Between August 12, 2021, and December 6, 2021, 10,236 ED encounters with a primary diagnosis of COVID-19 were observed. COVID-19 vaccination protected against SARS-CoV-2 infection, even as the Omicron variant became predominant. With the Omicron variant, combined with a reduction in other preventive measures like masking, vaccinated people may be more likely to be infected than they were this time last year. Atlanta, GA: US Department of Health and Human Services, CDC; 2021. part 46.102(l)(2), 21 C.F.R. Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. During the early rollout of vaccines, vaccinated people represented a small share of total deaths, but experts warned that the share would likely rise simply because vaccinated people were representing a growing share of the population. endorsement of these organizations or their programs by CDC or the U.S. Of the 8,054 hospitalized breakthrough COVID-19 cases, at least 1,587 deaths are known to have occurred. A spokesperson for the CDC, Kristen Nordlund, told the New York Times the agency has been slow to release some data because its not ready for prime time and because of the fear that it could be misinterpreted. Understanding risk factors for hospitalization in vaccinated persons and the association of COVID-19 vaccines with hospitalization rates is critical for public health efforts to control COVID-19. Jennifer Kates Follow @jenkatesdc on Twitter NJ seeks reinforcements to help hospital staff depleted by COVID. O ver the summer of 2021, as the Delta variant swept the nation, Americans' experience with COVID-19 bifurcated. They are, for the most part, unvaccinated, or vaccinated but . Respondent demographic characteristics by HPV vaccination vs. intent status. Characteristics of the two groups can be viewed in Table 1. Effectiveness of COVID-19 mRNA vaccines against COVID-19associated hospitalizationfive Veterans Affairs medical centers, United States, February 1-August 6, 2021. CDC and other researchers have shown that protection from COVID-19 vaccines can diminish, or wane, over time and booster doses are needed to maintain a robust immune response. This activity was conducted consistent with applicable federal law and CDC policy.***. CDC and other researchers have shown boosters are highly effective in preventing hospitalizations and deaths, including among those most vulnerable to COVID-19. We take your privacy seriously. Bevington P, Robinson DK. Federal government websites often end in .gov or .mil. Drs Billing and Shiltz reported grants from the Council of State and Territorial Epidemiologists (CTSTE) and the CDC Dr Schaffner reported grants from CDC during the conduct of the study as well as personal fees from VBI Vaccines outside the submitted work. -, Adams K, Rhoads JP, Surie D, et al. [A]lthough rooted in the contention that the agency isnt being nearly as straightforward or transparent or comprehensive as they need to be, my tweet could be interpreted as misleading and thats the absolute last thing I want to do so Ive removed it, he wrote. The booster dose vaccine type may be different than the primary series vaccine type. Thats why, when CDC adjusts for some of these factors (age and population size), we still see that unvaccinated people are at much greater risk of death and other severe outcomes than people the same age who have stayed up-to-date on boosters. https://www.medrxiv.org/content/10.1101/2022.01.07.22268919v1.full; https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4011905. The number of observations informing each CI reflects the number of weeks per period: AprilMay (7), June (5), JulyNovember (21), and December (4). ** 95% CIs were calculated after detrending underlying linear changes in weekly incidence rates using piecewise linear regression. 2023 Jan 25:10815589221149191. doi: 10.1177/10815589221149191. The agency has not communicated any intention to discontinue these publications. 60.6% of patients were unvaccinated. In an analysis, the Post found that if vaccinated people are removed from assessing the data, the case rate for unvaccinated Americans is similar to the case rate for all residents on December 31. Sect.241(d); 5 U.S.C.0 Sect.552a; 44 U.S.C. Hospitalizations had peakedat 8,270on April 15, 2020. What explains the rising share of COVID-19 deaths among vaccinated people? Conclusions and relevance: Exposures: To interpret IRR changes, age-standardized crude vaccine effectiveness (VE) was estimated as (1 [incidence in vaccinated / incidence in unvaccinated]). He said we dont know how the COVID-19 vaccines are working in the U.S. because the CDC is no longer releasing their data comparing vaccinated to unvaccinated cases, hospitalizations and deaths. A Facebook, A spokesperson for the CDC told the New York Times a few weeks ago, the reason that they are not releasing the data anymore, that weve seen throughout the pandemic, is they have worries its not ready for prime time because it might increase vaccine hesitancy. The state also announced Tuesday another 79 COVID related deaths, bringing the total to 