Limitations of the study include the observational design, the small number of participants from a single center, and the inability to adjust for confounding characteristics; hence, results may not generalize to other settings with different demographic characteristics. The period of risk for infection was slightly later for the vaccinated cohort than the unvaccinated cohort. However, the study encompassed a sustained period of high community transmission. 2 Black HCWs constituted a higher percentage of the SARS-CoV-2-positive unvaccinated cohort, although these data were not statistically significant. Finally, these findings address primarily the short-term effects of a single dose of mRNA-1273 vaccine.