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The duration of antibody response after SARS-CoV-2 infection is not clearly established, although prior studies have estimated that antibodies produced after natural infection last from 3 to 6 months. In the Texas Coronavirus Antibody Response Survey (Texas CARES), a prospective convenience sample was obtained from 4558 adults with diagnoses of COVID-19 from October 2020 through August 2021 who were tested at least once for nucleocapsid (N) antibodies using an assay that combined IgG, IgM, and IgA.
N-antibody test positivity peaked at 90–100 days after infection and declined slowly thereafter, such that only 7.4% of the sample was negative by 401–500 days after infection. Those aged ≥65 had longer duration of N-antibody responses than other …