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                  <mods:namePart>Unión Europea. European Centre for Disease Prevention and Control (ECDC)</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2022-11-15T12:17:18Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2022-05</mods:dateIssued>
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               <mods:identifier type="citation">Euro Surveill. 2022 May;27(21):2101104.</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/15149</mods:identifier>
               <mods:identifier type="pubmedID">35620997</mods:identifier>
               <mods:identifier type="doi">10.2807/1560-7917.ES.2022.27.21.2101104</mods:identifier>
               <mods:identifier type="e-issn">1560-7917</mods:identifier>
               <mods:identifier type="journal">Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin</mods:identifier>
               <mods:abstract>Introduction: In July and August 2021, the SARS-CoV-2 Delta variant dominated in Europe. Aim: Using a multicentre test-negative study, we measured COVID-19 vaccine effectiveness (VE) against symptomatic infection. Methods: Individuals with COVID-19 or acute respiratory symptoms at primary care/community level in 10 European countries were tested for SARS-CoV-2. We measured complete primary course overall VE by vaccine brand and by time since vaccination. Results: Overall VE was 74% (95% CI: 69-79), 76% (95% CI: 71-80), 63% (95% CI: 48-75) and 63% (95% CI: 16-83) among those aged 30-44, 45-59, 60-74 and ≥ 75 years, respectively. VE among those aged 30-59 years was 78% (95% CI: 75-81), 66% (95% CI: 58-73), 91% (95% CI: 87-94) and 52% (95% CI: 40-61), for Comirnaty, Vaxzevria, Spikevax and COVID-19 Vaccine Janssen, respectively. VE among people 60 years and older was 67% (95% CI: 52-77), 65% (95% CI: 48-76) and 83% (95% CI: 64-92) for Comirnaty, Vaxzevria and Spikevax, respectively. Comirnaty VE among those aged 30-59 years was 87% (95% CI: 83-89) at 14-29 days and 65% (95% CI: 56-71%) at ≥ 90 days between vaccination and onset of symptoms. Conclusions: VE against symptomatic infection with the SARS-CoV-2 Delta variant varied among brands, ranging from 52% to 91%. While some waning of the vaccine effect may be present (sample size limited this analysis to only Comirnaty), protection was 65% at 90 days or more between vaccination and onset.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:subject>
                  <mods:topic>COVID-19</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Delta variant</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Europe</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>SARS-CoV-2</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Multicentre study</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Test-negative design</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Vaccine effectiveness</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Effectiveness of complete primary vaccination against COVID-19 at primary care and community level during predominant Delta circulation in Europe: multicentre analysis, I-MOVE-COVID-19 and ECDC networks, July to August 2021</mods:title>
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               <mods:genre>research article</mods:genre>
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