Does Measles, Mumps, and Rubella (MMR) Vaccination Protect against COVID-19 Outcomes: A Nationwide Cohort Study

Epiphane Kolla1,2, Alain Weill1, David Desplas1

  • 1EPI-PHARE (Scientific Interest Group in Epidemiology of Health Products), French National Agency for the Safety of Medicines and Health Products, French National Health Insurance, CEDEX, 93285 Saint-Denis, France.

Vaccines
|November 24, 2022
PubMed

Insights

This study found that the measles, mumps, and rubella (MMR) vaccine did not reduce the risk of COVID-19 hospitalization in children. The live attenuated MMR vaccine showed no protective effect against severe COVID-19 outcomes in pediatric populations.

Area of Science:

  • Pediatric Infectious Diseases
  • Vaccinology
  • Epidemiology

Background:

  • The lower incidence of severe COVID-19 in children compared to adults has led to hypotheses about potential cross-protection from existing live attenuated vaccines.
  • The measles, mumps, and rubella (MMR) vaccine, a widely administered live attenuated vaccine, has been investigated for potential non-specific immune effects.

Purpose of the Study:

  • To evaluate whether prior exposure to the live attenuated MMR vaccine influences the risk of hospitalization due to COVID-19 in children.
  • To investigate the association between MMR vaccination status and COVID-19 hospitalization rates in a large pediatric cohort.

Main Methods:

  • A nationwide cohort study was conducted using the French National Health Data System (SNDS), including children born between 2009 and 2019.
  • Exposure was defined as receiving at least one dose of the MMR vaccine. Hospitalization for COVID-19 was identified using ICD-10 codes.
  • Multivariate logistic regression analysis was employed to calculate adjusted odds ratios (aORs), controlling for relevant covariates.

Main Results:

  • The study included over 6.8 million children exposed to the MMR vaccine and over 384,000 unexposed children.
  • MMR vaccine exposure was not associated with a reduced risk of COVID-19 hospitalization (aOR = 1.09; 95% CI [0.81–1.48]).
  • Stratified analyses by age group (1-4, 5-9, 10-12 years) also revealed no significant protective effect of MMR vaccination against COVID-19 hospitalization.

Conclusions:

  • The findings suggest that the live attenuated MMR vaccine does not provide protection against hospitalization for COVID-19 in children.
  • The hypothesis of cross-protection from MMR vaccination against severe COVID-19 in pediatric populations is not supported by this study's results.

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