ChAdOx1 nCoV-19 cohort: Subjects (age 25–46) visiting ESIC Medical College & Hospital, Faridabad for vaccination were enrolled in the study after obtaining written informed consent. About 4 ml of whole blood was collected for serum preparation four weeks after the first and second dose of vaccination and a follow-up sample was collected after six months. Nasopharyngeal/Oropharyngeal (NP/OP) swabs were collected from patients with symptoms of COVID-19 infection. Total RNA was isolated to detect SARS-CoV-2 using COVIDsure multiplex real-time RT-PCR kit (Trivitron Healthcare) either at Employees State Insurance Corporation (ESIC) Medical College & Hospital or at the bioassay laboratory Translational Health Science and Technology Institute, Faridabad. Clinical presentations were mild to moderate fever, dry cough, and loss of sense of smell and taste. All COVID-19 positive patients were self-isolated and recovered without any need for clinical intervention or hospitalization. A follow-up blood sample was collected after 3–4 weeks post-recovery in both second (May 2021) and third wave (Feb 2022).
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