Why is effectiveness vs hospitalisation lower than against all infection? This is the opposite of what we see in larger studies of the whole population, eg. this PHE data… 2/
Very few people were hospitalised (5/10,861 in the unvaccinated group compared to 0/10,861 in the vaccinated group).
This means the confidence interval for effectiveness vs hospitalisation was wide (43 - 100%) which is likely to have lowered the central estimate. 3/
It’s also important to note that the main variant circulating in Israel when this study was done was the alpha variant, so this tells us about vaccine effectiveness against that.
But… 4/
… the finding that vaccine effectiveness in pregnant ppl is similar to those who are not pregnant means that we can probably assume that vaccine effectiveness against delta in pregnant ppl (which we don’t know yet) is similar to that in the general population (which we do.) 5/5
Correction! Sorry I was reading from the wrong table when I gave the absolute numbers of hospitalisations. It was actually 25/10,861 in the unvaccinated group compared to 11/10,861 in the vaccinated group. The effectiveness is given correctly, though, as 89%.
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This is a follow-up to this older study in the same cohort. The older version of the study showed no increased risk of miscarriage following vaccination, but the follow-up time was shorter (10-12 weeks). 2/
Although the data from this study was reassuring, the limited follow-up time made it difficult to exactly calculate the miscarriage rate following vaccination, so an estimate was used.
After I wrote this thread about the potential effects of COVID vaccination in pregnancy and the lack of such effects in other vaccines, perinatal epidemilogist @deshaynef got in touch to tell me about some work she has done in this area... 🧵
Let’s start by looking at the effects at birth. We now have four large datasets from three countries telling us that babies born after vaccination in pregnancy are normal. 2/