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. 2021 May 18;118(21):e2101718118. doi: 10.1073/pnas.2101718118

Table 2.

Advantages and disadvantages of conventional adaptive immune response vaccines versus innate immune-stimulating vaccines through use of “old” LAVs for the SARS-CoV-2 pandemic

Characteristic Innate broadly specific LAVs Adaptive (specific) vaccines
Economics Cheap, but likely little market value Expensive, but great market value
Availability  Not a problem for many of these vaccines  Unavailable during the emergence of a new pathogen
Speed of action Immediate Weeks
Safety record Known and mainly very safe Unknown for new vaccines (needs 1 to 2 y or longer)
Efficacy  Clearly for their target pathogen and numerous results for broader effects  Efficacious for SARS-CoV-2 in standard setting, still unclear in high-risk groups and for what duration
Durability Weeks to months to years  Extremely variable a few months to a lifetime
Memory  Thought to be none; but recent results for bacillus Calmette–Guérin reveal innate immune memory (trained innate immunity)  Strong for B cells (antibodies) and T cell responses