Post-acute COVID-19 syndrome after reinfection and vaccine breakthrough by the SARS-CoV-2 Gamma variant in Brazil.

Stephanie LS Penetra ; Michele FB da Silva ; Paola Resende ; Anielle Pina-Costa ; Heloisa FP Santos ; Lusiele Guaraldo ; Guilherme A Calvet ; Maria Ogrzewalska ; Ighor Arantes ; Ketiuce Zukeram ; +17 more... Mia F de Araújo ; Ana Beatriz Machado Lima ; Renata Serrano Lopes ; Larissa R Lira-Silva ; Isabella V Moraes ; Mayumi D Wakimoto ; Trevon L Fuller ; Claudia Raja Gabaglia ; Otávio M Espíndola ; Myrna C Bonaldo ; Cláudio Tadeu Daniel-Ribeiro ; Jimmy Whitworth ORCID logo ; Chris Smith ORCID logo ; Karin Nielsen-Saines ; Alex Pauvolid-Correa ; Marilda M Siqueira ; Patricia Brasil ; (2022) Post-acute COVID-19 syndrome after reinfection and vaccine breakthrough by the SARS-CoV-2 Gamma variant in Brazil. International Journal of Infectious Diseases, 114. pp. 58-61. ISSN 1201-9712 DOI: 10.1016/j.ijid.2021.10.048
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We describe a case of prolonged COVID-19 caused by the SARS-CoV-2 Gamma variant in a fully vaccinated healthcare worker, 387 days after an infection caused by lineage B.1.1.33. Infections were confirmed by whole-genome sequencing and corroborated by the detection of neutralizing antibodies in convalescent serum samples. Considering the permanent exposure of this healthcare worker to SARS-CoV-2, the waning immunity after the first infection, the low efficacy of the inactivated vaccine at preventing COVID-19, the immune escape of the Gamma variant (VOC), and the burden of post-COVID syndrome, this individual would have benefited from an additional dose of a heterologous vaccine.


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