However, benefit–risk assessments may differ from country to country. As part of the EUL process, CanSino has committed to continuing submit data on safety, efficacy and quality in ongoing vaccine trials and rollout in populations, including in older adults. Clinical trial data showed that the Ad5-nCoV vaccine had an efficacy of 58% against symptomatic disease and 92% against severe COVID-19. SAGE recommends the use of Ad5-nCoV vaccine as a single dose (0.5 ml) given intramuscularly into the deltoid muscle. In accordance with the WHO Prioritization Roadmap, a booster dose is recommended for the highest and high priority-use groups (i.e. older adults, health workers, persons with comorbidities), administered 4–6 months after completion of the primary series. The Ad5-nCoV booster dose following a primary series with the inactivated COVID-19 vaccine developed by Sinovac (CoronaVac) was associated with higher vaccine effectiveness compared to a homologous CoronaVac booster. Ad5-nCoV vaccine may be used as a booster dose following a completed primary series using any other EUL COVID-19 vaccine.
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