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Clinical trial results may not accurately reflect outcomes in the real world, where an intervention is applied to a more-diverse population (often with minor variations in drug or vaccine handling, dosage, and timing). Investigators utilized data from Clalit Health Services, which provides healthcare to 53% of Israel's population, to determine the effectiveness of the two-dose Pfizer BNT162b2 mRNA vaccine in preventing COVID-19. Each of 596,618 vaccine recipients between December 20, 2020, and February 1, 2021, was matched 1:1 with an unvaccinated control (with the study population adjusted if a matched control was subsequently immunized).
At 14 to 20 days after the first dose, estimated vaccine effectiveness was 46% (any documented SARS-CoV…