Recommendations for estimating and reporting vaccine effectiveness by time since vaccination: a COVID-19 case study - Summary - MDSpire

Recommendations for estimating and reporting vaccine effectiveness by time since vaccination: a COVID-19 case study

  • By

  • Esther Kissling

  • Baltazar Nunes

  • Mariëtte Hooiveld

  • Iván Martínez-Baz

  • Susana Monge

  • Chris Robertson

  • Mirjam Knol

  • Noémie Sève

  • Ivan Mlinarić

  • Lisa Domegan

  • Ausenda Machado

  • Heather Whitaker

  • Mihaela Lazar

  • Adam Meijer

  • Theresa Enkirch

  • Itziar Casado

  • Gloria Pérez-Gimeno

  • Naoma William

  • Vincent Enouf

  • Sanja Kurečić Filipović

  • Adele McKenna

  • Ana Paula Rodrigues

  • Simon de Lusignan

  • Olivia-Carmen Timnea

  • Neus Latorre-Margalef

  • Jesús Castilla

  • Francisco Pozo

  • Mark Hamilton

  • Shirley Masse

  • Maja Ilić

  • Luca Basile

  • Joan O’Donnell

  • Raquel Guiomar

  • Maximilian Riess

  • Rodica-Manuela Popescu

  • Angela M C Rose

  • Nick Andrews

  • Sabrina Bacci

  • Lucia Pastore Celentano

  • Marta Valenciano

  • Alain Moren

  • Philippe Beutels

  • Niel Hens

  • on behalf of I-MOVE-COVID-19 and ECDC primary care study teams

  • November 17, 2025

  • 0 min

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Objective:

To provide recommendations for estimating and reporting COVID-19 vaccine effectiveness (VE) by time since vaccination (TSV) in case-control studies, emphasizing its importance for public health decisions.

Key Findings:
  • VE estimates decline over time, influenced by variant and outcome, highlighting the need for timely data.
  • TSV is crucial for accurate VE comparisons across different studies, ensuring valid conclusions.
  • Proper definitions and calculations of TSV enhance the quality of VE estimates, reducing potential biases.
Interpretation:

Understanding VE by TSV is essential for evaluating vaccine performance and making informed public health decisions, particularly in response to emerging variants.

Limitations:
  • Observational studies may be subject to bias, such as selection bias or confounding factors.
  • Missing data can affect the precision of VE estimates, leading to potential misinterpretations.
Conclusion:

The guidelines aim to improve the quality and comparability of VE estimates by TSV, encouraging ongoing refinement through collaborative input from the research community.

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