Hi @pinkpam, you'll see that I moved your question to this discussion talking about antibodies after vaccination for transplant recipients.

May I ask who ordered the antibody test? Have you been able to review the results with the ordering doctor?

Hi @pinkpam Antibody tests can be so confusing, can’t they?

I found a site for you which has a pretty good explanation for your test results.
In a nutshell: Anti-nucleocapsid test shows shows whether or not you’ve had Covid and have a natural immunity. In your case your results show a negative for having contracted Covid and produced no natural immunity.

Your anti-spike is showing positive. This means your immune system, through acquired immunity from the vaccination, had a response to the vaccinations and may offer some protection should you be exposed to the virus in the future. The goal of the vaccine is to prime your immune system to launch a defense response if you are exposed.

However, at this time, there really isn’t a known quantity for what a body’s level should be to protect against the specific virus. So a positive score can be a little misleading. The immune system has multiple layers of protection. There is also the level of T and B cell response that is not known either. So you may see a low score with your anti spike but your B and T cells could be at a higher level of defense readiness.
https://covid.joinzoe.com/post/antibody-tests-explained
It’s encouraging in the respect that you have a positive reading, but because you’re immunocompromised you won’t have as robust of a level of response as someone who isn’t. As a transplant patient you’ll still need to exercise some precautions to avoid exposure.

Have you talked to your health care provider about the results?