Evidence map›Paper›PMID 41632473›Full record

ArticleJAMA network open2026

Estimated Effectiveness of 2024-2025 COVID-19 Vaccination Against Severe COVID-19.

Kevin C Ma, Alexander Webber, Adam S Lauring, Emily Bendall, Leigh K Papalambros, Basmah Safdar, Adit A Ginde, Ithan D Peltan, Samuel M Brown, Manjusha Gaglani and 41 more

Abstract readMulticenter Study
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Respiratory Virus Activity - United States, July 1, 2024-June 30, 2025.MMWR. Morbidity and mortality weekly report · 2026
    Article
  7. Review
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

51 authors.

Kevin C MaCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Alexander WebberCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Adam S LauringDepartment of Internal Medicine, University of Michigan, Ann Arbor.
Emily BendallDepartment of Internal Medicine, University of Michigan, Ann Arbor.
Leigh K PapalambrosDepartment of Internal Medicine, University of Michigan, Ann Arbor.
Basmah SafdarDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora.
Ithan D PeltanDepartment of Pulmonary/Critical Care Medicine, Intermountain Medical Center, Murray, Utah.
Samuel M BrownDepartment of Pulmonary/Critical Care Medicine, Intermountain Medical Center, Murray, Utah.
Manjusha GaglaniBaylor Scott and White Health, Temple, Texas.
Shekhar GhamandeBaylor Scott and White Health, Temple, Texas.
Cristie ColumbusBaylor College of Medicine, Temple, Texas.
Nicholas M MohrDepartment of Emergency Medicine, University of Iowa, Iowa City.
Kevin W GibbsDepartment of Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
David N HagerDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Matthew E PrekkerDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
Michelle N GongDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Amira MohamedDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Nicholas J JohnsonDepartment of Emergency Medicine, University of Washington, Seattle.
Akram KhanDepartment of Medicine, Oregon Health and Sciences University, Portland.
Catherine L HoughDepartment of Medicine, Oregon Health and Sciences University, Portland.
Abhijit DuggalDepartment of Medicine, Cleveland Clinic, Cleveland, Ohio.
Jennifer G WilsonDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, California.
Nida QadirDepartment of Medicine, University of California, Los Angeles.
Steven Y ChangDepartment of Medicine, University of California, Los Angeles.
Christopher MallowDepartment of Medicine, University of Miami, Miami, Florida.
Laurence W BusseDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Jennie H KwonDepartment of Medicine, Washington University in St Louis, St Louis, Missouri.
Matthew C ExlineDepartment of Medicine, The Ohio State University, Columbus.
Ivana A VaughnDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan.
Mayur RameshDivision of Infectious Diseases, Henry Ford Health, Detroit, Michigan.
Jarrod M MosierDepartment of Emergency Medicine, University of Arizona, Tucson.
Aleda M LeisDepartment of Epidemiology, University of Michigan, Ann Arbor.
Estelle S HarrisDepartment of Medicine, University of Utah, Salt Lake City.
Adrienne BaughmanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Sydney A CornelisonDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Paul W BlairVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee.
Cassandra A JohnsonDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Nathaniel M LewisInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sascha EllingtonInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Todd W RiceDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
H Keipp TalbotDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Jonathan D CaseyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Natasha HalasaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
James D ChappellDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Fatimah S DawoodCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Diya SurieCoronavirus and Other Respiratory Viruses Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Investigating Respiratory Viruses in the Acutely Ill (IVY) Network

Funding

Measuring and Learning from Care Variation in SepsisR35GM151147 · NIGMS · IHC HEALTH SERVICES, INC. · PI Ithan Daniel Peltan · 2023 to 2026
$1.5M
NIGMS NIH HHS R35 GM151147
6 · The paper itself

Abstract

Importance: As SARS-CoV-2 JN.1 lineage descendants continue to evolve, evaluating COVID-19 vaccine effectiveness (VE) against severe COVID-19 remains important to guide vaccination strategies. Objective: To estimate the VE of the 2024-2025 COVID-19 vaccines against COVID-19-associated hospitalization and severe in-hospital outcomes overall and by time since dose (7-89, 90-179, and ≥180 days), JN.1 descendant lineage (KP.3.1.1, XEC, LP.8.1), and spike protein mutations associated with immune evasion. Design, Setting, and Participants: This multicenter, test-negative, case-control study conducted by the Investigating Respiratory Viruses in the Acutely Ill Network included adult patients (aged ≥18 years) hospitalized between September 1, 2024, and April 30, 2025, at 26 hospitals in 20 US states. Case patients presented with COVID-19-like illness and positive SARS-CoV-2 nucleic acid or antigen test results; control patients had COVID-19-like illness but tested negative for SARS-CoV-2. Exposure: Receipt of a 2024-2025 COVID-19 vaccine at least 7 days before illness onset. Main Outcomes and Measures: Main outcomes were COVID-19-associated hospitalization and severe in-hospital outcomes (supplemental oxygen therapy, acute respiratory failure, intensive care unit admission, and invasive mechanical ventilation or death). Logistic regression was used to estimate the odds of vaccination in case and control patients, adjusting for demographics, clinical characteristics, and enrollment region. The VE was estimated as (1 - adjusted odds ratio) × 100%. Results: A total of 8493 patients (median [IQR] age, 66 [54-76] years; 4338 female [51.1%]), including 1888 case patients with COVID-19 (among whom 951 [50.4%] had successful whole-genome sequencing, including 348 [36.6%] with KP.3.1.1, 218 [22.9%] with XEC, and 134 [14.1%] with LP.8.1 infections) and 6605 control patients were enrolled. Vaccine effectiveness against COVID-19-associated hospitalization was 40% (95% CI, 27%-51%), and protection was sustained through 90 to 179 days after vaccination. Vaccine effectiveness was higher against the most severe outcome of invasive mechanical ventilation or death at 79% (95% CI, 55%-92%). It was 49% (95% CI, 25%-67%) against hospitalization with KP.3.1.1, 34% (95% CI, 4%-56%) against XEC, and 24% (95% CI, -19% to 53%) against LP.8.1, with increasing median time since dose receipt among vaccinated case patients due to sequential circulation patterns (60, 89, and 141 days, respectively). The VE was similar against lineages with spike protein S31 deletion (41% [95% CI, 22%-56%]) and T22N and F59S substitutions (37% [95% CI, 9%-57%]). Conclusions and Relevance: In this multicenter, case-control analysis of VE, 2024-2025 COVID-19 vaccines may have provided protection against hospitalizations and severe in-hospital outcomes as multiple JN.1 descendant lineages circulated. Monitoring COVID-19 VE, including stratifying by SARS-CoV-2 lineage and spike protein mutations, remains important to guide COVID-19 vaccine composition and recommendations.

Indexed as

COVID-19COVID-19 VaccinesSARS-CoV-2Vaccine EfficacyAdultAgedCase-Control StudiesFemaleHospitalizationHumansMaleMiddle AgedUnited StatesVaccinationCOVID-19 Vaccines

Identifiers

PMID41632473
PMCPMC12869339

What Socratic holds

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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.