Is Covid-19 Exposure Post-Vaccination a Booster or a Risk?

Will circulating variants of Covid-19 “boost” immunity in vaccinated populations?

Jesse Smith, MD
Elemental
Published in
4 min readJul 19, 2021

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As the first group of people to receive Covid-19 vaccines reach the 6 month mark, the natural question in many people’s minds is: how long will this vaccine protect us against the virus? While research shows lasting and powerful protection, there is still concern that that immunity will fade with time. This raises the question of whether boosters are needed to prop up immunity.

With variants of the SARS-CoV-2 virus still actively circulating amidst easing restrictions, many vaccinated individuals will likely be exposed to the virus. So the question is, will post-vaccination exposure to Covid-19 serve as a natural booster?

Vaccination boosters are not uncommon. Many of the vaccines that we receive as young children often need a booster later in life. This is necessary for some pathogens because (for reasons not fully understood) the vigorous immunity that comes shortly after vaccination fades over time. The degree of lasting protection — what researchers call durable immunity — is a critical metric in determining vaccine schedules. Unfortunately, durable immunity varies from one pathogen to the next.

With the US vaccine rollout now several month old, many experts have expressed concern that waning immunity may lead to another surge in cases. This prompted vaccine makers to begin seeking FDA authorization for booster shots aimed at bolstering immunity in already vaccinated populations.

Natural Boosters

From a purely immunological standpoint, post-vaccination exposure to the SARS-CoV-2 virus could function exactly the same as a booster vaccination. Circulating antibodies from vaccines set off a rapid response when re-exposed to the virus that circumvents the natural disease process. This swift response serves as a sort of reminder to the immune system to stay vigilant. This refresher to the immune system revs up the cells involved in antibody production, thus renewing immunity.

This approach to vaccine boosters works in theory, but falls short in a few key areas. Unfortunately, many have adopted the notion that natural infection…

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Jesse Smith, MD
Elemental

Physician and molecular biologist. I write about science, medicine, vaccines and dogs…yes dogs.

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