Evidence map›Paper›PMID 40560584›Full record

ArticleJAMA network open2025

Estimated 2023-2024 COVID-19 Vaccine Effectiveness in Adults.

Ruth Link-Gelles, Elizabeth A K Rowley, Stephanie A Irving, Nicola P Klein, Shaun J Grannis, Toan C Ong, Sarah W Ball, Malini B DeSilva, Kristin Dascomb, Allison L Naleway and 29 more

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Integrating Genomic Data into Test-negative Designs for Estimating Lineage-specific COVID-19 Vaccine Effectiveness.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  7. Cancer and COVID-19: A review of immune insights and partnerships to inform public health strategy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Decoding the cross-immune pressure: Dengue's role in SARS-CoV-2 evolution.Computational and structural biotechnology journal · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors.

Ruth Link-GellesNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth A K RowleyWestat, Rockville, Maryland.
Stephanie A IrvingKaiser Permanente Center for Health Research, Portland, Oregon.
Nicola P KleinKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
Shaun J GrannisIndiana University School of Medicine, Indianapolis.
Toan C OngUniversity of Colorado School of Medicine, Aurora.
Sarah W BallWestat, Rockville, Maryland.
Malini B DeSilvaHealthPartners Institute, Minneapolis, Minnesota.
Kristin DascombDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Health, Salt Lake City, Utah.
Allison L NalewayKaiser Permanente Center for Health Research, Portland, Oregon.
Padma KoppoluKaiser Permanente Center for Health Research, Portland, Oregon.
Ousseny ZerboKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
Bruce FiremanKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
John HansenKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
Julius TimbolKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
Lawrence BlockKaiser Permanente Vaccine Study Center, Kaiser Permanente Northern California Division of Research, Oakland.
Brian E DixonRegenstrief Institute Center for Biomedical Informatics, Indianapolis, Indiana.
Thomas J DuszynskiRegenstrief Institute Center for Biomedical Informatics, Indianapolis, Indiana.
Katie S AllenRegenstrief Institute Center for Biomedical Informatics, Indianapolis, Indiana.
David MayerUniversity of Colorado School of Medicine, Aurora.
Catia ChavezUniversity of Colorado School of Medicine, Aurora.
Michelle BarronUniversity of Colorado School of Medicine, Aurora.
Sarah E ReeseWestat, Rockville, Maryland.
Sean ChickeryWestat, Rockville, Maryland.
Jonathan M DavisWestat, Rockville, Maryland.
Allison Avrich CieslaNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Josephine MakNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Morgan NajdowskiNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Omobosola O AkinseteHealthPartners Institute, Minneapolis, Minnesota.
Charlene E McEvoyHealthPartners Institute, Minneapolis, Minnesota.
Inih J EssienHealthPartners Institute, Minneapolis, Minnesota.
Tamara SheffieldDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Health, Salt Lake City, Utah.
Daniel BrideDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Health, Salt Lake City, Utah.
Julie ArndorferDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Health, Salt Lake City, Utah.
Joshua Van OtterlooDivision of Infectious Diseases and Clinical Epidemiology, Intermountain Health, Salt Lake City, Utah.
Karthik NatarajanDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York.
Mark W TenfordeNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jennifer DeCuirNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Amanda B PayneNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: SARS-CoV-2 continues to evolve, population immunity changes, and COVID-19 vaccine formulas have been updated, necessitating ongoing COVID-19 vaccine effectiveness (VE) monitoring. Objectives: To evaluate the VE of 2023-2024 COVID-19 vaccines against COVID-19-associated emergency department (ED) and urgent care (UC) encounters, hospitalizations, and critical illness, including during XBB- and JN.1-predominant periods. Design, Setting, and Participants: This test-negative design VE case-control study was conducted using data from September 21, 2023, to August 22, 2024, from EDs, UC centers, and hospitals in 6 US health care systems. Eligible adults 18 years or older with COVID-19-like illness and molecular or antigen testing for SARS-CoV-2 were studied. Case patients were those with a positive molecular or antigen test result; control patients were those with a negative molecular test result. Exposure: Receipt of 2023-2024 (monovalent XBB.1.5) COVID-19 vaccination with products approved or authorized for use in the US. Main Outcomes and Measures: Main outcomes were COVID-19-associated ED and UC encounters, hospitalizations, and critical illness (admission to the intensive care unit or in-hospital death). VE was estimated comparing the odds of receipt of the 2023-2024 COVID-19 vaccine with no receipt among case and control patients. Results: Among 345 639 eligible ED and UC encounters in immunocompetent adults 18 years or older with COVID-19-like illness and available test results (median [IQR] age, 53 [34-71] years; 209 087 [60%] female), 37 096 (11%) had a positive SARS-CoV-2 test result. VE against COVID-19-associated ED and UC encounters was 24% (95% CI, 21%-26%) during 7 to 299 days after vaccination. Among 111 931 eligible hospitalizations in immunocompetent adults 18 years or older with COVID-19-like illness and available test results (median [IQR] age, 71 [58-81] years), 10 380 (9%) had a positive SARS-CoV-2 test result. During 7 to 299 days after vaccination, VE was 29% (95% CI, 25%-33%) against COVID-19-associated hospitalization and 48% (95% CI, 40%-55%) against COVID-19-associated critical illness. VE was highest 7 to 59 days after vaccination (VE against ED and UC encounters 49%; 95% CI, 46%-52%; hospitalization, 51%; 95% CI, 46%-56%; critical illness, 68%; 95% CI, 56%-76%) and then waned (VE 180-299 days after vaccination against ED and UC encounters, -7% [95% CI, -13% to -2%]; hospitalization, -4% [95% CI, -14% to 5%]; and critical illness, 16% [95% CI, -6 to 34%]). Conclusions and Relevance: In this case-control study of VE, 2023-2024 COVID-19 vaccines were estimated to provide additional effectiveness against medically attended COVID-19, with the highest and most sustained estimates against critical illness. These results highlight the importance of receiving recommended COVID-19 vaccination for adults 18 years or older.

Indexed as

COVID-19COVID-19 VaccinesVaccine EfficacyAdultAgedCase-Control StudiesEmergency Service, HospitalFemaleHospitalizationHumansMaleMiddle AgedSARS-CoV-2United StatesCOVID-19 Vaccines

Identifiers

PMID40560584
PMCPMC12199055

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.