29,151 confirmed or likely COVID deaths since the pandemic started in March 2020. On November 19, 2021, and November 29, 2021, CDC expanded recommendations for booster doses to include all adults aged 18 years. Findings In this cohort study of 173 health care workers, inpatients, and guardians and 45 participants in a community facility, secondary transmission of SARS-CoV . The surge in hospitalizations is projected to peak between 6,000 and 9,000 later this month and is being driven in part by the spread of the omicron variant. Butshe didnt say the agency is not releasing the data anymore, as Kheriaty claimed. That's a rate of 1.8% a higher rate compared to the data we have on breakthrough infections. URL addresses listed in MMWR were current as of All eligible persons should stay up to date with primary series, additional, and booster doses of COVID-19 vaccine. Proportion of Adults in the COVID-19Associated Hospitalization Surveillance Network (COVID-NET) Catchment Area and, Figure 2.. This site needs JavaScript to work properly. Three-Week Moving Average Population-Based Rates, Figure 2.. Per capita COVID-19 case rates in boosted, fully vaccinated, and unvaccinated populations in Massachusetts Sep 05 Sep 19 Oct 03 Oct 17 Oct 31 Nov 14 Nov 28 0 250 500 750 1,000 1,250 Per capita COVID cases for individuals 12+ years of age (August 29, 2021 -December 4, 2021) Source: MA DPH Unvaccinated Fully Vaccinated & not Boosted Boosted 1. Abstracts of Presentations at the Association of Clinical Scientists 143. *** 45 C.F.R. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Open in External Program. The data for COVID-19-associated hospitalizations by vaccination status from January 2021 to Feb. 26 were posted on March 24, and then updated on March 31. In order to be counted as vaccinated, a person must be at least two weeks out from completing their primary series before testing positive (for example, at least 14 days after completing two doses of the mRNA vaccine). What are the implications for public health practice? Credit: Amanda Montaez; Source: Centers for Disease Control and Prevention. Filling the need for trusted information on national health issues, Cynthia Cox Follow @cynthiaccox on Twitter But while hospitalizations are rising across the country, the states . Breakthrough disease occurs when a fully vaccinated person experiences symptoms of COVID-19 disease. No other potential conflicts of interest were disclosed. The ICU occupancy rate per million is 135.6 for unvaccinated people and just 9.2 for those who have gotten two doses of COVID-19 vaccines. *** https://www.cdc.gov/nchs/data/statnt/statnt24.pdf. On November 19, 2021, and November 29, 2021, CDC expanded recommendations for booster doses to include all adults aged 18 years. The state has requested10 strike teams of 15 members each, said Col. Patrick Callahan, superintendent of the state police. The Moderna vaccineshowed similar results in its clinical trial, with afinalefficacy of93%. Scobie HM, Johnson AG, Suthar AB, et al. You can contact reporter David Matthau at David.Matthau@townsquaremedia.com. Ann Clin Lab Sci. An additional factor to consider is that as the pandemic wears on and a disproportionate number of unvaccinated people . Hospitalization rates by vaccination status will be updated end of April and will include data through the end of March. In an email sent to FactCheck.org on March 28, Morefield said he decided to remove his tweet after admitting that the CDC does release some -though not all or enough- data on an agency, Clinical Trials Find No Increase in Mortality Among COVID-19 Patients Treated with Remdesivir, Contrary to Viral Claim, Rates of COVID-19 Cases and Deaths by Vaccination Status, Rates of laboratory-confirmed COVID-19 hospitalizations by vaccination status, SARS-CoV-2 RNA Levels in Wastewater in the United States. Other lineages in the analysis period before the Delta transition included Alpha (>50%), Gamma, Epsilon, Iota, Mu, and other lineages. COVID cases rising in NJ are due to the spread of the delta variant among unvaccinated residents, said Gov. Isnt Publishing Large Portions of the Covid Data It Collects. The New York Times. This change requires a reload. CDC. Since the vaccine rollout began last December, less than one third of 1% of fully vaccinated Garden State residents have tested positive for COVID, and of the more than 5 million people fully vaccinated by the end of August, a total of 386 have been hospitalized. Krutika Amin Follow @KrutikaAmin on Twitter An unvaccinated person had SARS-CoV-2 RNA or antigen detected on a respiratory specimen and has not been verified to have received COVID-19 vaccine. 