Table 1.

Baseline Characteristics of the Included 48 210 Employees of Cleveland Clinic in Ohio, and Features of Those who Did and Did not Receive the 2023–2024 Formulation COVID-19 Vaccine by the end of the Study

CharacteristicsAll Subjects
(n = 48 210)
Vaccinateda by the End of the Study
(n = 7978)
Not Vaccinateda by the End of the Study
(n = 40 232)
P
Age in y, mean (SD)42.0 (13.4)47.6 (13.9)40.9 (13.0)<.001
Sex<.001
 Female35 959 (74.6)5421 (67.9)30 538 (75.9)
 Male12 251 (25.4)2557 (32.1)9694 (24.1)
Location<.001
 Cleveland Clinic Main19 935 (41.4)4476 (56.1)15 459 (38.4)
 Cleveland area regional hospitals12 289 (25.5)1450 (18.2)10 839 (26.9)
 Ambulatory centers8922 (18.5)1198 (15.0)7724 (19.2)
 Cleveland Clinic Akron4075 (8.5)348 (4.4)3727 (9.3)
 Administrative centers1779 (3.7)377 (4.7)1402 (3.5)
 Cleveland Clinic Medina1210 (2.5)129 (1.6)1081 (2.7)
Hire cohort<.001
 Prepandemic28 030 (58.1)5404 (67.7)22 626 (56.2)
 Pandemic20 180 (41.9)2574 (32.3)17 606 (43.8)
Pandemic phase during which most recent infection occurred<.001
 Not previously known to be infected26 494 (55.0)4526 (56.7)21 968 (54.6)
 Pre-Omicron5055 (10.5)472 (5.9)4583 (11.4)
 Omicron pre-XBB13 499 (28.0)2360 (29.6)11 139 (27.7)
 Omicron XBB or later3162 (6.6)620 (7.8)2542 (6.3)
Days since most recent infection, mean (SD)544 (284)478 (260)557 (286)<.001
Prior vaccination history<.001
 Monovalent and bivalent vaccines12 264 (25.4)5876 (73.7)6388 (15.9)
 Bivalent vaccine only379 (<1)111 (1.4)268 (<1)
 Monovalent vaccine only28 192 (58.5)1722 (21.6)26 470 (65.8)
 Non-mRNA vaccine only913 (1.9)23 (<1)890 (2.2)
 No vaccine6462 (13.4)246 (3.1)6216 (15.5)
Number of prior vaccine doses<.001
 06462 (13.4)246 (3.1)6216 (15.5)
 11904 (3.9)134 (1.7)1770 (4.4)
 213 381 (27.8)303 (3.8)13 078 (32.5)
 314 106 (29.3)1287 (16.1)12 819 (31.9)
 >312 357 (25.6)6008 (75.3)6349 (15.8)
Days since most recent vaccine, mean (SD)597 (232)377 (197)648 (209)<.001
Days since proximate SARS-CoV-2 exposureb, mean (SD)513 (239)339 (188)551 (232)<.001
CharacteristicsAll Subjects
(n = 48 210)
Vaccinateda by the End of the Study
(n = 7978)
Not Vaccinateda by the End of the Study
(n = 40 232)
P
Age in y, mean (SD)42.0 (13.4)47.6 (13.9)40.9 (13.0)<.001
Sex<.001
 Female35 959 (74.6)5421 (67.9)30 538 (75.9)
 Male12 251 (25.4)2557 (32.1)9694 (24.1)
Location<.001
 Cleveland Clinic Main19 935 (41.4)4476 (56.1)15 459 (38.4)
 Cleveland area regional hospitals12 289 (25.5)1450 (18.2)10 839 (26.9)
 Ambulatory centers8922 (18.5)1198 (15.0)7724 (19.2)
 Cleveland Clinic Akron4075 (8.5)348 (4.4)3727 (9.3)
 Administrative centers1779 (3.7)377 (4.7)1402 (3.5)
 Cleveland Clinic Medina1210 (2.5)129 (1.6)1081 (2.7)
Hire cohort<.001
 Prepandemic28 030 (58.1)5404 (67.7)22 626 (56.2)
 Pandemic20 180 (41.9)2574 (32.3)17 606 (43.8)
Pandemic phase during which most recent infection occurred<.001
 Not previously known to be infected26 494 (55.0)4526 (56.7)21 968 (54.6)
 Pre-Omicron5055 (10.5)472 (5.9)4583 (11.4)
 Omicron pre-XBB13 499 (28.0)2360 (29.6)11 139 (27.7)
 Omicron XBB or later3162 (6.6)620 (7.8)2542 (6.3)
Days since most recent infection, mean (SD)544 (284)478 (260)557 (286)<.001
Prior vaccination history<.001
 Monovalent and bivalent vaccines12 264 (25.4)5876 (73.7)6388 (15.9)
 Bivalent vaccine only379 (<1)111 (1.4)268 (<1)
 Monovalent vaccine only28 192 (58.5)1722 (21.6)26 470 (65.8)
 Non-mRNA vaccine only913 (1.9)23 (<1)890 (2.2)
 No vaccine6462 (13.4)246 (3.1)6216 (15.5)
Number of prior vaccine doses<.001
 06462 (13.4)246 (3.1)6216 (15.5)
 11904 (3.9)134 (1.7)1770 (4.4)
 213 381 (27.8)303 (3.8)13 078 (32.5)
 314 106 (29.3)1287 (16.1)12 819 (31.9)
 >312 357 (25.6)6008 (75.3)6349 (15.8)
Days since most recent vaccine, mean (SD)597 (232)377 (197)648 (209)<.001
Days since proximate SARS-CoV-2 exposureb, mean (SD)513 (239)339 (188)551 (232)<.001

