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. 2023 Jun 2;72(22):601–605. doi: 10.15585/mmwr.mm7222a3

TABLE. Estimated percentage* of persons infected with SARS-CoV-2 for the first time among blood donors, by analysis quarter, sociodemographic characteristics, and vaccination status — United States, April 2021September 2022.

Characteristic Period, % (95% CI)
Apr–Jun 2021 to Jan–Mar 2022 Jan–Mar 2022 to Apr–Jun 2022 Apr–Jun 2022 to Jul–Sep 2022
Overall
Total
42.5 (41.8–43.3)
14.5 (13.7–15.3)
23.6 (22.8–24.5)
Unvaccinated
67.0 (65.6–68.4)
21.7 (19.1–24.4)
28.3 (25.5–31.3)
Vaccinated
26.3 (25.4–27.1)
13.3 (12.4–14.1)
22.9 (22.1–23.8)
Age group, yrs
16–29
Total
57.4 (54.8–59.9)
21.8 (18.6–25.4)
29.3 (25.8–33.0)
Unvaccinated
73.8 (69.5–77.7)
31.5 (21.5–43.7)
29.5 (18.1–44.2)
Vaccinated
41.2 (38.1–44.4)
19.7 (16.6–23.3)
29.2 (25.6–33.1)
30–49
Total
51.8 (50.4–53.3)
18.0 (16.1–20.0)
26.8 (24.9–28.8)
Unvaccinated
70.6 (68.5–72.5)
23.0 (17.9–28.9)
25.6 (21.3–30.4)
Vaccinated
32.5 (30.6–34.4)
16.9 (15.0–18.9)
27.0 (25.0–29.2)
50–64
Total
38.9 (37.3–40.5)
13.2 (12.0–14.6)
24.1 (22.4–25.9)
Unvaccinated
61.5 (58.5–64.4)
19.8 (16.0–24.2)
32.0 (27.5–36.9)
Vaccinated
24.6 (23.1–26.3)
12.1 (10.8–13.6)
22.9 (21.2–24.7)
≥65
Total
21.0 (20.0–22.2)
9.2 (8.4–10.0)
18.5 (17.4–19.7)
Unvaccinated
49.6 (46.3–52.9)
13.7 (11.3–16.5)
27.0 (22.8–31.6)
Vaccinated
15.0 (13.9–16.2)
8.7 (7.9–9.6)
17.8 (16.6–19.0)
Race and ethnicity§
Asian
Total
29.1 (26.0–32.3)
8.9 (6.6–11.8)
23.2 (19.5–27.5)
Unvaccinated
53.1 (40.7–65.0)
6.3 (1.9–18.8)
22.1 (8.3–47.0)
Vaccinated
24.7 (21.7–27.9)
9.0 (6.7–12.1)
23.3 (19.5–27.5)
Black or African American
Total
42.4 (37.8–47.2)
12.9 (9.5–17.4)
23.7 (19.4–28.6)
Unvaccinated
71.6 (61.0–80.3)
14.8 (3.0–49.5)
21.7 (5.0–59.3)
Vaccinated
30.1 (25.9–34.6)
12.8 (9.3–17.3)
23.9 (19.7–28.6)
White
Total
43.2 (42.4–43.9)
15.3 (14.6–16.1)
23.5 (22.8–24.3)
Unvaccinated
67.4 (66.0–68.8)
22.7 (20.1–25.6)
29.5 (26.6–32.5)
Vaccinated
23.5 (22.9–24.1)
13.8 (13.1–14.6)
22.5 (21.7–23.3)
Hispanic or Latino
Total
45.5 (42.9–48.2)
14.0 (11.8–16.4)
23.4 (20.9–26.1)
Unvaccinated
64.6 (59.9–69.1)
17.9 (12.2–25.4)
27.2 (18.7–37.9)
Vaccinated
34.5 (31.6–37.5)
13.3 (11.0–16.1)
22.8 (20.3–25.6)
Other and multiple races
Total
43.4 (38.3–48.7)
18.1 (12.7–25.2)
27.3 (21.9–33.6)
Unvaccinated
65.7 (56.5–73.9)
33.4 (15.1–58.7)
21.6 (9.9–40.8)
Vaccinated 28.1 (22.8–34.0) 14.7 (10.4–20.4) 28.3 (22.3–35.2)

* Percentage of uninfected persons (anti-nucleocapsid–negative in the previous 3-month period) seroconverting to anti-nucleocapsid–positive. If both vaccination and infection occurred between donations included in the study, the order could not be determined, and some unvaccinated donors might have been vaccinated before infection and thus misclassified.

If donors who transitioned from no antibodies to hybrid immunity between April–June 2021 and January–March 2022 were excluded, an estimated 55.5% (95% CI = 53.9%–57.1%) of unvaccinated donors were infected. For other periods, exclusion did not substantially change results. Between January–March and April–June 2022, 0.4% of persons shifted from no antibodies to hybrid immunity. Between April–June and July–September 2022, 0.3% of persons shifted from no antibodies to hybrid immunity.

§ Persons of Hispanic or Latino (Hispanic) origin might be of any race but are categorized as Hispanic; all racial groups are non-Hispanic.

Includes American Indian or Alaska Native and non-Hispanic persons of other races.