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Nat Commun . Early effectiveness of the BNT162b2 KP.2 vaccine against COVID-19 in the US Veterans Affairs Healthcare System

tetano

Editor, Senior Moderator
Nat Commun


. 2025 Apr 29;16(1):4033.
doi: 10.1038/s41467-025-59344-7. Early effectiveness of the BNT162b2 KP.2 vaccine against COVID-19 in the US Veterans Affairs Healthcare System

Haley J Appaneal[SUP] 1 2 3 [/SUP], Vrishali V Lopes[SUP] 1 [/SUP], Laura Puzniak[SUP] 4 [/SUP], Evan J Zasowski[SUP] 4 [/SUP], Luis Jodar[SUP] 4 [/SUP], John M McLaughlin[SUP] 4 [/SUP], Aisling R Caffrey[SUP] 5 6 7 8 [/SUP]



Affiliations
Abstract

This test-negative case-control study within the US Veterans Affairs Healthcare System aims to estimate early vaccine effectiveness (VE) of the BNT162b2 KP.2 vaccine (2024-2025 formulation) compared to not receiving the KP.2 vaccine against COVID-19 outcomes. The study includes adult patients (age ≥18 years) with an acute respiratory infection (ARI) in hospital, emergency department and urgent care (ED/UC), or outpatient settings between September 5 and November 30, 2024. Separate multivariable logistic regression models compare the odds of receiving BNT162b2 KP.2 vaccine among SARS-CoV-2 positive cases and test-negative controls within each ARI outcome category, while adjusting for potentially confounding variables. Among 44,598 ARI episodes, VE is 68% (42-82%), 57% (46-65%), and 56% (36-69%) against COVID-19-associated hospitalizations, emergency department and urgent care visits, and outpatient visits, respectively. Uptake of updated COVID-19 vaccines is low (3.7%).


 
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