A member asked:

I had my second covid vaccine pfizer on february 8, 2021. i took a covid-19 spike domain test and the results were pos. 13.2. i took also a covid-19 nucleocapsid antibodies and the results was neg. do i have no antibodies against covid or not

4 doctors weighed in across 3 answers
Dr. Hunter Handsfield answered

Specializes in Infectious Disease

Antibodies to spike and negative for nucleocapsid is exactly what is expected after vaccination. You are protected.

Answered 4/20/2021

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Agree with Dr. H. The vaccine elicits antibodies to the spike protein only. An infection with SARS CoV-2 would induce antibodies to capsid proteins with or without antibodies to spike protein. Wish you good health!

Answered 4/21/2021

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Dr. Deborah Ungerleider answered

Specializes in Pediatrics

You may very well have immunity with those antibody tests. However, for additional immunity, you should get a COVID-19 booster if you have not already, regardless of those levels.

Answered 2/21/2022

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