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. 2021 Oct 6:NEJMoa2114114. doi: 10.1056/NEJMoa2114114

Table 4. Effectiveness of the BNT162b2 Vaccine against Symptomatic SARS-CoV-2 Infection and Asymptomatic SARS-CoV-2 Infection.

Substudies* Effectiveness against Symptomatic Infection Effectiveness against Asymptomatic Infection
Case Participants:
PCR-Positive§
Controls:
PCR-Negative§
Effectiveness % (95% CI) Case Participants:
PCR-Positive§
Controls:
PCR-Negative§
Effectiveness % (95% CI)
Vaccinated Unvaccinated Vaccinated Unvaccinated Vaccinated Unvaccinated Vaccinated Unvaccinated
0–13 Days after first dose 1954 38,814 1864 38,904 −5.5
(−12.9 to 1.4)
984 26,988 962 27,010 −2.6
(−12.8 to 6.7)
≥14 Days after first dose and no second dose 1074 39,187 1922 38,339 47.9
(43.6 to 51.9)
516 26,968 645 26,839 22.2
(12.1 to 31.2)
Month after second dose
1 867 40,271 3756 37,382 81.5
(79.9 to 83.0)
781 27,102 2202 25,681 73.1
(70.3 to 75.5)
2 650 39,402 1948 38,104 72.5
(69.6 to 75.1)
381 27,038 899 26,520 66.9
(61.9 to 71.3)
3 372 39,030 1040 38,362 70.6
(66.4 to 74.3)
239 26,982 402 26,819 47.7
(37.3 to 56.3)
4 258 38,829 486 38,601 57.0
(48.6 to 64.0)
120 26,956 132 26,944 11.5
(−17.1 to 33.2)
5 316 38,776 344 38,748 12.0
(−6.1 to 27.1)
99 26,956 117 26,938 24.3
(−7.1 to 46.5)
6 230 38,800 251 38,779 12.8
(−9.1 to 30.3)
125 26,958 124 26,959 −2.1
(−52.0 to 31.4)
≥7 75 38,761 97 38,739 27.8
(−1.4 to 48.7)
29 26,948 25 26,952 −33.3
(−181.8 to 36.9)
*

In each analysis for a specific time-since-vaccination stratum, we included only participants vaccinated in this specific time-since-vaccination stratum and those unvaccinated. Only matched pairs of PCR-positive and PCR-negative persons, in which both members of the pair were either unvaccinated or fell within each time-since-vaccination stratum, have been included in the corresponding estimate of vaccine effectiveness. Thus, the number of case participants (and controls) varied across time-since-vaccination analyses.

A symptomatic infection was defined as a PCR-positive test conducted because of clinical suspicion due to the presence of symptoms compatible with a respiratory tract infection.

An asymptomatic infection was defined as a PCR-positive test conducted with no reported presence of symptoms compatible with a respiratory tract infection — that is, the PCR testing was done as part of a survey or a random testing campaign.

§

Case participants and controls were matched one to one according to sex, 10-year age group, nationality, reason for PCR testing, and calendar week of PCR test.

Vaccine effectiveness was estimated with the use of the test-negative, case–control study design.11,12