Data are presented as no. (%) unless otherwise indicated.

Abbreviations: COVID-19, coronavirus disease 2019; mRNA, messenger RNA; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; SD, standard deviation.

aWith the 2023–2024 formulation vaccine.

bBy infection or vaccination.

Table 1.

Baseline Characteristics of the Included 48 210 Employees of Cleveland Clinic in Ohio, and Features of Those who Did and Did not Receive the 2023–2024 Formulation COVID-19 Vaccine by the end of the Study

CharacteristicsAll Subjects
(n = 48 210)
Vaccinateda by the End of the Study
(n = 7978)
Not Vaccinateda by the End of the Study
(n = 40 232)
P
Age in y, mean (SD)42.0 (13.4)47.6 (13.9)40.9 (13.0)<.001
Sex<.001
 Female35 959 (74.6)5421 (67.9)30 538 (75.9)
 Male12 251 (25.4)2557 (32.1)9694 (24.1)
Location<.001
 Cleveland Clinic Main19 935 (41.4)4476 (56.1)15 459 (38.4)
 Cleveland area regional hospitals12 289 (25.5)1450 (18.2)10 839 (26.9)
 Ambulatory centers8922 (18.5)1198 (15.0)7724 (19.2)
 Cleveland Clinic Akron4075 (8.5)348 (4.4)3727 (9.3)
 Administrative centers1779 (3.7)377 (4.7)1402 (3.5)
 Cleveland Clinic Medina1210 (2.5)129 (1.6)1081 (2.7)
Hire cohort<.001
 Prepandemic28 030 (58.1)5404 (67.7)22 626 (56.2)
 Pandemic20 180 (41.9)2574 (32.3)17 606 (43.8)
Pandemic phase during which most recent infection occurred<.001
 Not previously known to be infected26 494 (55.0)4526 (56.7)21 968 (54.6)
 Pre-Omicron5055 (10.5)472 (5.9)4583 (11.4)
 Omicron pre-XBB13 499 (28.0)2360 (29.6)11 139 (27.7)
 Omicron XBB or later3162 (6.6)620 (7.8)2542 (6.3)
Days since most recent infection, mean (SD)544 (284)478 (260)557 (286)<.001
Prior vaccination history<.001
 Monovalent and bivalent vaccines12 264 (25.4)5876 (73.7)6388 (15.9)
 Bivalent vaccine only379 (<1)111 (1.4)268 (<1)
 Monovalent vaccine only28 192 (58.5)1722 (21.6)26 470 (65.8)
 Non-mRNA vaccine only913 (1.9)23 (<1)890 (2.2)
 No vaccine6462 (13.4)246 (3.1)6216 (15.5)
Number of prior vaccine doses<.001
 06462 (13.4)246 (3.1)6216 (15.5)
 11904 (3.9)134 (1.7)1770 (4.4)
 213 381 (27.8)303 (3.8)13 078 (32.5)
 314 106 (29.3)1287 (16.1)12 819 (31.9)
 >312 357 (25.6)6008 (75.3)6349 (15.8)
Days since most recent vaccine, mean (SD)597 (232)377 (197)648 (209)<.001
