Impact of prior SARS-CoV-2 acquisition on binding and neutralizing antibody responses following COVID-19 vaccination: A cross-protocol analysis of individual-level data from six phase 3 clinical trials
In SARS-CoV-2-naïve individuals, a two-dose vaccine regimen is needed to provide antibody levels correlated with protection against disease caused by the cognate virus strain. In contrast, in individuals with prior SARS-CoV-2 acquisition, a single dose of any of the tested vaccines/platforms (mRNA/protein/vector) provides comparably high antibody levels.
Authors
- de Bruyn G
- Yunda Huang
- Matthew B. Laurens (ORCID: https://orcid.org/0000-0003-3874-581X)
- Anne-Marie Rick (ORCID: https://orcid.org/0000-0002-8166-1198)
- Frances Priddy (ORCID: https://orcid.org/0000-0002-2533-3982)
- Samuel T. Robinson (ORCID: https://orcid.org/0000-0003-2356-9905)
- Karen Kotloff
- Jenny Hendriks
- Stephen R. Walsh
- Holly E. Janes
- Lawrence Corey
- Richard A. Koup
- Hana M. El Sahly
- Kathleen M. Neuzil
- Kathryn Shoemaker
- Beatriz Grinsztejn
- James G. Kublin
- Dean Follmann
- Scott Borgetti
- Lindsey R. Baden
- Peter B. Gilbert
- Magdalena E. Sobieszczyk
- Ann R. Falsey
- Nadine Rouphael
- Paul A. Goepfert
- Louis Devlin
- Glenda E. Gray
- Lisa M. Dunkle
Institutions
- South African Medical Research Council (ZA)
- University of North Carolina at Chapel Hill (US)
- University of Maryland, Baltimore (US)
- Brigham and Women's Hospital (US)
- National Institutes of Health (US)
- Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa (ZA)
- Harvard University (US)
- Baylor College of Medicine (US)
- Columbia University Irving Medical Center (US)
- University of Alabama at Birmingham (US)
- University of Illinois Chicago (US)
- Fred Hutch Cancer Center (US)
- Novavax (United States) (US)
- Moderna Therapeutics (United States) (US)
- Sanofi (United States) (US)
- HOPE Clinic (US)
- National Institute of Allergy and Infectious Diseases (US)
- University of Pittsburgh Medical Center (US)
- AstraZeneca (United States) (US)
- Janssen (Netherlands) (NL)
- Fundação Oswaldo Cruz (BR)
- University of Rochester (US)
Publication Details
- Journal
- Vaccine
- Published
- 2026-02-22
- DOI
- https://doi.org/10.1016/j.vaccine.2026.128380
- Primary Topic
- SARS-CoV-2 and COVID-19 Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00