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. 2021 Jul 1;6(6):1561–1570. doi: 10.1093/jalm/jfab072

Table 4.

Assay sensitivities by days post symptom onset.

Assay Days PSO Total No. of PCR-positive samples No. testing positive Percentage 95% CI
Epitope IgG <8 days 26 11 42.31 25.54–61.05
8–14 days 77 65 84.42 74.71–90.85
15–21 days 65 60 92.31 83.22–96.67
>21 days 83 71 85.54 76.41–91.53
Overall 251 207 82.47 77.29–86.67
Epitope IgM <8 days 26 8 30.77 16.50–49.99
8–14 days 77 43 55.84 44.74–66.39
15–21 days 65 41 63.08 50.92–73.77
>21 days 83 26 31.33 22.36–41.94
Overall 251 118 47.01 40.93–53.18
Ragon/MGH IgGa <8 days 26 5 19.23 8.51–37.88
8–14 days 77 44 57.14 46.01–67.60
15–21 days 65 52 80.00 68.73–87.92
>21 days 83 61 73.49 63.11–81.80
Overall 251 162 64.54 58.45–70.20
Rocheb <8 days 26 13 50.00 32.06–67.94
8–14 days 77 62 80.52 70.31–87.82
15–21 days 65 59 90.77 81.29–95.70
>21 days 83 74 89.16 80.66–94.19
Overall 251 208 82.87 77.72–87.03
Simoa (Early)c <8 days 26 15 57.69 38.95–74.46
8–14 days 77 72 93.51 85.68–97.19
15–21 days 65 65 100.00 94.42–100.00
>21 days 83 79 95.18 88.25–98.11
Overall 251 231 92.03 88.01–94.78
a

For sensitivity of Ragon/MGH IgM and IgA see Supplemental Materials.

b

The Roche Elecsys Anti-SARS-CoV-2 immunoassay detects IgG and likely IgM and IgA; details of other isotypes are not provided by the manufacturer.

c

Sensitivity of the Simoa multiplex assay Early Model. For sensitivities of the Late and 12-Parameter Models, see Supplementary Materials.