X/10/8/1238vaccinesSARS-CoV-2COVID-19healthcare workersBNT162b2side effects
spellingShingle Ludovica Ferrari
Mirko Compagno
Laura Campogiani
Elisabetta Teti
Tiziana Mulas
Davide Checchi
Grazia Alessio
Federica Caldara
Luigi Coppola
Giuseppe De Simone
Laura Ceccarelli
Ilaria Spalliera
Pietro Vitale
Sandro Grelli
Massimo Andreoni
Loredana Sarmati
Marco Iannetta
Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
Vaccines
vaccines
SARS-CoV-2
COVID-19
healthcare workers
BNT162b2
side effects
title Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
title_full Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
title_fullStr Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
title_full_unstemmed Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
title_short Increased Mild Vaccine-Related Side Effects and Higher Specific Antibody Titers in Health Care Workers with Previous SARS-CoV-2 Infection after the mRNA BNT162b2 Vaccine
title_sort increased mild vaccine related side effects and higher specific antibody titers in health care workers with previous sars cov 2 infection after the mrna bnt162b2 vaccine
topic vaccines
SARS-CoV-2
COVID-19
healthcare workers
BNT162b2
side effects
url https://www.mdpi.com/2076-393X/10/8/1238
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