Plasma samples were collected after a BA.2 omicron (n = 12, Panel a) or wild-type infection (n = 10, Panel b) in previously naïve patients (no vaccination and no known history of prior infection) or in patients with hybrid immunity, Panel c two doses of ChAdOx-S1 (AZ/AZ) followed by delta infection (n = 6) and Panel d two doses of BNT162b2 (BNT/BNT) followed by pre-omicron variant (presumably delta) infection (n = 22). Samples were analyzed for 50 % neutralizing antibody titers (IC50) against D614G (blue), alpha (dark green), alpha + E484K (light green), beta (ocher), gamma (purple), delta (orange), BA.1 (red), BA.2 (violet), and BA.5 (pink) omicron. Shown are individual patient samples as circles connected by lines and mean titers as bars. Numbers above bars indicate proportion of positive samples (titers > 1:16). IC50 titers against BA.2 omicron (Panel e; violet) and BA.5 omicron (Panel f; pink) for different groups of individuals with single exposure (non-vaccinated convalescent: ancestral virus conv. n = 10; alpha conv. n = 10; beta conv. n = 9; delta conv. n = 7; BA.1 conv. n = 18; BA.2 conv. n = 12), two exposures with close variants (two doses of vaccine: ChAdOx-S1/ChAdOx-S1 (AZ/AZ) n = 10; ChAdOx-S1/BNT162b2 (AZ/BNT) n = 10; BNT162b2/BNT162b2 (BNT/BNT) n = 11; mRNA-1273/mRNA-1273 n = 10) two exposures with distant variants (re-infection with BA.1 (n = 15) or BA.2 omicron (n = 3) after historic non-omicron infection in unvaccinated), three or more exposures with close variants (three doses of vaccination (BNT162b2/BNT162b2/BNT162b2 (BNT/BNT/BNT) n = 7) or breakthrough infection with delta variant after vaccination (AZ/AZ + delta n = 6; BNT/BNT + delta n = 22)), and three or more exposures with distant variants (breakthrough infection or reinfection with a omicron variant after vaccination (Vacc + BA.1 n = 14; Vacc+BA.2 n = 7; Vacc+BA.1 reinfected n = 11)) were determined. D614G, alpha, beta, gamma, delta, and BA.1 omicron IC50 for these groups have been published previously in1,2. Shown are individual patients (circles) and geometric mean (bars) for each group. The dotted lines in panels a–f indicate the limit of detection.