OBJECTIVE To evaluate the safety and the serological response after two doses of mRNA-based SARS-CoV-2 vaccination in people living with HIV (PLWH). PATIENTS AND METHODS Participants were evaluated four weeks… Click to show full abstract
OBJECTIVE To evaluate the safety and the serological response after two doses of mRNA-based SARS-CoV-2 vaccination in people living with HIV (PLWH). PATIENTS AND METHODS Participants were evaluated four weeks after the second dose of mRNA-1273 or BNT162b2 vaccine. Tolerability was evaluated with a specific adverse event questionnaire. Patient's sera were analyzed using LIAISON® SARS-CoV-2 TrimericS IgG (DiaSorin). RESULTS One-hundred PLWH were included, 75% of them men, with a mean age of 44 ± 11 years old, all receiving antiretroviral treatment and mostly with controlled viral loads (98% with HIV RNA <50 copies/mL) and 96% had >200 CD4/μL. All patients seroconverted after vaccination (antibody concentration ≥33.8 BAU/mL). Only 3% of the patients had a low antibody concentration (<520 BAU/mL), whereas a 67% of them had concentrations above the assay's detection range (>2,080 BAU/mL). Fifty-six patients had local or systemic symptoms, being mild arthromyalgia the most common systemic symptom. No severe adverse events were reported. CONCLUSIONS vaccination with two doses of mRNA-1273 or BNT162b2 is safe in PLWH under effective ART and it leads to a successfully antibodies response.
               
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