Ontology highlight
ABSTRACT: Background
The impact of vaccination prior to infection on postacute sequelae of coronavirus disease 2019 (COVID-19, PASC), also known as long COVID, remains unclear. Here we assess the protective effect of vaccination on long COVID in a community-based setting.Methods
The Immunity Associated with SARS-CoV-2 (IASO) study is an ongoing prospective cohort of working adults that began in October 2020. Participants are actively followed for severe acute respiratory syndrome coronavirus 2 infection. We compared the prevalence of symptoms and symptom severity in vaccinated compared to unvaccinated cases. Our primary definition of long COVID was the presence of symptoms at 90 days postinfection; 30 days postinfection was also examined.Results
Overall, by 90 days postinfection, 13% of cases had long COVID, with 27% of unvaccinated cases and 8% of vaccinated cases reporting long COVID (relative risk [RR], 0.31 [95% confidence interval {CI}, .22-.42]). Vaccination was also associated with significantly lower average severity scores at all timepoints (eg, relative severity at 90 days postinfection: -2.70 [95% CI, -1.68 to -3.73]). In the pre-Omicron era, 28% of unvaccinated cases and 18% of vaccinated cases reported long COVID (P = .07), and vaccinated cases reported less severe symptoms including less difficulty breathing (P = .01; 90-day RR, 0.07).Conclusions
Vaccinated cases had lower prevalence of long COVID and reduced symptom severity.
SUBMITTER: Maier HE
PROVIDER: S-EPMC10847810 | biostudies-literature | 2024 Feb
REPOSITORIES: biostudies-literature
Maier Hannah E HE Kowalski-Dobson Theresa T Eckard Ashley A Gherasim Carmen C Manthei David D Meyers Alyssa A Davis Dawson D Bakker Kevin K Lindsey Kathleen K Chu Zijin Z Warsinske Lauren L Arnold Matthew M Buswinka Anna A Stoneman Emily E Valdez Riccardo R Gordon Aubree A
Open forum infectious diseases 20240123 2
<h4>Background</h4>The impact of vaccination prior to infection on postacute sequelae of coronavirus disease 2019 (COVID-19, PASC), also known as long COVID, remains unclear. Here we assess the protective effect of vaccination on long COVID in a community-based setting.<h4>Methods</h4>The Immunity Associated with SARS-CoV-2 (IASO) study is an ongoing prospective cohort of working adults that began in October 2020. Participants are actively followed for severe acute respiratory syndrome coronavir ...[more]