%0 Journal Article %T Rapid Wane and Recovery of XBB Sublineage Neutralization After Sequential Omicron-based Vaccination in Solid Organ Transplant Recipients. %A Johnston TS %A Hage C %A Abedon AT %A Panda S %A Alejo JL %A Eby Y %A Segev DL %A Tobian AAR %A Cox AL %A Werbel WA %A Karaba AH %J Clin Infect Dis %V 0 %N 0 %D 2024 Jul 2 %M 38953683 %F 20.999 %R 10.1093/cid/ciae279 %X Durability of variant neutralization in solid organ transplant recipients following Omicron-containing boosters is unknown. We report wane in XBB.1.5 neutralization by 3 months following a first bivalent booster, improved by a second booster; hybrid immunity improved peak, and duration of neutralization. Boosting at 3 to 6 months appears necessary to maintain neutralization.