Vaccine experts have said that antibody protection is just one measure of how a vaccine confers protection, and that in the case of Covid vaccines, it was always expected to fade. Some have warned that keeping antibody levels high would possibly require regular booster shots — a standard that would be difficult to sustain.
While the F.D.A.’s expert committee is not expected to weigh in before the agency’s ruling, several members said last month at a meeting discussing booster shots that the agency should go ahead and lower the age eligibility.
An Israeli study published in the scientific journal The Lancet in late October compared about 730,000 people who had received a booster dose in August or September with individuals who had received only two doses of the Pfizer-BioNTech vaccine at least five months earlier, finding that boosted recipients had a lower risk of hospitalization and severe disease. Those with booster shots were evaluated between one week and nearly two months after their third dose.
Israeli officials reported at an F.D.A. meeting last month that third doses had not caused any significant safety concerns, a finding that Pfizer was expected to present to the F.D.A. in its request to expand eligibility. Friday’s meeting of the C.D.C. panel will likely examine data the company provides on side effects. Regulators have been particularly concerned about links between the Pfizer-BioNTech and Moderna vaccines and myocarditis, inflammation of the heart muscle, which has been observed especially in younger men who received two doses of those vaccines.
A. Oveta Fuller, an associate professor of microbiology and immunology at the University of Michigan and a member of the F.D.A. committee, said that while she was at first skeptical about clearing booster shots for so many adults based heavily on data from Israel, she was more convinced now that millions of Americans have received the extra shots.
“Caution is always better,” she said. Clearing more adults to get boosters, she added, would help make the messaging around booster shots more manageable.