The purpose of this study is to evaluate the virus-specific immune response in people who are symptomatic with confirmed influenza or COVID-19. We will study the immune response of people who have and who have not been vaccinated with the seasonal influenza and COVID-19 vaccines within the past year. All participants will have data collected and blood, saliva, and nasal swabs performed at five separate visits; 1) at study enrollment, 2) on study day 7, 3) on or between study days 10 to 28, 4) on study day 90, and 5) on study day 180. For participants who agree to the optional sub-study, bronchoscopy with bronchoalveolar lavage (BAL) and endobronchial biopsy (EBBx) will be performed once between study days 10 and 28 and once at study day 180. As part of the bronchoscopy procedure, two chest x-rays will be performed. The bronchoscopy and chest x-ray procedures are not required for participation in the study.
Study Type
OBSERVATIONAL
Enrollment
300
Some participants in all 5 groups may undergo an optional bronchoscopy procedure with bronchoalveolar lavage and endobronchial biopsy collection if they choose.
Washington University in Saint Louis Department of Emergency Medicine, Emergency Care Research Core
St Louis, Missouri, United States
RECRUITINGTo measure the difference in the concentration of systemic and mucosal influenza-specific or SARS-CoV-2-specific IgG and IgA in the blood, saliva, nasopharynx, and lower airways and how these concentrations change over time following acute infection
Time frame: At study enrollment (day 0) which will occur during active symptomatic viral infection and at 6 months after study enrollment
To measure the difference between the systemic and mucosal influenza- and SARS-CoV-2-specific IgG and IgA antibody concentration in patients who received and those who did not receive a seasonal vaccine in the past 12 months
Time frame: At study enrollment (day 0) which will occur during active symptomatic viral infection and at 6 months after study enrollment
To measure the frequency of influenza- and SARS-CoV-2-specific CD4+ and CD8+ T cells in the blood, nasopharynx, lower airways, and lung tissue in individuals who received and those that did not receive the seasonal vaccine in the previous 12 months
Time frame: At study enrollment (day 0) which will occur during active symptomatic viral infection and at 6 months after study enrollment
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