Table 2. Observed Incidence Rate Ratios of Symptomatic and Asymptomatic SARS-CoV-2 Infectiona.
Vaccination status | Subgroup | Vaccinated | Unvaccinatedb | Incidence rate ratio (95% CI)c | P value | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of cases | No. | Surveillance time, person-days | Incidence rate per 100 000 person-daysc | No. of cases | No. | Surveillance time, person-days | Incidence rate per 100 000 person-daysc | Unadjustedd | Adjustede | |||
Original cohort | ||||||||||||
Fully vaccinatedf | Symptomatic | 8 | 5372 | 168 571 | 4.7 | 38 | 696 | 25 359 | 149.8 | 0.03 (0.01-0.07) | 0.03 (0.01-0.06) | <.001 |
Asymptomatic | 19 | 11.3 | 17 | 67.0 | 0.17 (0.09-0.32) | 0.14 (0.07-0.31) | <.001 | |||||
Late fully vaccinatedg | Symptomatic | 2 | 5036 | 95 689 | 2.1 | 23 | 675 | 15 726 | 146.3 | 0.01 (0-0.06) | 0.02 (0-0.06) | <.001 |
Asymptomatic | 4 | 4.2 | 11 | 69.9 | 0.06 (0.02-0.19) | 0.06 (0.02-0.22) | <.001 | |||||
Partially vaccinatedh | Symptomatic | 31 | 5761 | 117 389 | 26.4 | 37 | 741 | 15 091 | 245.2 | 0.11 (0.07-0.17) | 0.11 (0.06-0.17) | <.001 |
Asymptomatic | 37 | 31.5 | 8 | 53.0 | 0.59 (0.28-1.28) | 0.64 (0.31-1.51) | .27 | |||||
Propensity score–matched adjusted cohort | ||||||||||||
Fully vaccinatedf | Symptomatic | 2 | 1916 | 57 274 | 3.5 | 38 | 696 | 25 359 | 149.8 | 0.02 (0.01-0.10) | 0.02 (0-0.07) | <.001 |
Asymptomatic | 4 | 7.0 | 17 | 67.0 | 0.10 (0.04-0.31) | 0.09 (0.03-0.25) | <.001 | |||||
Late fully vaccinatedg | Symptomatic | 1 | 1748 | 31 645 | 3.2 | 23 | 675 | 15 726 | 146.3 | 0.02 (0-0.16) | 0.02 (0-0.10) | <.001 |
Asymptomatic | 2 | 6.3 | 11 | 69.6 | 0.09 (0.02-0.41) | 0.09 (0.01-0.35) | .002 | |||||
Partially vaccinatedh | Symptomatic | 4 | 2085 | 42 414 | 9.4 | 37 | 741 | 15 091 | 245.2 | 0.04 (0.01-0.11) | 0.03 (0.01-0.09) | <.001 |
Asymptomatic | 11 | 25.9 | 8 | 53.0 | 0.49 (0.20-1.22) | 0.48 (0.19-1.26) | .12 |
Participants with fewer than 7 days of follow-up or who contracted SARS-CoV-2 less than 7 days after the first vaccine dose were not included in this analysis (Figure 2).
The surveillance period used corresponded to the period used for the vaccinated participants (ie, 28, 42, or 7-28 days after the beginning of follow-up, which was set as December 20, 2020).
When estimating incidence rates and incidence rate ratios of symptomatic infection, asymptomatic cases were censored on the day of case confirmation (and vice versa).
Indicates the ratio of incidence rates in each group.
Calculated using Poisson regression as detailed in the Methods section.
Included those with data for longer than 7 days after the second dose to the end of follow-up.
Included those with data for longer than 21 days after the second dose to the end of follow-up.
Included those with data for days 7 to 28 after first dose.