The Vaccine Efficacy Against the SARS-CoV-2 Omicron: A Systemic Review and Meta-Analysis
Open accessAbstract
Background: COVID-19 is a respiratory illness caused by SARS-CoV-2. The most recent variant is Omicron (line B.1.1.529), which was first identified in South Africa in November 2021. The concern with this variant is the ineffectiveness of vaccines currently available. We aim to systematically evaluate the effectiveness of the currently available COVID-19 vaccines and boosters for the Omicron variant. Methods: We searched the PubMed, Embase, the Cochrane Library and Web of Science databases from inception to June 5th, 2022. Studies that examined the effectiveness of SARS-CoV-2 vaccines against the Omicron variant infection were included. Random-effects model was used to estimate the pooled vaccine effectiveness against the Omicron variant. Results: A total of 13 studies were included to evaluate the effectiveness of the vaccine against the Omicron variant, and 11 studies were included to compare the effectiveness between the two-dose and three-dose (booster) vaccinations. Full vaccination (two-dose with or without booster) showed a protective effect against the Omicron variant compared to no vaccination (OR = 0.62, 95% CI: 0.56–0.69), while the effectiveness decreased significantly over 6 months after the last dose. The two-dose vaccination plus booster provided better protection against the Omicron variant compared to the two-dose vaccination without booster (OR = 0.60, 95% CI: 0.52–0.68). Additional analysis was performed for the most commonly used vaccines in the United Staes: BNT162b2(Pfizer) (OR = 0.65, 95% CI: 0.52–0.82) and mRNA-1273(Moderna) (OR = 0.67, 95% CI: 0.58–0.88) vaccines in the US, which showed similar effectiveness compared to no vaccination. Conclusions: The full dose of SARS-CoV-2 vaccination effectively reduces infection from the SARS-CoV-2 Omicron variant; however, the effectiveness wanes over time. The booster vaccine provides additional protection against the Omicron variant.
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Recent systematic review and meta-analyses reported that the third dose mRNA vaccines provided additional protection against the Omicron subvariant compared with the primary series or no vaccination, but the effectiveness waned over time.
“Similar to our findings, recent systematic review and meta-analyses20–22 reported that the third dose mRNA vaccines provided additional protection against the Omicron subvariant compared with the primary series or no vaccination, however, the effectiveness waned over time.”
From Protection of the third-dose and fourth-dose mRNA vaccines against SARS-CoV-2 Omicron subvariant: a systematic review and meta-analysis (2023) · cites this paper as [22]
The Results section reports that three doses provided more protection against Omicron than either two doses or no vaccination, and the Abstract and Discussion report waning effectiveness over time. But the three-dose comparisons pooled several vaccine types; the separate mRNA analysis did not establish that the third dose of an mRNA vaccine specifically provided those comparative benefits or measure its waning over time. Page numbers are unavailable in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measuredNone of the published systematic reviews have assessed the magnitude and duration of protection conferred by booster doses of mRNA vaccines, particularly for the fourth dose, for a comprehensive range of COVID-19 outcomes caused by the Omicron subvariant and its sublineages.
“however, none have assessed the magnitude and duration of protection conferred by booster doses of mRNA vaccines, particularly for the fourth dose, for a comprehensive range of COVID-19 outcomes caused by the Omicron subvariant and its sublineages.”
From Protection of the third-dose and fourth-dose mRNA vaccines against SARS-CoV-2 Omicron subvariant: a systematic review and meta-analysis (2023) · cites this paper as [22]
Experimental — accuracy not yet measuredSeveral systematic reviews of COVID-19 vaccine efficacy and effectiveness, with or without meta-analyses, have been published.
“Several systematic reviews of COVID-19 vaccine efficacy and effectiveness, with or without meta-analyses, have been published11 17–22”
From Protection of the third-dose and fourth-dose mRNA vaccines against SARS-CoV-2 Omicron subvariant: a systematic review and meta-analysis (2023) · cites this paper as [22]
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- Authors
- Zou, Y., Huang, D., Jiang, Q., Guo, Y., & Chen, C.
- Affiliations
- Saint Peter's University Hospital (US)
- Nanjing University (CN)
- University of Pennsylvania (US)
- University of Mississippi Medical Center (US)
- Corresponding author
- Chen, Chider
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2022-07-13
- Volume
- 10
- Pages
- 940956-940956
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC9326247
- OpenAlex
- W4285084997
- Cited by
- 52
- References
- 34
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 11 · 2023: 22 · 2022: 7
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Dental and Craniofacial Research
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Keywords
- Omicron variant, COVID-19 vaccines, vaccine efficacy, booster vaccination, waning immunity, BNT162b2, mRNA-1273, infection control
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Vaccines, Vaccine Efficacy, BNT162 Vaccine, Humans, Viral Vaccines
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