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. 2021 May 6;325(24):1–9. doi: 10.1001/jama.2021.7152

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
a

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).

b

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).

c

When estimating incidence rates and incidence rate ratios of symptomatic infection, asymptomatic cases were censored on the day of case confirmation (and vice versa).

d

Indicates the ratio of incidence rates in each group.

e

Calculated using Poisson regression as detailed in the Methods section.

f

Included those with data for longer than 7 days after the second dose to the end of follow-up.

g

Included those with data for longer than 21 days after the second dose to the end of follow-up.

h

Included those with data for days 7 to 28 after first dose.