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mRNA-1273.222 is a bivalent, lipid nanoparticle-formulated messenger RNA (mRNA) vaccine developed by Moderna for use as a booster against COVID-19[1][2][3]. It encodes the spike protein of both the original SARS-CoV-2 strain and the Omicron BA.4/BA.5 subvariants, aiming to broaden immune protection against circulating variants[1][2][6]. The vaccine works by delivering synthetic mRNA sequences that instruct host cells to produce viral spike proteins, thereby eliciting an immune response characterized by neutralizing antibody production and cellular immunity[1][2]. Clinical trials have demonstrated that mRNA-1273.222 induces superior neutralizing antibody responses against Omicron BA.4/BA.5 compared to earlier monovalent boosters, with a safety profile similar to previous Moderna vaccines[2][3]. Its primary indication is as a booster dose for adults previously vaccinated against COVID-19.
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