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

To explore the relationship between serum PFAS concentration and antibody response to COVID-19 vaccinations in children.

Approach:
  • Study Design: A prospective cohort study using data from the AZ-HEROES Kids study, recruiting participants aged 6 months to 17 years who received a full primary mRNA COVID-19 vaccine series.
  • Sample Collection: Participants submitted blood specimens 14–60 days post-vaccination, with 13 PFAS chemicals measured in serum samples.
  • Antibody Measurement: Antibody binding to the SARS-CoV-2 spike protein was measured using a semi-quantitative ELISA, and regression models assessed the relationship between PFAS concentration and antibody response.
Key Findings:
  • Increased total log-PFOS concentration was associated with a 5.0% decrease in RBD AUC.
  • Linear and branched isomers of PFOS were associated with a 4.8% and 4.9% decrease in RBD AUC, respectively.
Interpretation:

Limitations:
  • The study sample size was limited to 120 individuals.
  • The research focused only on specific PFAS chemicals and may not represent all PFAS compounds.
Conclusion:

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