2022 May;52(3):511-525. However, the rising share of the population that is vaccinated is only part of the story and does not seem to explain all of the rise in the share of deaths that are among vaccinated people over the last year. The numbers are over the past 30 days: Scott Fallon has covered the COVID-19 pandemic since its onset in March 2020. Alabama, Arkansas, California, Colorado, District of Columbia, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Nebraska, New Jersey, New Mexico, New York, New York City (New York), Rhode Island, Seattle/King County (Washington), Tennessee, Texas, Utah, and Wisconsin. Of fully vaccinated adults, 51.3% had been given the Pfizer vaccine, 39.8% received Moderna, and 8.9% received Johnson & Johnson. However, this protection from a past infection can also diminish over time, which is why it is still recommended that unvaccinated people with prior COVID-19 infections get vaccinated and stay up-to-date on boosters. Morefield, Scott. 77 percent of COVID-19-related deaths among individuals who had an infection date between January 1, 2021 and May 11, 2022 were in unvaccinated or not fully vaccinated people. Average weekly incidences were calculated by age group (1849, 5064, and 65 years), vaccination status, and primary series vaccine product (Ad.26.COV2.S [Janssen {Johnson & Johnson}], BNT162b2 [Pfizer-BioNTech], and mRNA-1273 [Moderna]) during each period; rates overall and by vaccine product were age-standardized using the 2000 U.S. Census standard population. IRRs were calculated by dividing incidence among unvaccinated persons by incidence among fully vaccinated persons (overall and by receipt of booster doses); after detrending the underlying linear changes in incidence, 95% CIs were calculated based on the remaining variation in observed weekly rates (8,9). 2023 Jan 25;20(3):2150. doi: 10.3390/ijerph20032150. Although COVID-19 vaccine effectiveness decreased with emergence of the Delta variant and waning of vaccine-induced immunity, protection against hospitalization and death has remained high. New hospitalizations with laboratory-confirmed COVID-19 among fully vaccinated and unvaccinated adults, vaccine coverage, and estimated vaccine effectiveness, by age New York, May 3-July 25 . On August 13, 2021, CDC recommended an additional Pfizer-BioNTech or Moderna primary series dose for persons moderately or severely immunocompromised (https://www.cdc.gov/media/releases/2021/s0813-additional-mRNA-mrna-dose.html). Key Points. Similar trends were noted for differences in the mortality rates among these three groups (0.1, 0.6, and 7.8 per 100,000 population, respectively) during OctoberNovember. CDC. People who were partially vaccinated are not included in this data. All HTML versions of MMWR articles are generated from final proofs through an automated process. Saving Lives, Protecting People, Association Between 3 Doses of mRNA COVID-19 Vaccine and Symptomatic Infection Caused by the SARS-CoV-2 Omicron and Delta Variants, https://ndc.services.cdc.gov/case-definitions/coronavirus-disease-2019-2021/, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines.html, https://www.cdc.gov/media/releases/2021/s0813-additional-mRNA-mrna-dose.html, https://www.cdc.gov/media/releases/2021/p0924-booster-recommendations-.html, https://www.cdc.gov/media/releases/2021/p1021-covid-booster.html, https://www.cdc.gov/media/releases/2021/s1119-booster-shots.html, https://www.cdc.gov/media/releases/2021/s1129-booster-recommendations.html, https://cdn.ymaws.com/www.cste.org/resource/resmgr/pdfs/pdfs2/20211222_interim-guidance.pdf, https://covid.cdc.gov/covid-data-tracker/#variant-proportions, https://www.census.gov/programs-surveys/popest/data/tables.2019.html, https://www.cdc.gov/nchs/data/statnt/statnt20.pdf, https://www.medrxiv.org/content/10.1101/2022.01.07.22268919v1.full, https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4011905, https://covid.cdc.gov/covid-data-tracker/#rates-by-vaccine-status, https://covid.cdc.gov/covid-data-tracker/#covidnet-hospitalizations-vaccination, https://doi.org/10.1146/annurev-ecolsys-112414-054242, https://www.cdc.gov/nchs/data/statnt/statnt24.pdf, Centers for Disease Control and Prevention, U.S. Department of Health & Human Services, Omicron emergence (first week in December 2021). Three-Week Moving Average Population-Based Rates a of COVID-19Associated Hospitalizations Among Unvaccinated and Vaccinated, MeSH CDC. New Jersey officials called for federal reinforcements to make up for depletion in hospital staff as the virus continues to infect more of them. TheNovavax vaccine, which was authorized in July 2022, had a 90.4% efficacy in preventing symptomatic COVID-19 in adults, prior to the emergence of the omicron variant. Although the data we use in this analysis are not broken out by time since last vaccination, given the plateauing vaccination rate, it is likely that many of the vaccinated people who died of COVID-19 had the primary series or a booster many months or even over a year earlier, meaning they were less protected against severe illness than they once were. Rates of COVID-19 cases were lowest among fully vaccinated persons with a booster dose, compared with fully vaccinated persons without a booster dose, and much lower than rates among unvaccinated persons during OctoberNovember (25.0, 87.7, and 347.8 per 100,000 population, respectively) and December 2021 (148.6, 254.8, and 725.6 per 100,000 population, respectively) (Table 2).