BNT162b2 2024-2025 Vaccine Effectiveness Against COVID-19 in Children Aged 6 Months-17 Years

Sara Y Tartof1, Tara Ahi2, Timothy B Frankland3

  • 1Kaiser Permanente Southern California Department of Research & Evaluation, Division of Epidemiology, Pasadena, CA, United States.

Insights

Pediatric COVID-19 vaccination with BNT162b2 remains beneficial for children aged 6 months to 17 years. The vaccine demonstrated effectiveness against severe outcomes, including hospitalization and emergency care visits.

Area of Science:

  • Pediatric infectious diseases
  • Vaccinology
  • Public health

Background:

  • The COVID-19 pandemic continues to pose risks to pediatric populations.
  • Assessing vaccine effectiveness in children is crucial for guiding public health strategies.
  • The BNT162b2 vaccine is widely used in pediatric age groups.

Purpose of the Study:

  • To evaluate the effectiveness of the BNT162b2 (Pfizer-BioNTech) COVID-19 vaccine.
  • To assess vaccine effectiveness against symptomatic COVID-19, hospitalization, and emergency/urgent care visits in children.
  • To analyze effectiveness across different pediatric age strata.

Main Methods:

  • A test-negative case-control study design was employed.
  • The study included a large cohort of children aged 6 months to 17 years.
  • Data were collected from Kaiser Permanente Southern California.

Main Results:

  • BNT162b2 effectiveness against hospitalization/emergency department/urgent care/outpatient visits was 36% (95% CI: -5-61%) in children aged 6 months-4 years.
  • Effectiveness was 42% (95% CI: -2-67%) in children aged 5-17 years.
  • These findings suggest a protective benefit of the vaccine.

Conclusions:

  • Pediatric COVID-19 vaccination with BNT162b2 provides a beneficial effect against severe clinical outcomes.
  • The vaccine demonstrates continued relevance for protecting children against COVID-19-related healthcare utilization.
  • Ongoing surveillance and vaccination efforts are important for pediatric populations.