Effectiveness of Bivalent mRNA COVID-19 Vaccines in Preventing COVID-19-Related Thromboembolic Events Among Medicare Enrollees Aged ≥65 Years and Those with End Stage Renal Disease - United States, September 2022-March 2023

被引:0
|
作者
Payne, Amanda B. [1 ]
Novosad, Shannon [2 ]
Wiegand, Ryan E. [1 ]
Najdowski, Morgan [1 ]
Gomes, Danica J. [2 ]
Wallace, Megan [1 ]
Kelman, Jeffrey A. [3 ]
Sung, Heng-Ming [4 ]
Zhang, Yue [4 ]
Lufkin, Bradley [4 ]
Chillarige, Yoganand [4 ]
Link-Gelles, Ruth [1 ]
机构
[1] CDC, Natl Ctr Immunizat & Resp Dis, Coronavirus & Other Resp Viruses Div, Atlanta, GA 30329 USA
[2] CDC, Natl Ctr Emerging & Zoonot Infect Dis, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
[3] Ctr Medicare & Medicaid Serv, Baltimore, MD USA
[4] Acumen LLC, Burlingame, CA USA
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R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
COVID-19 has been associated with an increased risk for thromboembolic events, including ischemic stroke, venous thromboembolism, and myocardial infarction. Studies have reported lower rates of COVID-19-related thromboembolic events among persons who received the COVID-19 vaccine compared with persons who did not, but rigorous estimates of vaccine effectiveness (VE) in preventing COVID-19-related thromboembolic events are lacking. This analysis estimated the incremental benefit of receipt of a bivalent mRNA COVID-19 vaccine after receiving an original monovalent COVID-19 vaccine. To estimate VE of a bivalent mRNA COVID-19 dose in preventing thromboembolic events compared with original monovalent COVID-19 vaccine doses only, two retrospective cohort studies were conducted among Medicare fee-for-service enrollees during September 4, 2022-March 4, 2023. Effectiveness of a bivalent COVID-19 vaccine dose against COVID-19-related thromboembolic events compared with that of original vaccine alone was 47% (95% CI = 45%-49%) among Medicare enrollees aged >= 65 years and 51% (95% CI = 39%-60%) among adults aged >= 18 years with end stage renal disease receiving dialysis. VE was similar among Medicare beneficiaries with immunocompromise: 46% (95% CI = 42%-49%) among adults aged >= 65 years and 45% (95% CI = 24%-60%) among those aged >= 18 years with end stage renal disease. To help prevent complications of COVID-19, including thromboembolic events, adults should stay up to date with COVID-19 vaccination.
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页码:16 / 23
页数:8
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