Table 1. Characteristics of severe COVID-19 cases (n = 593) and controls (n = 5,930), stratified by follow-up period for monitoring of vaccine effectiveness during SARS-CoV-2 Omicron variant dominance, Scania, Sweden, 2021 week 52–2022 week 11 .
Characteristics | Follow-up period | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Omicron BA.1 2021 w52–2022 w1 |
Transition 2022 w2–3 |
Omicron BA.2 2022 w4–11 |
||||||||||
Cases (n = 129) |
Controls (n = 1,290) |
Cases (n = 156) |
Controls (n = 1,560) |
Cases (n = 308) |
Controls (n = 3,080) |
|||||||
Weekly case rate, mean (n) | 65 | NA | 78 | NA | 56a | NA | ||||||
Age group (years) | % | n | % | n | % | N | % | n | % | n | % | n |
0–17 | 3.1 | 4 | 3.6 | 47 | 5.1 | 8 | 4.3 | 67 | 5.2 | 16 | 5.1 | 156 |
18–39 | 16 | 21 | 15 | 198 | 9.0 | 14 | 10 | 157 | 12 | 37 | 12 | 364 |
40–64 | 30 | 39 | 30 | 392 | 23 | 36 | 24 | 367 | 15 | 47 | 17 | 523 |
≥ 65 | 50 | 65 | 51 | 653 | 63 | 98 | 62 | 969 | 68 | 208 | 66 | 2,037 |
Sex | ||||||||||||
Female | 37 | 48 | 37 | 480 | 38 | 60 | 38 | 600 | 50 | 153 | 50 | 1,530 |
Male | 63 | 81 | 63 | 810 | 62 | 96 | 62 | 960 | 50 | 155 | 50 | 1,550 |
Born abroad | 46 | 60 | 22 | 277 | 32 | 50 | 20 | 309 | 23 | 70 | 18 | 561 |
Civil status | ||||||||||||
Married | 45 | 58 | 47 | 611 | 36 | 56 | 48 | 746 | 37 | 113 | 47 | 1,460 |
Widow/widower | 8.5 | 11 | 8.8 | 114 | 15 | 24 | 11 | 176 | 16 | 48 | 15 | 462 |
Divorced | 21 | 27 | 15 | 197 | 21 | 33 | 17 | 259 | 23 | 70 | 14 | 443 |
Single | 26 | 33 | 28 | 368 | 28 | 43 | 24 | 379 | 25 | 77 | 23 | 715 |
Comorbidities | ||||||||||||
0 | 36 | 46 | 63 | 816 | 38 | 59 | 58 | 905 | 33 | 103 | 56 | 1,736 |
1 | 26 | 33 | 21 | 273 | 26 | 40 | 23 | 362 | 25 | 78 | 25 | 758 |
≥ 2 | 39 | 50 | 16 | 201 | 36 | 57 | 19 | 293 | 41 | 127 | 19 | 586 |
Vaccine doses | ||||||||||||
0 | 54 | 70 | 14 | 185 | 42 | 65 | 13 | 201 | 27 | 82 | 13 | 394 |
1 | 3.1 | 4 | 1.8 | 23 | 4.5 | 7 | 1.8 | 28 | 4.5 | 14 | 1.6 | 50 |
2 | 18 | 23 | 37 | 481 | 28 | 44 | 29 | 459 | 20 | 62 | 17 | 519 |
3 | 25 | 32 | 47 | 601 | 26 | 40 | 56 | 872 | 49 | 150 | 68 | 2,108 |
4 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.3 | 9 |
Vaccine typeb | ||||||||||||
Comirnaty | 74 | 41 | 72 | 775 | 71 | 60 | 70 | 934 | 73 | 155 | 69 | 1,825 |
Spikevax | 3.6 | 2 | 6.7 | 73 | 13 | 11 | 4.9 | 65 | 4.7 | 10 | 4.3 | 114 |
Vaxzevria | 3.6 | 2 | 2.3 | 25 | 4.8 | 4 | 2.0 | 27 | 2.4 | 5 | 1.0 | 26 |
Mixed | 18 | 10 | 19 | 209 | 11 | 9 | 23 | 305 | 20 | 42 | 26 | 671 |
Time since last vaccine doseb (months) | ||||||||||||
0–3 | 54 | 30 | 60 | 650 | 43 | 36 | 66 | 884 | 38 | 80 | 56 | 1,470 |
3–6 months | 20 | 11 | 27 | 288 | 27 | 23 | 19 | 256 | 43 | 92 | 35 | 933 |
≥ 6 months | 26 | 14 | 13 | 144 | 30 | 25 | 14 | 191 | 19 | 40 | 8.8 | 233 |
Prior SARS-CoV-2 infection | 2.3 | 3 | 8.8 | 114 | 3.8 | 6 | 8.2 | 128 | 5.8 | 18 | 8.1 | 250 |
At least two doses or prior SARS-CoV-2 infection | 43 | 56 | 85 | 1,101 | 54 | 85 | 87 | 1,353 | 70 | 216 | 87 | 2,675 |
COVID-19: coronavirus disease; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2.
a Last two weeks of the Omicron BA.2 was not included in the calculation of weekly case rate in order to limit the impact of delay in manifestation of severe cases.
b Only persons with at least two doses.
A severe COVID-19 case was defined as a case who was hospitalised for at least 24 h from 5 days before until 14 days after a positive SARS-CoV-2 test and required oxygen supply (≥ 5 L/min) or admittance to an intensive care unit (ICU). For each severe case, 10 controls without a positive test the same week as the case or 90 days prior were randomly selected from the underlying study cohort, matched with respect to sex and age (5-year groups).