Nearly 20 million people studied: does the COVID vaccine still hold up?
NCT ID NCT06199934
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looked at data from nearly 20 million people in California and Louisiana to see how well different versions of Pfizer's COVID-19 vaccine prevented severe illness, hospitalization, and death. Instead of enrolling new volunteers, researchers used existing health records and vaccine registries. The goal was to understand the vaccine's real-world effectiveness over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BNT162b2 (Pfizer-BioNTech COVID-19 vaccine)
- What this could lead to
- If successful, this study could confirm how well updated COVID-19 vaccines work in real-world settings, helping guide future vaccination strategies.
- What could go wrong
- This is an observational study using existing data, not a controlled trial, so results may be affected by unmeasured factors. It cannot prove cause and effect.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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19,853,610 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Jul 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients who were California or Louisiana residents in the HealthVerity claims database will be defined using the following hierarchical definition: 1. Persons who have their enrollment file record indicating a patient location of California or Louisiana in HealthVerity claims enrollment file. 2. Persons who have a patient state location other than California or Louisiana in HealthVerity claims enrollment but have one or more records in the California or Louisiana Immunization Registry. Examples include people who previously lived in Texas but moved to California and received a vaccine, or persons who crossed state lines for a vaccine and remain in their non-California state in claims data.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * People with at least one year of pharmacy and medical enrollment in HealthVerity prior to vaccine availability * State of California or Louisiana resident for at least one year Exclusion criteria: * People currently pregnant, * Individuals with discrepancies in sex and/or year of birth between HealthVerity claims and California/Louisiana immunization registry datasets * A diagnosis of COVID-19 in any setting ≤ 90 days prior to start of study or receipt COVID-19 vaccine ≤ 90 days prior to start of study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Pfizer Global Headquarters
New York, New York, 10001, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can updated COVID-19 shots better protect High-Risk groups?
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- Can a new pill keep High-Risk COVID-19 patients out of the hospital?
- Can an updated COVID-19 vaccine keep up with the virus?