A single SARS-CoV-2 vaccine dose reduces onward transmission from case-patients. We assessed the potential effects of receiving 2 doses on household transmission for case-patients in England and their household contacts. We used stratified Cox regression models to calculate hazard ratios (HRs) for contacts becoming secondary case-patients, comparing contacts of 2-dose vaccinated and unvaccinated index case-patients. We controlled for age, sex, and vaccination status of case-patients and contacts, as well as region, household composition, and relative socioeconomic condition based on household location. During the Alpha-dominant period, HRs were 0.19 (0.13-0.28) for contacts of 2-dose BNT162b2-vaccinated case-patients and 0.54 (0.41-0.69) for contacts of 2-dose Ch4dOx1-vaccinated case-patients; during the Delta-dominant period, HRs were higher, 0.74 (0.72-0.76) for BNT162b2 and 1.06 (1.04-1.08) for Ch4dOx1. Reduction of onward transmission was lower for index case-patients who tested positive ≥2 months after the second dose of either vaccine.
Keywords: Andrews N; COVID-19; Dunbar K; England. Emerg Infect Dis. 2023 Jan [date cited]. https://doi.org/10.3201/eid2901.220996; Hall J; Harris R; SARS-CoV-2; Suggested citation for this article: Zaidi A; United Kingdom; Woodhall S; et al. Effects of second dose of SARS-CoV-2 vaccination on household transmission; household; respiratory infections; severe acute respiratory syndrome coronavirus 2; transmission; vaccination; viruses; zoonoses.