Association between perfluoroalkyl and polyfluoroalkyl substances and response to the COVID-19 vaccine in a paediatric prospective observational cohort in Arizona - Report - MDSpire

Association between perfluoroalkyl and polyfluoroalkyl substances and response to the COVID-19 vaccine in a paediatric prospective observational cohort in Arizona

  • By

  • James Hollister

  • Cynthia Porter

  • Boqi Xiang

  • Shawn C Beitel

  • Patrick Rivers

  • Karen Lutrick

  • Jefferey L Burgess

  • Katherine D Ellingson

  • June 22, 2026

  • 0 min

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Clinical Report: Link Between PFAS and COVID-19 Vaccine Efficacy in Children

Overview

This study investigates the association between serum PFAS concentrations and COVID-19 vaccine efficacy in a pediatric cohort.

Background

Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are synthetic chemicals known for their persistence in the environment and potential health risks, including immune function disruption. Previous research has established a connection between PFAS exposure and diminished vaccine responses in children.

Data Highlights

PFAS ChemicalDecrease in RBD AUC (%)95% Confidence Interval
Total log-PFOS5.0−8.1% to −1.8%
Linear PFOS4.8−7.9% to −1.6%
Branched PFOS4.9−8.0% to −1.7%

Key Findings

  • 120 children aged 1 to 16 years participated in the study.
  • An SD increase in total log-PFOS concentration was associated with a 5.0% decrease in RBD AUC.
  • Linear and branched isomers of PFOS were linked to decreases of 4.8% and 4.9% in RBD AUC, respectively.
  • The study utilized a semi-quantitative ELISA to measure antibody binding to SARS-CoV-2 spike protein domains.
  • Participants had no evidence of prior SARS-CoV-2 infection before vaccination.

Clinical Implications

The findings suggest that PFAS exposure may negatively impact the immune response to COVID-19 vaccinations in children. Clinicians should consider environmental exposure assessments in pediatric patients receiving vaccinations.

Conclusion

This study highlights the potential immunosuppressive effects of PFAS exposure on vaccine efficacy in children, warranting further investigation into environmental health factors affecting vaccination outcomes.

Related Resources & Content

  1. Archives of Toxicology, 2020 -- Associations Between Perfluorooctanoic Acid Levels and Vaccine Response in 101 Healthy One-Year-Old Children Exposed to Perfluoroalkyl Substances (PFASs)
  2. Archives of Toxicology, 2026 -- Mechanistic insights into PFAS-induced effects on B lymphocyte activation and antibody secretion
  3. Infection, 2024 -- Exploring the Link Between COVID-19 Vaccination/Infection and the Emergence of Asthma in Pediatric Populations: Insights from the Global TriNetX Database
  4. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Association Between Per- and Polyfluoroalkyl Substance Exposures and Thyroid Homeostasis Parameters
  5. CDC, 2025 -- Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger
  6. ScienceDirect, 2025 -- Prenatal per- and polyfluoroalkyl substances in relation to antibody titers and infections in childhood
  7. Life Science, 2025 -- Association between perfluoroalkyl and polyfluoroalkyl substances and response to the COVID-19 vaccine in a paediatric prospective observational cohort in Arizona.
  8. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2025 | MMWR
  9. Prenatal per- and polyfluoroalkyl substances in relation to antibody titers and infections in childhood - ScienceDirect
  10. Association between perfluoroalkyl and polyfluoroalkyl substances and response to the COVID-19 vaccine in a paediatric prospective observational cohort in Arizona.

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