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. 2023 Sep 8;3(9):e0001845. doi: 10.1371/journal.pgph.0001845

Table 3. Effectiveness of COVID-19 vaccines in preventing hospitalization and death among adults aged 18 years and older by age group, vaccination series and vaccine.

Complete Series (95% CI) Complete Series + booster (95% CI)
Hospitalization Death Hospitalization Death
Age group
18 years and older 82.7% (82.1 – 83.2) 86.0% (85.5 – 86.5) 80.2% (78.7–81.6) 83.1% (81.5–84.5)
18–44 years 91.5% (90.4 – 92.4) 95.1% (93.5 – 96.3) 89.7% (85.1–92.9) 89.5% (74.0–95.8)
45–59 years 83.2% (81.6 – 84.7) 90.5% (89.0 – 91.8) 71.5% (62.4–78.4) 74.0% (59.5–83.3)
60–69 years 87.1% (86.0 – 88.2) 91.7% (90.7 – 92.6) 81.3% (77.0–84.8) 83.8% (78.4–87.9)
70–79 years 85.9% (84.9 – 86.8) 90.0% (89.1 – 90.8) 84.0% (81.5–86.1) 86.8% (84.2–89.0)
80 years and older 75.2% (74.0 – 76.3) 78.5% (77.4 – 79.5) 76.8% (74.3–79.1) 80.3% (77.9–82.5)
Vaccine: Ad26.COV2-S One dose Two doses
18 years and older 85.4% (83.8 – 86.9) 90.5% (88.8 – 91.9) 89.0% (78.7–94.3) 77.6% (55.0–88.9)
18–44 years 90.7% (88.9 – 92.2) 93.1% (89.7 – 95.4) 95.6% (86.0–98.6) --
45–59 years 78.0% (73.6 – 81.7) 86.0% (81.1 – 89.6) 71.9% (11.0–91.1) --
60–69 years 80.6% (74.5 – 85.2) 88.0% (82.3 – 91.8) -- --
70–79 years 82.7% (76.4 – 87.4) 88.2% (82.5 – 92.1) 87.1% (83.0–98.2) --
80 years and older 86.4% (80.0 – 90.7) 86.9% (80.9 – 91.1) -- --
Vaccine: BNT162b2 Two doses Three doses
18 years and older 90.5% (89.8 – 91.2) 93.5% (92.8 – 94.2) 89.6% (86.0–92.2) 89.6% (84.5–92.9)
18–44 years 91.2% (89.1 – 92.9) 97.0% (93.7 – 98.6) 87.0% (71.7–94.0) --
45–59 years 87.7% (85.8 – 89.3) 93.8% (92.0 – 95.1) 82.8% (67.0–91.0) 82.3% (50.9–93.6)
60–69 years 90.7% (89.3 – 91.9) 93.1% (91.7 – 94.3) 86.7% (78.1–91.9) 88.0% (75.3–94.1)
70–79 years 92.4% (91.0 – 93.6) 94.9% (93.7 – 95.9) 93.9% (88.3–96.9) 91.6% (83.0–95.8)
80 years and older 88.5% (85.4 – 90.9) 89.1% (86.2 – 91.4) 88.8% (70.1–95.8) 90.2% (69.5–96.9)
Vaccine: ChAdOx1 nCoV-19 Two doses Three doses
18 years and older 88.0% (86.8 – 89.1) 92.6% (91.5 – 93.6) 78.4% (72.6–82.9) 84.5% (77.9–89.2)
18–44 years 97.3% (95.4 – 98.4) 99.1% (93.4 – 99.9) -- --
45–59 years 85.5% (81.0 – 89.0) 91.4% (86.5 – 94.5) 87.0% (69.0–98.2) --
60–69 years 88.1% (86.0 – 89.9) 94.2% (92.5 – 95.6) 71.2% (58.6–80.0) 80.5% (64.8–89.2)
70–79 years 90.5% (88.7 – 91.9) 94.3% (92.9 – 95.4) 82.4% (74.8–87.6) 87.1% (78.6–92.2)
80 years and older 81.7% (76.9 – 85.5) 87.9% (84.0 – 90.9) 85.2% (60.6–94.5) 86.8% (58.8–95.7)
Vaccine: CoronaVac Two doses Three doses
18 years and older 77.4% (76.5 – 78.2) 81.9% (81.2 – 82.7) 71.3% (68.3–74.0) 76.3% (73.3–79.0)
18–44 years 87.5% (84.6 – 89.8) 92.7% (88.0 – 95.6) 90.4% (69.2–97.0) --
