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BNT162b2 against COVID-19 in Brazil using a test-negative design: Study protocol and statistical analysis plan
Regis Goulart Rosa1,2, Julia Spinardi3, Kristen E Allen3
1Social Responsibility Unit, Hospital Moinhos de Vento (HMV), Porto Alegre, RS, Brazil.
This study assesses the real-world effectiveness of the Pfizer-BioNTech COVID-19 vaccine in Brazil. It evaluates protection against symptomatic COVID-19 and related complications in a diverse population.
Area of Science:
- Epidemiology
- Vaccinology
- Public Health
Background:
- Real-world vaccine effectiveness data are crucial for validating clinical trial findings.
- COVID-19 vaccine effectiveness studies are needed globally, particularly in diverse populations.
- The Pfizer-BioNTech BNT162b2 vaccine has been widely deployed, necessitating real-world effectiveness evaluations.
Purpose of the Study:
- To evaluate the real-world effectiveness of the Pfizer-BioNTech BNT162b2 vaccine against symptomatic COVID-19.
- To assess the vaccine's efficacy in preventing COVID-19-related complications.
- To analyze vaccine effectiveness across diverse demographic groups in Brazil.
Main Methods:
- Test-negative case-control study design with prospective follow-up.
- Participants aged 12+ with acute respiratory symptoms tested for SARS-CoV-2 via RT-PCR.
- Data collection includes baseline demographics, clinical information, vaccination status, and variant screening.
Main Results:
- N/A - Study is ongoing.
Conclusions:
- N/A - Study is ongoing. Findings will inform public health strategies and vaccine recommendations.
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Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and case-control studies.

