RT Journal Article SR Electronic T1 Differential effects of the second SARS-CoV-2 mRNA vaccine dose on T cell immunity in naïve and COVID-19 recovered individuals JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.03.22.436441 DO 10.1101/2021.03.22.436441 A1 Carmen Camara A1 Daniel Lozano-Ojalvo A1 Eduardo Lopez-Granados A1 Estela Paz-Artal A1 Marjorie Pion A1 Rafael Correa-Rocha A1 Alberto Ortiz A1 Marcos Lopez-Hoyos A1 Marta Erro Iribarren A1 Jose Portoles A1 Pilar Portoles A1 Mayte Perez-Olmeda A1 Jesus Oteo A1 Cecilia Berin A1 Ernesto Guccione A1 Antonio Bertoletti A1 Jordi Ochando YR 2021 UL http://biorxiv.org/content/early/2021/03/22/2021.03.22.436441.abstract AB The rapid development and deployment of mRNA-based vaccines against the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) led to the design of accelerated vaccination schedules that have been extremely effective in naïve individuals. While a two-dose immunization regimen with the BNT162b2 vaccine has been demonstrated to provide a 95% efficacy in naïve individuals, the effects of the second vaccine dose in individuals who have previously recovered from natural SARS-CoV-2 infection has been questioned. Here we characterized SARS-CoV-2 spike-specific humoral and cellular immunity in naïve and previously infected individuals during full BNT162b2 vaccination. Our results demonstrate that the second dose increases both the humoral and cellular immunity in naïve individuals. On the contrary, the second BNT162b2 vaccine dose results in a reduction of cellular immunity in COVID-19 recovered individuals, which suggests that a second dose, according to the current standard regimen of vaccination, may be not necessary in individuals previously infected with SARS-CoV-2.Competing Interest StatementAntonio Bertoletti declares the filling of a patent application relating to the use of peptide pools in whole blood for detection of SARS-CoV-2 T cells (pending). The other authors declare no competing interests.