Is there vaccine non-effectiveness?

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Discussion Overview

The discussion explores the concept of vaccine non-effectiveness, questioning whether a vaccine can fail to produce an immune response in certain individuals. It examines factors that may contribute to this phenomenon, including vaccine administration and individual host characteristics.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant inquires about the possibility of a vaccine being ineffective for an individual, suggesting factors like insufficient dosage or the body not reacting to the antibodies.
  • A second participant references a study indicating two major factors for vaccine failures: vaccine-related issues and host-related factors such as genetics, immune status, and age.
  • This study also distinguishes between primary vaccine failures (inability to respond to vaccination) and secondary failures (loss of protection after initial effectiveness).
  • Another participant shares a personal experience of not producing antibodies after receiving a Hepatitis B vaccine, indicating that this can occur and suggesting the need for revaccination.

Areas of Agreement / Disagreement

Participants acknowledge that vaccine non-effectiveness can occur, but the discussion includes multiple viewpoints on the causes and implications of this phenomenon. No consensus is reached regarding the specific mechanisms or the extent of the issue.

Contextual Notes

The discussion highlights the complexity of vaccine effectiveness, including the interplay between vaccine characteristics and individual host factors. Specific assumptions about immune responses and the definitions of vaccine failure are not fully explored.

icakeov
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Hello, is there such a thing as a vaccine “not having any effect” on a person, and for some reason making it a “dud” for that specific person?

I guess if the dose isn’t strong enough that could be the case, but is there such a thing of the person not “reacting” to those antibodies for some reason, or rejecting them? Or some other reason why a vaccine "wouldn't work" on a specific person.
 
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962729/Abstract
There are 2 major factors responsible for vaccine failures, the first is vaccine-related such as failures in vaccine attenuation, vaccination regimes or administration. The other is host-related, of which host genetics, immune status, age, health or nutritional status can be associated with primary or secondary vaccine failures. The first describes the inability to respond to primary vaccination, the latter is characterized by a loss of protection after initial effectiveness. Our studies concentrate on the evaluation of immunological characteristics responsible for primary vaccine failures in different (risk) populations for which the underlying mechanisms are currently unknown. Here we summarise current knowledge and findings from our studies...

Note that "type 2" failure has components - failure to immunize, failure to maintain resistance.
Elderly populations normally require greater doses of influenza vaccine, a kind of failure to immunize.
 
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Yes, this does happen.
I have had a Hepatitis B vaccine that I did not produce antibodies to.
I should repeat it.
 
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Many thanks!
 
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