full title == [Study shows low or undetectable immune response to double COVID-19 vaccination in patients with impaired immune systems]
unfortunately truncation often creates a misleading title; we should all be making an effort to indicate the intended message being communicated by a submission, whenever truncation is required.
i usually make a comment that is the full untruncated title if the truncated version looks like it could create a confusion. in this case the loss of [,,,with impaired immune systems] can create a misinterpretation, regarding efficacy of double dose vaccination producing low or undetectable immune response in patients as a general case, rather than the specific case of those who are immunocompromised.
the overarching concern is the potential to produce vaccine hesitancy.
unfortunately truncation often creates a misleading title; we should all be making an effort to indicate the intended message being communicated by a submission, whenever truncation is required.