Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart

Background: The immunization of healthcare workers (HCWs) plays a recognized key role in prevention in the COVID-19 pandemic: in Italy, the vaccination campaign began at the end of December 2020. A better knowledge of the on-field immune response in HCWs, of adverse effects and of the main factors i...

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Main Authors: Alberto Modenese, Stefania Paduano, Annalisa Bargellini, Rossana Bellucci, Simona Marchetti, Fulvio Bruno, Pietro Grazioli, Roberto Vivoli, Fabriziomaria Gobba
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/6/652
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author Alberto Modenese
Stefania Paduano
Annalisa Bargellini
Rossana Bellucci
Simona Marchetti
Fulvio Bruno
Pietro Grazioli
Roberto Vivoli
Fabriziomaria Gobba
author_facet Alberto Modenese
Stefania Paduano
Annalisa Bargellini
Rossana Bellucci
Simona Marchetti
Fulvio Bruno
Pietro Grazioli
Roberto Vivoli
Fabriziomaria Gobba
author_sort Alberto Modenese
collection DOAJ
description Background: The immunization of healthcare workers (HCWs) plays a recognized key role in prevention in the COVID-19 pandemic: in Italy, the vaccination campaign began at the end of December 2020. A better knowledge of the on-field immune response in HCWs, of adverse effects and of the main factors involved is fundamental. Methods: We performed a study on workers at a nursing home in Northern Italy, vaccinated in January–February 2021 with two doses of the BNT162b2 vaccine four weeks apart, instead of the three weeks provided for in the original manufacturer protocol. One month after the second dose, the serological titer of IgG-neutralizing anti-RBD antibodies of the subunit S1 of the spike protein of SARS-CoV-2 was determined. The socio-demographic and clinical characteristics of the subjects and adverse effects of vaccination were collected by questionnaire. Results: In all of the workers, high antibody titer, ranging between 20 and 760 times the minimum protective level were observed. Titers were significantly higher in subjects with a previous COVID-19 diagnosis. Adverse effects after the vaccine were more frequent after the second dose, but no severe adverse effects were observed. Conclusions: The two doses of the BNT162b2 vaccine, even if administered four weeks apart, induced high titers of anti-SARS-CoV-2 neutralizing IgG in all the operators included in the study.
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spelling doaj.art-33a514edb64a415dbe0d70acd11cd4da2023-11-22T00:07:53ZengMDPI AGVaccines2076-393X2021-06-019665210.3390/vaccines9060652Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks ApartAlberto Modenese0Stefania Paduano1Annalisa Bargellini2Rossana Bellucci3Simona Marchetti4Fulvio Bruno5Pietro Grazioli6Roberto Vivoli7Fabriziomaria Gobba8Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, ItalyLaboratorio Analisi TEST SrL, 41121 Modena, ItalyLaboratorio Analisi TEST SrL, 41121 Modena, ItalyFondazione Scarpari Forattini Onlus, 46020 Schivenoglia, MN, ItalyFondazione Scarpari Forattini Onlus, 46020 Schivenoglia, MN, ItalyLaboratorio Analisi TEST SrL, 41121 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, 41125 Modena, ItalyBackground: The immunization of healthcare workers (HCWs) plays a recognized key role in prevention in the COVID-19 pandemic: in Italy, the vaccination campaign began at the end of December 2020. A better knowledge of the on-field immune response in HCWs, of adverse effects and of the main factors involved is fundamental. Methods: We performed a study on workers at a nursing home in Northern Italy, vaccinated in January–February 2021 with two doses of the BNT162b2 vaccine four weeks apart, instead of the three weeks provided for in the original manufacturer protocol. One month after the second dose, the serological titer of IgG-neutralizing anti-RBD antibodies of the subunit S1 of the spike protein of SARS-CoV-2 was determined. The socio-demographic and clinical characteristics of the subjects and adverse effects of vaccination were collected by questionnaire. Results: In all of the workers, high antibody titer, ranging between 20 and 760 times the minimum protective level were observed. Titers were significantly higher in subjects with a previous COVID-19 diagnosis. Adverse effects after the vaccine were more frequent after the second dose, but no severe adverse effects were observed. Conclusions: The two doses of the BNT162b2 vaccine, even if administered four weeks apart, induced high titers of anti-SARS-CoV-2 neutralizing IgG in all the operators included in the study.https://www.mdpi.com/2076-393X/9/6/652SARS-CoV-2COVID-19healthcare workersvaccinesantibody titeradverse effects
spellingShingle Alberto Modenese
Stefania Paduano
Annalisa Bargellini
Rossana Bellucci
Simona Marchetti
Fulvio Bruno
Pietro Grazioli
Roberto Vivoli
Fabriziomaria Gobba
Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
Vaccines
SARS-CoV-2
COVID-19
healthcare workers
vaccines
antibody titer
adverse effects
title Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
title_full Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
title_fullStr Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
title_full_unstemmed Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
title_short Neutralizing Anti-SARS-CoV-2 Antibody Titer and Reported Adverse Effects, in a Sample of Italian Nursing Home Personnel after Two Doses of the BNT162b2 Vaccine Administered Four Weeks Apart
title_sort neutralizing anti sars cov 2 antibody titer and reported adverse effects in a sample of italian nursing home personnel after two doses of the bnt162b2 vaccine administered four weeks apart
topic SARS-CoV-2
COVID-19
healthcare workers
vaccines
antibody titer
adverse effects
url https://www.mdpi.com/2076-393X/9/6/652
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