this study has many limitations, such as the sample size, age group, sex composition, and physical characteristics. Continuously observing the persistence of the protection provided by vaccines in real cases and the effectiveness of a booster dose (a third dose), conducting long-term clinical trials, and obtaining post-clinical data are essential tasks.To some extent, this study showed that serum neutralizing antibody levels decreased after the second dose of inactivated vaccines. Importantly, the results suggest that a booster dose (a third dose) is necessary to maintain the effectiveness of inactivated vaccines regardless of sex and two-dose immunization procedure.