Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases

COVID-19 trials have relied on symptomatic subjects for judging the effectiveness of vaccine candidates, whereas asy–mptomatic subjects have been suspected as the main driver of the pandemic. An assumption of the same impact on symptomatic and asymptomatic breakthrough infections is shown to be flaw...

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Main Author: Richard Paul Junghans
Format: Article
Language:English
Published: Taylor & Francis Group 2021-12-01
Series:Human Vaccines & Immunotherapeutics
Online Access:http://dx.doi.org/10.1080/21645515.2021.1994800
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author Richard Paul Junghans
author_facet Richard Paul Junghans
author_sort Richard Paul Junghans
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description COVID-19 trials have relied on symptomatic subjects for judging the effectiveness of vaccine candidates, whereas asy–mptomatic subjects have been suspected as the main driver of the pandemic. An assumption of the same impact on symptomatic and asymptomatic breakthrough infections is shown to be flawed, resulting in an overestimate of the vaccines’ true effectiveness. Recent available data provide the first large-scale unbiased data on asymptomatic versus symptomatic infections postvaccination, providing a unique opportunity to reassess the true infection rates after vaccination. By this, the breakthrough of the BNT162b2 vaccine is seen to be 12% rather than 5% for a corrected overall efficiency (symptomatic + asymptomatic) of 88% with the original virus strain in a real-world setting.
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spelling doaj.art-2ce6713232714e16a5bf901ea39e8cbc2023-09-26T12:51:26ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-12-0117125133513410.1080/21645515.2021.19948001994800Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic casesRichard Paul Junghans0Boston UniversityCOVID-19 trials have relied on symptomatic subjects for judging the effectiveness of vaccine candidates, whereas asy–mptomatic subjects have been suspected as the main driver of the pandemic. An assumption of the same impact on symptomatic and asymptomatic breakthrough infections is shown to be flawed, resulting in an overestimate of the vaccines’ true effectiveness. Recent available data provide the first large-scale unbiased data on asymptomatic versus symptomatic infections postvaccination, providing a unique opportunity to reassess the true infection rates after vaccination. By this, the breakthrough of the BNT162b2 vaccine is seen to be 12% rather than 5% for a corrected overall efficiency (symptomatic + asymptomatic) of 88% with the original virus strain in a real-world setting.http://dx.doi.org/10.1080/21645515.2021.1994800
spellingShingle Richard Paul Junghans
Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
Human Vaccines & Immunotherapeutics
title Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
title_full Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
title_fullStr Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
title_full_unstemmed Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
title_short Technical note: The calculated real world BNT162b2 vaccine efficacy was 88% when accounting for asymptomatic cases
title_sort technical note the calculated real world bnt162b2 vaccine efficacy was 88 when accounting for asymptomatic cases
url http://dx.doi.org/10.1080/21645515.2021.1994800
work_keys_str_mv AT richardpauljunghans technicalnotethecalculatedrealworldbnt162b2vaccineefficacywas88whenaccountingforasymptomaticcases