Research Article

Genomic Analysis of AZD1222 (ChAdOx1) Vaccine Breakthrough Infections in the City of Mumbai

Table 2

Distribution of severe COVID-19 according to clinical and genomic variables (n = 159, continuous variables were dichotomized based on the median value).

CategoryUnivariable analysisMultivariable analysis
% severe disease, odds ratio (95% CI) valueOdds ratio (95% CI) value

Age
(≥36 (n = 80) vs. < 36 (n = 79) years)
15.0% vs. 2.5%,
6.79 (1.47–31.44)
0.0095.71 (1.41–38.57)0.03
Gender
(male (n = 81) vs. female (n = 78))
11.1% vs. 6.4%,
1.83 (0.58–5.71)
0.401.50 (0.46–5.40)0.51
Ct value of the E gene
(<22.5 (n = 79) vs. ≥ 22.5 (n = 80))
7.5% vs. 10.0%,
0.74 (0.24–2.24)
0.78
Ct value of the N gene (<23 (n = 80) vs. ≥ 23 (n = 79))8.7% vs. 8.8%,
0.99 (0.33–2.95)
0.99
Total no. of amino acid mutations per sample (≥22 (n = 83) vs. < 22 (n = 76))8.4% vs. 9.2%,
0.91 (0.30–2.72)
0.99
Diabetes (presence (n = 14) vs. absence (n = 145))14.2% vs. 8.2%,
1.85 (0.37–9.23)
0.36
Hypertension (presence (n = 15) vs. absence (n = 144))6.6% vs. 9.0%,
0.72 (0.09–5.92)
0.99
Malignancy (presence (n = 29) vs. absence (n = 130))20.6% vs. 6.1%,
3.98 (1.26–12.54)
0.021.98 (0.53–7.25)0.30
Comorbidity (presence of any comorbidity (n = 58) vs. absence of all comorbidities (n = 101))12.0% vs. 6.9%,
1.84 (0.61–5.54)
0.38
Vaccination status (vaccinated (n = 67) vs. unvaccinated (n = 92))4.5% vs. 12.0%
0.35 (0.09–1.29)
0.100.45 (0.09–1.82)0.28

PANGOLIN lineages
Kappa B.1.617.1 (presence (n = 77) vs. absence (n = 82))6.4% vs. 12.3%,
0.56 (0.18–1.76)
0.41
Delta B.1.617.2 (presence (n = 74) vs. absence (n = 85))12.1% vs. 5.8%,
2.22 (0.71–6.94)
0.262.17 (0.68–7.70)0.20

Spike protein mutations
D614G (presence (n = 158) vs. absence (n = 1))8.8% vs. 0.0%, (-)0.99
P681R (presence (n = 157) vs. absence (n = 2))8.9% vs. 0.0%, (-)0.99
L452R (presence (n = 157) vs. absence (n = 2))8.9% vs. 0.0%, (-)0.99
E484Q (presence (n = 80) vs. absence (n = 79))6.2% vs. 11.3%,
0.52 (0.17–1.62)
0.28
T19R (presence (n = 79) vs. absence (n = 80))11.3% vs. 6.25%,
1.93 (0.62–6.03)
0.28
R158G (presence (n = 76) vs. absence (n = 83))10.5% vs. 7.2%,
1.51 (0.50–4.57)
0.58
T478K (presence (n = 76) vs. absence (n = 83))11.8% vs. 6.02%,
2.10 (0.67–6.56)
0.26
G142D (presence (n = 54) vs. absence (n = 105))3.7% vs. 11.4%,
0.30 (0.06–1.38)
0.14
T95I (presence (n = 49) vs. absence (n = 110))8.1% vs. 9.0%,
0.89 (0.26–2.99)
0.99
A222V (presence (n = 41) vs. absence (n = 118))17.0% vs. 5.9%,
3.26 (1.07–9.96)
0.05
Q1071H (presence (n = 38) vs. absence (n = 121))7.8% vs. 9.0%,
0.86 (0.23–3.25)
0.82
H1101D (presence (n = 33) vs. absence (n = 126))3.0% vs. 10.3%,
0.27 (0.03–2.16)
0.30
D950N (presence (n = 26) vs. absence (n = 133))11.5% vs. 8.2%,
1.45 (0.37–5.59)
0.70
E154K (presence (n = 24) vs. absence (n = 135))12.5% vs. 8.1%,
1.61 (0.41–6.26)
0.45
Q677H (presence (n = 10) vs. absence (n = 149))20% vs. 8.0%,
2.85 (0.54–14.98)
0.22