What is the relative risk reduction of the Pfizer (Comirnaty) COVID-19 vaccine?

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Last updated: March 2, 2025View editorial policy

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From the Guidelines

The Pfizer-BioNTech COVID-19 vaccine (Comirnaty) has a relative risk reduction of approximately 95% in preventing COVID-19, as demonstrated in its initial clinical trials 1. This means that vaccinated individuals had about 95% lower risk of developing COVID-19 compared to unvaccinated individuals. The vaccine contains mRNA that instructs cells to produce the SARS-CoV-2 spike protein, triggering an immune response that helps protect against future infection. Key points about the vaccine include:

  • Efficacy: 95% protection against COVID-19
  • Vaccination schedule: 2 doses, 21 days apart
  • Safety profile: excellent, with common solicited adverse reactions including injection site reactions, fatigue, headache, muscle pain, chills, joint pain, and fever
  • Serious adverse events: similar in the vaccine and placebo groups (0.6% and 0.5%, respectively) The high relative risk reduction made the Pfizer vaccine one of the most effective COVID-19 vaccines available, as supported by the data from the clinical trials 1.

From the Research

Relative Risk Reduction of Pfizer COVID-19 Vaccine

  • The relative risk reduction of the Pfizer (Comirnaty) COVID-19 vaccine is reported to range from 45% to 96% across different studies 2.
  • A study published in MMWR found that the effectiveness of full vaccination in preventing COVID-19-associated hospitalization was 96% for Pfizer-BioNTech among adults aged 65-74 years, and 91% among adults aged ≥75 years 3.
  • Another study published in MMWR found that the effectiveness of 2 doses of Pfizer-BioNTech vaccine against COVID-19 hospitalization was 93% among children and adolescents aged 12-18 years 4.
  • A systematic review published in Human vaccines & immunotherapeutics found that the full-dose regimen of the Pfizer/BioNTech vaccine is the most effective against infections with the B.1.1.7 and B.1.351 variants 5.
  • A large observational study in Israel found that the Pfizer-BioNTech vaccine was effective in preventing infection, hospitalization, and mortality, with adjusted vaccine efficacy of 93·0%, 93·4%, and 91·1%, respectively 6.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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