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Post-poned boost mRNA-Erasmus Medical Center-COVID-19 refers to a specific intervention arm within the **SWITCH ON** clinical trial (NCT05471440), a multicenter, randomized, controlled study led by the **Erasmus Medical Center**. This intervention involves the administration of a bivalent mRNA-based COVID-19 booster vaccine (typically the Omicron-adapted formulations from Pfizer-BioNTech or Moderna) to healthcare workers. The "post-poned" strategy specifically evaluates the immunogenicity and clinical efficacy of delaying an additional booster dose compared to immediate administration ("direct boost"). The study aims to address public health policy questions regarding the necessity and timing of repeated booster vaccinations in healthy populations with high existing immunity from primary series and prior boosters. The vaccine works by delivering mRNA encoding the SARS-CoV-2 spike protein, inducing both humoral and cellular immune responses against the virus.
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