Article, 2024

Effectiveness of XBB.1.5 Monovalent COVID-19 Vaccines During a Period of XBB.1.5 Dominance in EU/EEA Countries, October to November 2023: A VEBIS-EHR Network Study

Influenza and Other Respiratory Viruses, ISSN 1750-2640, Volume 18, 4, 10.1111/irv.13292

Contributors

Monge S. 0000-0003-1412-3012 (Corresponding author) [1] [2] Humphreys J. [3] Nicolay N. [4] Braeye T. 0000-0002-5637-4613 Van Evercooren I. Hansen C.H. 0000-0002-5949-0097 [5] Emborg H.-D. 0000-0001-8062-0864 [5] Sacco C. [4] [6] Mateo-Urdiales A. [6] Castilla J. 0000-0002-6396-7265 [7] [8] Martinez-Baz I. [7] [8] de Gier B. 0000-0002-9067-090X [9] Hahne S.J.M. [9] Meijerink H. [10] Kristoffersen A.B. 0000-0003-2313-9622 [10] Machado A. [11] Soares P. 0000-0001-5033-9115 [11] Nardone A. 0000-0003-1138-0937 [3] Bacci S. [4] Kissling E. 0000-0001-7188-8404 [3] Nunes B. [3]

Affiliations

  1. [1] CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III
  2. [NORA names: Spain; Europe, EU; OECD];
  3. [2] Instituto de Salud Carlos III
  4. [NORA names: Spain; Europe, EU; OECD];
  5. [3] Epiconcept
  6. [NORA names: France; Europe, EU; OECD];
  7. [4] European Centre for Disease Prevention and Control
  8. [NORA names: Sweden; Europe, EU; Nordic; OECD];
  9. [5] Statens Serum Institut
  10. [NORA names: SSI Statens Serum Institut; Governmental Institutions; Denmark; Europe, EU; Nordic; OECD];

Abstract

Using a common protocol across seven countries in the European Union/European Economic Area, we estimated XBB.1.5 monovalent vaccine effectiveness (VE) against COVID-19 hospitalisation and death in booster-eligible ≥ 65-year-olds, during October–November 2023. We linked electronic records to construct retrospective cohorts and used Cox models to estimate adjusted hazard ratios and derive VE. VE for COVID-19 hospitalisation and death was, respectively, 67% (95%CI: 58–74) and 67% (95%CI: 42–81) in 65- to 79-year-olds and 66% (95%CI: 57–73) and 72% (95%CI: 51–85) in ≥ 80-year-olds. Results indicate that periodic vaccination of individuals ≥ 65 years has an ongoing benefit and support current vaccination strategies in the EU/EEA.

Keywords

COVID-19, SARS-CoV-2, cohort design, electronic health records, hospitalisation, multicountry study, vaccine effectiveness

Funders

  • European Centre for Disease Prevention and Control
  • Fundação para a Ciência e a Tecnologia

Data Provider: Elsevier