Exploratory analysis of immunization records highlights decreased SARS-CoV-2 rates in individuals with recent non-COVID-19 vaccinations

Sci Rep. 2021 Feb 26;11(1):4741. doi: 10.1038/s41598-021-83641-y.

Abstract

Clinical studies are ongoing to assess whether existing vaccines may afford protection against SARS-CoV-2 infection through trained immunity. In this exploratory study, we analyze immunization records from 137,037 individuals who received SARS-CoV-2 PCR tests. We find that polio, Haemophilus influenzae type-B (HIB), measles-mumps-rubella (MMR), Varicella, pneumococcal conjugate (PCV13), Geriatric Flu, and hepatitis A/hepatitis B (HepA-HepB) vaccines administered in the past 1, 2, and 5 years are associated with decreased SARS-CoV-2 infection rates, even after adjusting for geographic SARS-CoV-2 incidence and testing rates, demographics, comorbidities, and number of other vaccinations. Furthermore, age, race/ethnicity, and blood group stratified analyses reveal significantly lower SARS-CoV-2 rate among black individuals who have taken the PCV13 vaccine, with relative risk of 0.45 at the 5 year time horizon (n: 653, 95% CI (0.32, 0.64), p-value: 6.9e-05). Overall, this study identifies existing approved vaccines which can be promising candidates for pre-clinical research and Randomized Clinical Trials towards combating COVID-19.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • Child
  • Child, Preschool
  • Female
  • Haemophilus Vaccines / therapeutic use
  • Humans
  • Immunization
  • Infant
  • Influenza Vaccines / therapeutic use
  • Male
  • Measles-Mumps-Rubella Vaccine / therapeutic use
  • Middle Aged
  • Pneumococcal Vaccines / therapeutic use
  • Poliovirus Vaccines / therapeutic use
  • Protective Factors
  • SARS-CoV-2 / isolation & purification
  • Vaccines, Conjugate / therapeutic use
  • Viral Hepatitis Vaccines / therapeutic use
  • Young Adult

Substances

  • 13-valent pneumococcal vaccine
  • Haemophilus Vaccines
  • Influenza Vaccines
  • Measles-Mumps-Rubella Vaccine
  • Pneumococcal Vaccines
  • Poliovirus Vaccines
  • Vaccines, Conjugate
  • Viral Hepatitis Vaccines