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            Demonbreun, Alexis R.; Sancilio, Amelia; Velez, Matt P.; Ryan, Daniel T.; Saber, Rana; Vaught, Lauren A.; Reiser, Nina L.; Hsieh, Ryan R.; D'Aquila, Richard T.; Mustanski, Brian; et al (, EClinicalMedicine)
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            Schrock, Joshua M; Ryan, Daniel T; Saber, Rana; Benbow, Nanette; Vaught, Lauren A; Reiser, Nina; Velez, Matthew P; Hsieh, Ryan; Newcomb, Michael; Demonbreun, Alexis R; et al (, Open Forum Infectious Diseases)Abstract In a community-based sample of seropositive adults (n = 1101), we found that seropositive individuals who lived with a known coronavirus disease 2019 (COVID-19) case exhibited higher blood anti–severe acute respiratory syndrome coronavirus 2 spike receptor-binding domain immunoglobulin G concentrations and greater symptom severity compared to seropositive individuals who did not live with a known COVID-19 case.more » « less
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            Demonbreun, Alexis R.; McDade, Thomas W.; Pesce, Lorenzo; Vaught, Lauren A.; Reiser, Nina L.; Bogdanovic, Elena; Velez, Matthew P.; Hsieh, Ryan R.; Simons, Lacy M.; Saber, Rana; et al (, JCI Insight)
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            McDade, Thomas W.; Sancilio, Amelia; D’Aquila, Richard; Mustanski, Brian; Vaught, Lauren A.; Reiser, Nina L.; Velez, Matthew E.; Hsieh, Ryan R.; Ryan, Daniel T.; Saber, Rana; et al (, Open Forum Infectious Diseases)Abstract BackgroundConfidence in natural immunity after infection with severe acute respiratory syndrome coronavirus 2 is one reason for vaccine hesitancy. MethodsWe measured antibody-mediated neutralization of spike protein-ACE2 receptor binding in a large community-based sample of seropositive individuals who differed in severity of infection (N = 790). ResultsA total of 39.8% of infections were asymptomatic, 46.5% were symptomatic with no clinical care, 13.8% were symptomatic with clinical care, and 3.7% required hospitalization. Moderate/high neutralizing activity was present after 41.3% of clinically managed infections, in comparison with 7.9% of symptomatic and 1.9% of asymptomatic infections. ConclusionsPrior coronavirus disease 2019 infection does not guarantee a high level of antibody-mediated protection against reinfection in the general population.more » « less
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