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  • Immunogenicity Characteriza...
    Vasconcelos, Zanair Soares; Salem, Hany Abdulateif; Veiga, Sâmia Pimenta; Lima, Fabiola Estefany Botelho de; Gonçalves, César Rogério da Silva; Santos, Eliane Carvalho Dos; Brandão, Alba Regina Jorge; Couceiro, Kátia Nascimento; Guerra, Jorge Augusto de Oliveira; Guerra, Maria das Graças Vale Barbosa

    Revista da Sociedade Brasileira de Medicina Tropical, 2023, Letnik: 56
    Journal Article

    Immunogenicity has emerged as a challenge in the development of vaccines against coronavirus disease of 2019 (COVID-19). Immunogenicity is a determinant of the efficacy and safety of vaccines. This systematic review and associated meta-analysis summarized and characterized the immunogenicity of COVID-19 vaccines in randomized controlled trials (RCTs). Relevant RCTs were systematically sourced from different medical databases in August 2021. The risk ratios and mean differences with 95% confidence intervals were calculated. Of 2,310 papers, 16 RCTs were eligible for review. These RCTs involved a total of 26,698 participants (15,292 males and 11,231 females). The pooled results showed a significant difference in the geometric mean titer between the vaccinated and control groups in favor of the vaccine group after 1 and 2 months of follow-up, for the young age group (18 - < 55y), and with different doses (P < 0.001). The difference in the older age group (>55y) was insignificant (P = 0.24). The seroconversion rate of spike neutralizing antibodies favored the vaccine groups 1 or 2 months after vaccination (P < 0.001). The seroconversion rate of the vaccine group was significantly different (P < 0.001) from that of the control group. Vaccination elicits immunogenicity in the follow-up period for all age groups and at low and large doses. Therefore, people should be encouraged to receive vaccines currently being offered. A boost dose has been asserted for the elderly.