Prevaccination immune status impacts postvaccination antibody levels. (A to C) All postvaccination neutralization titers (A) and RBD-binding (B) and NP-binding (C) values were aggregated and stratified based on prevaccination immune status. Pink, seropositive, n = 90; orange, seronegative, n = 63; purple, unknown immune status, n = 25. (A) Dashed line represents the limit of detection. Samples without neutralization detected are plotted at half the limit of detection (PRNT50 = 10). (B, C) Dashed line represents the background level for each assay. Tukey’s multiple-comparison one-way analysis of variance (ANOVA) was used to determine statistical significance. **, P < 0.01; ****, P < 0.0001; ns, not significant.