What does a negative COVID-19 antibody test result mean?

A negative result could mean: You have not been infected with SARS-CoV-2 previously. You had a previous SARS-CoV-2 infection but: Your body did not make antibodies to the infection yet. It can take days to weeks after an infection for your body to make antibodies.
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Is antibody testing recommended after the COVID-19 vaccine?


Antibody Testing Is Not Currently Recommended to Assess Immunity After COVID-19 Vaccination: FDA Safety Communication. For the most-up-to date information on SARS-CoV-2 antibody testing see Antibody (Serology) Testing for COVID-19: Information for Patients and Consumers.

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What does it mean if I have no COVID-19 antibodies in my blood?

You may not have COVID-19 antibodies. This could be because you have not had an infection with the virus that causes COVID-19 or have not received a COVID-19 vaccine. Antibody testing is not currently recommended to determine if you are immune to COVID-19 following COVID-19 vaccination.
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What is the purpose of COVID-19 antibody or serology tests?

SARS-CoV-2 antibody or serology tests look for antibodies in a blood sample to determine if an individual has had a past infection with the virus that causes COVID-19. These types of tests cannot be used to diagnose a current infection.
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Can the COVID-19 antibody test give false negatives?

That’s because it takes a week or two after infection for your immune system to produce antibodies. The reported rate of false negatives is 20%. However, the range of false negatives is from 0% to 30%, depending on the study and when in the course of infection the test is performed.
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What are consequences of a false negative COVID-19 test?

Risks to a patient of a false negative test result include: delayed or lack of supportive treatment, lack of monitoring of infected individuals and their household or other close contacts for symptoms resulting in increased risk of spread of COVID-19 within the community, or other unintended adverse events.
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What is the accuracy of the COVID-19 antigen test?


If possible, taking an at-home rapid COVID-19 test the day of the event is ideal. While these tests aren't 100% accurate, a negative result strongly suggests that you're not contagious at that particular time.

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Can an antibody test be used to diagnose a current COVID-19 infection?


An antibody test cannot be used to diagnose current COVID-19 because an antibody test does not detect SARS-CoV-2. Only COVID-19 diagnostic tests can be used to diagnose current COVID-19. A positive antibody test result can be used to help identify people who may have had a prior SARS-CoV-2 infection or prior COVID-19.

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What is the purpose of serological tests?

The FDA issued information on the use of serological (antibody) tests to help identify people who may have been exposed to the SARS-CoV-2 virus or have recovered from the COVID-19 infection.
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Can COVID-19 antibody tests be used to assess for immunity to COVID-19?

• Antibody testing is not currently recommended to assess for immunity to SARS-CoV-2 following COVID-19 vaccination, to assess the need for vaccination in an unvaccinated person, or to determine the need to quarantine after a close contact with someone who has COVID-19.
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How long does it take for antibodies to develop after exposure to COVID-19?


It can take days to weeks after an infection for your body to make antibodies.

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How long do COVID-19 antibodies last?

At this time, it is unknown for how long antibodies persist following infection and if the presence of antibodies confers protective immunity.
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What does a negative COVID-19 antigen test result mean in asymptomatic persons?

Negative test results using a viral test (NAAT or antigen) in asymptomatic persons with recent known or suspected exposure suggest no current evidence of infection. These results represent a snapshot of the time around specimen collection and could change if tested again in one or more days.
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Why antibody testing Is not currently recommended to assess immunity after COVID-19 vaccination?

Currently authorized SARS-CoV-2 antibody tests have not been evaluated to assess the level of protection provided by an immune response to COVID-19 vaccination. If antibody test results are interpreted incorrectly, there is a potential risk that people may take fewer precautions against SARS-CoV-2 exposure.
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Do COVID-19 antibody tests detect vaccine antibodies?

• Some antibody tests will only detect antibodies from infection, not from vaccination with the virus that causes COVID-19.
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Do I need the COVID-19 vaccine if I still have antibodies?

Yes, the COVID-19 vaccines are recommended, even if you had COVID-19.

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What are the different types of COVID-19 tests?


There are two types of viral tests: rapid tests and laboratory tests. COVID-19 testing is one of many risk-reduction measures, along with vaccination, masking, and physical distancing, that protect you and others by reducing the chances of spreading COVID-19.

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What is the most accurate diagnostic test to detect COVID-19?


Reverse transcription polymerase chain reaction (RT-PCR)-based diagnostic tests (which detect viral nucleic acids) are considered the gold standard for detecting current SARS-CoV-2 infection.

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Which COVID-19 tests are more accurate PCR or antigen tests?


PCR tests are more accurate than antigen tests. "PCR tests are the gold standard for detecting SARS-CoV-2," says Dr. Broadhurst. "It is the most accurate testing modality that we have.

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What is the difference between the IgM and IgG antibodies tests for COVID-19?

Both SARS-CoV-2 IgM and IgG antibodies may be detected around the same time after infection. However, while IgM is most useful for determining recent infection, it usually becomes undetectable weeks to months following infection; in contrast, IgG is usually detectable for longer periods.
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Can the tests determine which COVID-19 variants I have antibodies to?

No, there's no commercial test available at this time that can determine which variant(s) you have antibodies to. However, it's very likely that antibodies produced from exposure to one COVID-19 variant will help protect you against other variants.

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Can a COVID-19 antibody test tell you how much protection you might have?


Test results from currently authorized SARS-CoV-2 antibody tests should not be used to evaluate a person's level of immunity or protection from COVID-19.

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What can cause a false positive COVID-19 rapid antigen test?


The investigators also point out that false-positives are possible due to administering the test too early or late in the infectious stage, or from incorrectly performing the self-test.

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Can someone get a false positive COVID-19 test result with BinaxNOW COVID-19 antigen test?


There is a very small chance that this test can give a positive result that is wrong (a false positive result). Your healthcare provider will work with you to determine how best to care for you based on your test result(s) along with your medical history, and your symptoms.

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How accurate are COVID-19 PCR tests?

PCR tests are very accurate when properly performed by a health care professional, but the rapid test can miss some cases.
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