![]() ![]() Seroconversion to viral spike and nucleocapsid antigens usually happens within 1–3 weeks after SARS-CoV-2 infection 6, 7, 8, with peak antibody levels achieved in 4–5 weeks 9, 10. The duration of post-infection immunity has important implications for the future of the pandemic and vaccination policy 5. However, in the months following infection, re-infection is uncommon and anti-spikeSARS-CoV-2 antibodies are associated with protection 2, 3, 4. Till June 2021, over 170 million severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and over 3 million associated deaths have been reported globally 1. These estimates could inform planning for vaccination booster strategies. We estimated antibody levels associated with protection against reinfection likely last 1.5-2 years on average, with levels associated with protection from severe infection present for several years. ![]() The estimated anti-spike IgG half-life was 184 days, being longer in females and those of white ethnicity. Among those who seroconverted, using Bayesian linear mixed models, the estimated anti-spike IgG peak level was 7.3-fold higher than the level previously associated with 50% protection against reinfection, with higher peak levels in older participants and those of non-white ethnicity. lower viral burden), and less frequently reported any symptoms. A latent class model classified 24% of participants as ‘non-responders’ not developing anti-spike antibodies, who were older, had higher SARS-CoV-2 cycle threshold values during infection (i.e. Here we estimated antibody response after SARS-CoV-2 infection in the general population using representative data from 7,256 United Kingdom COVID-19 infection survey participants who had positive swab SARS-CoV-2 PCR tests from 26-April-2020 to 14-June-2021. Understanding the trajectory, duration, and determinants of antibody responses after SARS-CoV-2 infection can inform subsequent protection and risk of reinfection, however large-scale representative studies are limited. ![]()
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