What is the impact of lower COVID-19 vaccine doses in younger cohorts?

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What is the impact of lower COVID-19 vaccine doses in younger cohorts?
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What is the impact of lower COVID-19 vaccine doses in younger cohorts? UofCalifornia SARSCoV2 COVID19 Vaccine Children Adolescents

By Shanet Susan AlexJul 18 2022Reviewed by Aimee Molineux A recent study published in the Open Forum Infectious Diseases journal evaluated the impact of the lower severe acute respiratory syndrome coronavirus 2 vaccine dosages in younger populations.

However, according to preliminary information from the New York State Department of Health, VE in children aged 5 to 11 decreased from 68 to 12%, and hospitalization rates from 100 to 48% during December 13, 2021, compared to January 24, 2022. On the other hand, VE in those aged 12 to 17 dropped from 66 to 51% for infections and from 85 to 73% for hospitalization.

Mechanisms of reduced vaccine efficacy in younger age groups One theory holds that the lower dosage of 10 µg of BNT162b2 delivered three weeks apart was the cause of the poor efficacy in children aged 5 to 11; however, evidence on neutralizing antibodies suggests that this was not the case.

After vaccination, T- and B-cell responses continue to develop for several months, as does immunity against severe illness. Therefore, the 51-day post-vaccination period for children aged 5 to 11 compared to 211 days for children aged 12 to 17 in New York might have attributed to the lower efficacy against hospitalization seen in the younger sample.

Altering the dose intervals was one action tried to enhance immunogenicity in individuals between the ages of 12 and 39. New research has shown that spreading out the initial and second doses of mRNA vaccines increases immunogenicity while reducing adverse reactions.

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