SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons

<b>Purpose:</b> To determine the impact of booster COVID-19 vaccination on SARS-CoV-2 symptoms. <b>Background</b>: The Omicron surge of infections provided an opportunity to evaluate symptoms in relation to booster receipt. <b>Methods:</b> At a US medical college,...

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Main Authors: Marisa A. Montecalvo, Paul Visintainer, Elizabeth Drugge, Katherine Kowalski, Rosemarie Raffa, Donna McKenna, Christine Moronta, Gary P. Wormser
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/12/3/327
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author Marisa A. Montecalvo
Paul Visintainer
Elizabeth Drugge
Katherine Kowalski
Rosemarie Raffa
Donna McKenna
Christine Moronta
Gary P. Wormser
author_facet Marisa A. Montecalvo
Paul Visintainer
Elizabeth Drugge
Katherine Kowalski
Rosemarie Raffa
Donna McKenna
Christine Moronta
Gary P. Wormser
author_sort Marisa A. Montecalvo
collection DOAJ
description <b>Purpose:</b> To determine the impact of booster COVID-19 vaccination on SARS-CoV-2 symptoms. <b>Background</b>: The Omicron surge of infections provided an opportunity to evaluate symptoms in relation to booster receipt. <b>Methods:</b> At a US medical college, the number, type, and duration of symptoms were evaluated for 476 students or employees, factoring in days between last vaccination and SARS-CoV-2 diagnosis. <b>Results:</b> Compared with vaccinated non-boosted individuals, boosted individuals reported a significantly higher frequency of nasal congestion (57.9% vs. 44.4%, <i>p</i> = 0.018) and nasal congestion and/or sore throat (77.2% vs. 62.0%, <i>p</i> = 0.003); in contrast, the frequency of body/muscle aches was significantly less among boosted individuals (22.1% vs. 32.4%, <i>p</i> = 0.038). With each one week increase in time since booster receipt, the probability of fever increased significantly by 4.4% (OR 1.044, 95% CI 1.01, 1.07, <i>p</i> = 0.001), and the probability of cough increased significantly by 4.8% (OR 1.048, 95% CI 1.01, 10.8, <i>p</i>= 0.010). <b>Conclusions:</b> Within a medical college population, during the first 7 months of the Omicron surge of infections, compared with vaccinated non-boosted individuals, boosted individuals significantly more often reported the following: nasal congestion as well as nasal congestion and/or sore throat. In contrast, body/muscle aches were reported significantly less often. The rates of fever and cough each significantly increased as time since booster dose receipt increased. These data suggest that having had a booster vaccination, as well the timing of receiving it, impacts the clinical manifestations of breakthrough SARS-CoV-2 infections. Additional studies are needed to precisely define SARS-CoV-2 symptoms in relation to booster vaccinations.
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spelling doaj.art-a2c60ac818ca428d98db36f6b6d330f92024-03-27T14:07:09ZengMDPI AGVaccines2076-393X2024-03-0112332710.3390/vaccines12030327SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted PersonsMarisa A. Montecalvo0Paul Visintainer1Elizabeth Drugge2Katherine Kowalski3Rosemarie Raffa4Donna McKenna5Christine Moronta6Gary P. Wormser7Department of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USADepartment of Epidemiology and Biostatistics, University of Massachusetts Chan Medical School–Baystate, Springfield, MA 01119, USADepartment of Public Health, Division of Epidemiology, New York Medical College, Valhalla, NY 10595, USADepartment of Health Services, New York Medical College, Valhalla, NY 10595, USADepartment of Health Services, New York Medical College, Valhalla, NY 10595, USADepartment of Health Services, New York Medical College, Valhalla, NY 10595, USADepartment of Health Services, New York Medical College, Valhalla, NY 10595, USADepartment of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA<b>Purpose:</b> To determine the impact of booster COVID-19 vaccination on SARS-CoV-2 symptoms. <b>Background</b>: The Omicron surge of infections provided an opportunity to evaluate symptoms in relation to booster receipt. <b>Methods:</b> At a US medical college, the number, type, and duration of symptoms were evaluated for 476 students or employees, factoring in days between last vaccination and SARS-CoV-2 diagnosis. <b>Results:</b> Compared with vaccinated non-boosted individuals, boosted individuals reported a significantly higher frequency of nasal congestion (57.9% vs. 44.4%, <i>p</i> = 0.018) and nasal congestion and/or sore throat (77.2% vs. 62.0%, <i>p</i> = 0.003); in contrast, the frequency of body/muscle aches was significantly less among boosted individuals (22.1% vs. 32.4%, <i>p</i> = 0.038). With each one week increase in time since booster receipt, the probability of fever increased significantly by 4.4% (OR 1.044, 95% CI 1.01, 1.07, <i>p</i> = 0.001), and the probability of cough increased significantly by 4.8% (OR 1.048, 95% CI 1.01, 10.8, <i>p</i>= 0.010). <b>Conclusions:</b> Within a medical college population, during the first 7 months of the Omicron surge of infections, compared with vaccinated non-boosted individuals, boosted individuals significantly more often reported the following: nasal congestion as well as nasal congestion and/or sore throat. In contrast, body/muscle aches were reported significantly less often. The rates of fever and cough each significantly increased as time since booster dose receipt increased. These data suggest that having had a booster vaccination, as well the timing of receiving it, impacts the clinical manifestations of breakthrough SARS-CoV-2 infections. Additional studies are needed to precisely define SARS-CoV-2 symptoms in relation to booster vaccinations.https://www.mdpi.com/2076-393X/12/3/327SARS-CoV-2OmicronsymptomsCOVID-19 vaccinationboosters
spellingShingle Marisa A. Montecalvo
Paul Visintainer
Elizabeth Drugge
Katherine Kowalski
Rosemarie Raffa
Donna McKenna
Christine Moronta
Gary P. Wormser
SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
Vaccines
SARS-CoV-2
Omicron
symptoms
COVID-19 vaccination
boosters
title SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
title_full SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
title_fullStr SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
title_full_unstemmed SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
title_short SARS-CoV-2 Symptoms during the Omicron Surge Differ between Boosted and Vaccinated Non-Boosted Persons
title_sort sars cov 2 symptoms during the omicron surge differ between boosted and vaccinated non boosted persons
topic SARS-CoV-2
Omicron
symptoms
COVID-19 vaccination
boosters
url https://www.mdpi.com/2076-393X/12/3/327
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