Publications by authors named "A A van der Klaauw"

Article Synopsis
  • Elderly individuals (70 years and older) show weaker antibody responses to a COVID-19 booster compared to younger people after receiving an initial two-dose vaccine series with AZD1222 and a third mRNA booster.
  • The elderly have a specific type of B cells (anomalous spike-specific B cells) that may impair their ability to neutralize the virus effectively after the booster.
  • Interestingly, when elderly individuals receive three doses of mRNA vaccines, their antibody responses are comparable to those younger than 70, suggesting that different vaccine technologies influence immune memory formation.
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Obesity is associated with an increased risk of severe Coronavirus Disease 2019 (COVID-19) infection and mortality. COVID-19 vaccines reduce the risk of serious COVID-19 outcomes; however, their effectiveness in people with obesity is incompletely understood. We studied the relationship among body mass index (BMI), hospitalization and mortality due to COVID-19 among 3.

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Background: COV-BOOST is a multicentre, randomised, controlled, phase 2 trial of seven COVID-19 vaccines used as a third booster dose in June 2021. Monovalent messenger RNA (mRNA) COVID-19 vaccines were subsequently widely used for the third and fourth-dose vaccination campaigns in high-income countries. Real-world vaccine effectiveness against symptomatic infections following third doses declined during the Omicron wave.

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Background: Some high-income countries have deployed fourth doses of COVID-19 vaccines, but the clinical need, effectiveness, timing, and dose of a fourth dose remain uncertain. We aimed to investigate the safety, reactogenicity, and immunogenicity of fourth-dose boosters against COVID-19.

Methods: The COV-BOOST trial is a multicentre, blinded, phase 2, randomised controlled trial of seven COVID-19 vaccines given as third-dose boosters at 18 sites in the UK.

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