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COVID-19: Fourth jab gives higher antibody levels than those seen after a third, research suggests

Written by on 10 May 2022

A fourth COVID jab pushes antibody levels even higher than those seen after the third, a new study suggests.

A team of academics led by the University of Southampton have been tracking a group of people and their levels of antibodies and T cells – both measures which indicate a person’s level of protection against a virus.

Some 166 people took part in the study and offered blood samples, which meant that scientists could examine the concentration of antibodies in the blood.

These were examined at various time points, including 28 days after the third jab was given; again just before their fourth boost was administered – which took place, on average, just over 200 days later; and then 14 days after they had their fourth jab.

The levels of antibodies waned in the period between third jabs and fourth boosters.

But a fortnight after the booster jab, antibody levels rose even higher than the levels seen after the third.

And there were significant boosts compared with the levels seen on the day they were given their fourth booster – participants had 12 to 16 times higher levels of antibodies in the blood a fortnight after they got their fourth shot, compared with the day it was delivered.

Boosts were also seen in the cellular level, according to the study, which has been published in The Lancet Infectious Diseases journal.

Researchers examined data on people who had two doses of the AstraZeneca jab, followed by a Pfizer booster, who then received either a Pfizer jab or half dose of a Moderna jab for their fourth vaccine.

They also looked at people who had three doses of Pfizer, followed by a fourth Pfizer shot or a half-dose Moderna jab.

The CovBoost trial also examined side-effects after a fourth jab: No severe side-effects were recorded among participants, but some did report pain or fatigue.

Sajid Javid has stressed the need for people to get their booster jabs over the festive period. Image: Health and social care secretary Sajid Javid has stressed the need for people to get their booster jabs

However the authors said the study also provided a “hint” that a small number of people might reach a “ceiling” in terms of the amount of protection they could get from a fourth jab.

They said some people had high levels of immune response “even before the fourth dose and had limited boosting from the fourth dose”, including people who had just been infected with the virus.

More than 3 million already boosted

Trial lead Professor Saul Faust, director of the NIHR Southampton Clinical Research Facility, said: “These results underline the benefits of the most vulnerable people receiving current spring boosters and gives confidence for any prospective autumn booster programme in the UK, if the Joint Committee on Vaccination and Immunisation considers it needed at that time.”

Health and Social Care Secretary Sajid Javid added: “This is further evidence underlining the importance of people coming forward for their booster as soon as they are eligible.

“We’re able to live with COVID thanks to the protection provided by our phenomenal vaccine programme and a booster dose will top up your immunity to continue to keep you and your loved ones safe.”

Read more:
Double-jabbed ‘less likely to get long COVID from Omicron than Delta’
WHO estimates 15m people have died directly or indirectly from COVID

A number of groups have been called forward for a spring booster, including those aged 75 and over, people who live in care homes for older people, or people aged 12 and over who have a weakened immune system.

For most, this will have been a fourth vaccine dose, but for some with a weakened immune system it will have been their fifth.

So far more than three million people have received their spring booster in England alone, according to the NHS in England.

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