45–59 years 76.3% (72.8 – 79.4) 86.8% (83.3 – 89.5) 62.0% (31.1–79.1) --
60–69 years 82.6% (80.2 – 84.6) 88.1% (85.9 – 90.0) 80.1% (67.6–87.8) 64.9% (38.5–79.9)
70–79 years 81.7% (80.2 – 83.1) 86.6% (85.3 – 87.7) 75.5% (70.2–79.8) 81.2% (75.7–85.5)
80 years and older 73.6% (72.2 – 74.8) 77.0% (75.8 – 78.1) 68.4% (64.2–72.1) 74.9% (71.0–78.2)
Vaccine: mRNA-1273 Two doses Three doses
18 years and older 93.7% (91.8 – 95.2) 95.7% (93.5 – 97.2) -- --
18–44 years 97.5% (96.1 – 98.3) 97.9% (94.3 – 99.2) -- --
45–59 years 91.6% (86.0 – 94.9) 93.5% (86.3 – 96.9) -- --
60–69 years 94.4% (87.6 – 97.5) 97.8% (91.0 – 99.4) -- --
70–79 years 93.7% (86.0 – 97.2) 95.5% (88.1 – 98.3) -- --
80 years and older 89.7% (77.0 – 95.4) 92.3% (81.4 – 96.8) -- --
Heterologous Booster
Combination: BNT162b2 + BNT162b2 + mRNA-1273 (n 527 225)
18 years and older · · · · 87.5% (83.6–90.4) 92.2% (87.7–95.1)
18–44 years · · · · 85.9% (70.7–93.2) --
45–59 years · · · · 78.3% (62.5–87.4) 79.5% (48.1–91.9)
60–69 years · · · · 86.6% (78.5–91.6) 93.5% (84.0–97.3)
70–79 years · · · · 90.1% (82.1–94.6) 90.1% (80.0–95.1)
80 years and older · · · · 91.3% (65.3–97.8) 95.2% (65.5–99.3)
Combination: BNT162b2 + BNT162b2 + ChAdOx1 nCoV-19 (n 477 208)
18 years and older · · · · 85.4% (80.8–88.8) 91.2% (85.9–94.5)
18–44 years · · · · 76.3% (52.4–88.1) --
45–59 years · · · · 57.7% (35.8–72.1) 84.3% (55.9–94.4)
60–69 years · · · · 91.8% (84.1–95.8) 82.9% (67.3–91.0)
70–79 years · · · · 90.2% (80.3–95.1) 93.1% (81.5–97.4)
80 years and older · · · · -- --
Combination: CoronaVac + CoronaVac + BNT162b2 (442 836)
18 years and older · · · · 85.9% (82.8–88.5) 87.1% (83.7–89.8)
18–44 years · · · · 93.0% (71.5–98.3) --
45–59 years · · · · 73.0% (26.6–90.0) --
60–69 years · · · · 92.1% (68.3–98.0) 86.0% (43.6–96.5)
70–79 years · · · · 91.5% (85.8–94.9) 94.3% (88.0–97.3)
80 years and older · · · · 83.5% (79.1–86.9) 84.8% (80.3–88.3)
Combination: CoronaVac + CoronaVac + ChAdOx1 nCoV-19 (280 245)
18 years and older · · · · 82.8% (78.4–86.3) 83.6% (78.7–87.5)
18–44 years · · · · 87.5% (60.2–96.1) --
45–59 years · · · · 79.6% (44.5–92.5) 86.9% (52.0–98.2)
60–69 years · · · · 80.6% (62.2–90.0) 89.2% (66.1–96.6)
70–79 years · · · · 85.6% (77.3–90.9) 83.3% (72.8–89.7)
80 years and older · · · · 81.8% (75.0–86.7) 81.9% (74.7–87.1)
Combination: CoronaVac + CoronaVac + mRNA-1273 (313 044)
18 years and older · · · · 85.5% (82.5–87.9) 87.8% (84.8–90.1)
18–44 years · · · · 94.5% (60.2–99.2) -
45–59 years · · · · 64.1% (22.6–83.3) --
60–69 years · · · · 75.9% (55.7–86.8) 78.0% (50.1–90.3)
70–79 years · · · · 88.6% (83.6–92.1) 91.1% (85.8–94.4)
80 years and older · · · · 86.0% (82.2–89.0) 87.3% (83.5–90.2)

.. Not applicable -- Not estimable