The current monovalent mRNA COVID-19 vaccines show varying effectiveness against the BA.5 variant, with waning protection over time. Vaccine effectiveness (VE) against COVID-19-associated hospitalization during the BA.4/BA.5 predominant period was observed to be 83% within 14-150 days after the second dose, decreasing to 37% after 150 days. VE was 60% within 7-120 days after the third dose, decreasing to 29% after 120 days, and 61% within 7-120 days after the fourth dose.[1]
Neutralization studies have shown that the BA.5 bivalent booster elicits high neutralizing titers against BA.4/5 but does not produce robust neutralization against newly emerged BA.2.75.2, BQ.1.1, or XBB.1.[2] The Omicron BA.5 variant has been found to significantly escape neutralizing antibodies from a range of vaccination and convalescent responses.[3] Additionally, BA.4/5 shows reduced neutralization by serum from individuals vaccinated with triple doses of AstraZeneca or Pfizer vaccines compared to BA.1 and BA.2.[4]
In summary, the current COVID-19 vaccines provide some protection against the BA.5 variant, but the effectiveness wanes over time and is reduced compared to earlier variants. Bivalent mRNA COVID-19 vaccines are expected to offer better protection against BA.4/BA.5.[1]