What We Know About Getting a Second Booster Shot of COVID-19 Vaccines

Studies show that a fourth mRNA vaccine dose offers the elderly and other high-risk groups strong protection against hospitalization and death from COVID-19, but experts say benefits for other populations may be more limited.

Written byDan Robitzski
| 11 min read
Four glass vials sit on a reflective tabletop next to a syringe. Each is labeled as a subsequent dose in a four-dose series of COVID-19 vaccines.
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As yet another wave of increased COVID-19 cases, hospitalizations, and deaths rolls on, this one fueled by the newer Omicron subvariants BA.4 and especially BA.5, public health authorities are largely eschewing earlier measures such as mask mandates, stay-at-home orders, improvements to ventilation in buildings, and even continuing to track the disease, instead relying heavily on repeated doses of mRNA vaccines.

Indeed, while some low-income countries still haven’t been able to deliver primary vaccinations to high-priority individuals such as healthcare workers, roughly a dozen countries have rolled out a second booster—that is, a fourth dose—of the mRNA vaccines developed by Moderna or Pfizer/BioNTech to at-risk groups, including older people. Preliminary data from those countries has shown that this second booster is highly effective at preventing severe illness and death among those groups.

But questions remain about how and the extent to which the second booster fortifies the immune system against the ...

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    Dan is an award-winning journalist based in Los Angeles who joined The Scientist as a reporter and editor in 2021. Ironically, Dan’s undergraduate degree and brief career in neuroscience inspired him to write about research rather than conduct it, culminating in him earning a master’s degree in science journalism from New York University in 2017. In 2018, an Undark feature Dan and colleagues began at NYU on a questionable drug approval decision at the FDA won first place in the student category of the Association of Health Care Journalists' Awards for Excellence in Health Care Journalism. Now, Dan writes and edits stories on all aspects of the life sciences for the online news desk, and he oversees the “The Literature” and “Modus Operandi” sections of the monthly TS Digest and quarterly print magazine. Read more of his work at danrobitzski.com.

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