Determining the Incidence of Asymptomatic SARS-CoV-2 Among Early Recipients of COVID-19 Vaccines (DISCOVER-COVID-19): A Prospective Cohort Study of Healthcare Workers Before, During and After Vaccination

Author:

North Crystal M12,Barczak Amy123,Goldstein Robert H12,Healy Brian C24,Finkelstein Dianne M24,Ding Delaney D1,Kim Andy5,Boucau Julie3,Shaw Bennett1,Gilbert Rebecca F1,Vyas Tammy1,Reynolds Zahra1,Siddle Katherine J6,MacInnis Bronwyn L6,Regan James5,Flynn James P5,Choudhary Manish C25,Vyas Jatin M12,Laskowski Karl5,Dighe Anand S27,Lemieux Jacob E12,Li Jonathan Z25,Baden Lindsey R25,Siedner Mark J12,Woolley Ann E25,Sacks Chana A12

Affiliation:

1. Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA

2. Harvard Medical School, Boston, Massachusetts, USA

3. The Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard, Cambridge, Massachusetts, USA

4. Department of Biostatistics, Massachusetts General Hospital, Boston, Massachusetts, USA

5. Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

6. The Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts, USA

7. Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA

Abstract

Abstract The impact of coronavirus disease 2019 vaccination on viral characteristics of breakthrough infections is unknown. In this prospective cohort study, incidence of severe acute respiratory syndrome coronavirus 2 infection decreased following vaccination. Although asymptomatic positive tests were observed following vaccination, the higher cycle thresholds, repeat negative tests, and inability to culture virus raise questions about their clinical significance.

Funder

Mass General Brigham and the Massachusetts General Hospital

Massachusetts Consortium on Pathogen Readiness

Harvard Center for AIDS Research

NIH

Broad Institute Viral Genomics Group

Centers for Disease Control and Prevention

National Institute of Allergy and Infectious Diseases

National Heart, Lung, and Blood Institute

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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