Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Antibody Titer Levels in Pregnant Individuals after Infection, Vaccination, or Both

Christina L. Marshall, Elianna Kaplowitz, Erona Ibroci, Kyle Chung, Frederieke A.J. Gigase, Molly Lieber, Mara Graziani, Sophie Ohrn, Jezelle Lynch, Juliana Castro, Rushna Tubassum, Farida Mutawakil, Rebecca Jessel, Nina Molenaar, Anna Sophie Rommel, Rhoda S. Sperling, Elizabeth A. Howell, Hannah Feldman, Florian Krammer, Daniel StadlbauerLotje D. De Witte, Veerle Bergink, Joanne Stone, Teresa Janevic, Siobhan M. Dolan, Whitney Lieb

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We examined differences in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody responses in pregnant individuals with natural, vaccine-induced, or combined immunity. Participants had live or nonlive births between 2020 and 2022, were seropositive (SARS-CoV-2 spike protein, anti-S), and had available mRNA vaccination and infection information (n=260). We compared titer levels among three immunity profiles: 1) natural immunity (n=191), 2) vaccine-induced immunity (n=37), and 3) combined immunity (ie, natural and vaccine-induced immunity; n=32). We applied linear regression to compare anti-S titers between the groups, controlling for age, race and ethnicity, and time between vaccination or infection (whichever came last) and sample collection. Anti-S titers were 57.3%and 94.4%lower among those with vaccine-induced and natural immunity, respectively, compared with those with combined immunity (P<.001, P=.005).

Original languageEnglish
Pages (from-to)1199-1202
Number of pages4
JournalObstetrics and Gynecology
Volume141
Issue number6
DOIs
StatePublished - 1 Jun 2023

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