Pfizer and BioNTech Submit for U.S. Emergency Use Authorization of an 
Additional Booster Dose of their COVID-19 Vaccine for Older Adults

Tuesday, March 15, 2022 - 04:41pm 
https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-us-emergency-use-authorization

•    Submission based on real-world safety and efficacy data from Israel

•    Data showed that the rates of confirmed infections were 2 times lower, and 
that the rates of severe illness were 4 times lower among individuals who 
received an additional booster dose of Pfizer-BioNTech COVID-19 Vaccine 
compared to individuals who received only an initial booster


NEW YORK and MAINZ, GERMANY, MARCH 15, 2022 — Pfizer Inc. and BioNTech SE today 
announced that the companies have submitted an application to the U.S. Food and 
Drug Administration (FDA) for Emergency Use Authorization (EUA) of an 
additional booster dose adults 65 years of age and older who have received an 
initial booster of any of the authorized or approved COVID-19 vaccines.

The submission is based on two real-world data sets from Israel analyzed at a 
time when the Omicron variant was widely circulating. Both data sets showed 
evidence that an additional mRNA booster increases immunogenicity and lowers 
rates of confirmed infections and severe illness.

An analysis of Israeli Ministry of Health records was conducted for over 1.1 
million adults 60 years of age and older who had no known history of SARS-CoV-2 
infection and were eligible for an additional (fourth dose) booster.

These data showed rates of confirmed infections were 2 times lower and rates of 
severe illness were 4 times lower among individuals who received an additional 
booster dose of the Pfizer-BioNTech COVID-19 Vaccine administered at least four 
months after an initial booster (third) dose compared to those who received 
only one booster dose.

Also included in the submission are results from an ongoing, open-label, 
non-randomized clinical trial in healthcare workers 18 years of age and older 
at a single study center in Israel who had been vaccinated with three doses of 
the Pfizer-BioNTech COVID-19 Vaccine.

Among the 154 (out of 700) participants who received an additional booster 
(fourth) dose of the Pfizer-BioNTech COVID-19 Vaccine at least four months 
following the initial booster, neutralizing antibody titers increased 
approximately 7-fold to 8-fold at two and three weeks after the additional 
booster (fourth) dose compared to five months after the initial booster (third) 
dose.

Additionally, there was an 8-fold and 10-fold increase in neutralizing antibody 
titers against the Omicron variant (B.1.1.529) at one and two weeks after the 
additional booster dose, respectively, compared to five months after the 
initial booster. The study also revealed no new safety concerns in individuals 
who received an additional booster dose of the vaccine.

Emerging evidence suggests that effectiveness against both symptomatic COVID-19 
and severe disease caused by Omicron wanes 3 to 6 months after receipt of an 
initial booster (third) dose. Thus, additional booster doses may be needed to 
ensure individuals remain adequately protected.

These early studies indicate that  an additional booster dose of the 
Pfizer-BioNTech COVID-19 Vaccine administered at least 4 months after an 
initial booster dose could restore antibody titers to peak post-third dose 
titer levels, improve protection against both infection and severe disease in 
individuals 60 years of age and older in Israel, and have a similar safety 
profile to that of previous doses.


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