Days since proximate SARS-CoV-2 exposureb, mean (SD)513 (239)339 (188)551 (232)<.001
CharacteristicsAll Subjects
(n = 48 210)
Vaccinateda by the End of the Study
(n = 7978)
Not Vaccinateda by the End of the Study
(n = 40 232)
P
Age in y, mean (SD)42.0 (13.4)47.6 (13.9)40.9 (13.0)<.001
Sex<.001
 Female35 959 (74.6)5421 (67.9)30 538 (75.9)
 Male12 251 (25.4)2557 (32.1)9694 (24.1)
Location<.001
 Cleveland Clinic Main19 935 (41.4)4476 (56.1)15 459 (38.4)
 Cleveland area regional hospitals12 289 (25.5)1450 (18.2)10 839 (26.9)
 Ambulatory centers8922 (18.5)1198 (15.0)7724 (19.2)
 Cleveland Clinic Akron4075 (8.5)348 (4.4)3727 (9.3)
 Administrative centers1779 (3.7)377 (4.7)1402 (3.5)
 Cleveland Clinic Medina1210 (2.5)129 (1.6)1081 (2.7)
Hire cohort<.001
 Prepandemic28 030 (58.1)5404 (67.7)22 626 (56.2)
 Pandemic20 180 (41.9)2574 (32.3)17 606 (43.8)
Pandemic phase during which most recent infection occurred<.001
 Not previously known to be infected26 494 (55.0)4526 (56.7)21 968 (54.6)
 Pre-Omicron5055 (10.5)472 (5.9)4583 (11.4)
 Omicron pre-XBB13 499 (28.0)2360 (29.6)11 139 (27.7)
 Omicron XBB or later3162 (6.6)620 (7.8)2542 (6.3)
Days since most recent infection, mean (SD)544 (284)478 (260)557 (286)<.001
Prior vaccination history<.001
 Monovalent and bivalent vaccines12 264 (25.4)5876 (73.7)6388 (15.9)
 Bivalent vaccine only379 (<1)111 (1.4)268 (<1)
 Monovalent vaccine only28 192 (58.5)1722 (21.6)26 470 (65.8)
 Non-mRNA vaccine only913 (1.9)23 (<1)890 (2.2)
 No vaccine6462 (13.4)246 (3.1)6216 (15.5)
Number of prior vaccine doses<.001
 06462 (13.4)246 (3.1)6216 (15.5)
 11904 (3.9)134 (1.7)1770 (4.4)
 213 381 (27.8)303 (3.8)13 078 (32.5)
 314 106 (29.3)1287 (16.1)12 819 (31.9)
 >312 357 (25.6)6008 (75.3)6349 (15.8)
Days since most recent vaccine, mean (SD)597 (232)377 (197)648 (209)<.001
Days since proximate SARS-CoV-2 exposureb, mean (SD)513 (239)339 (188)551 (232)<.001

Data are presented as no. (%) unless otherwise indicated.

Abbreviations: COVID-19, coronavirus disease 2019; mRNA, messenger RNA; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; SD, standard deviation.

aWith the 2023–2024 formulation vaccine.

bBy infection or vaccination.

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