Introduction: The VOC P.1, first described in January 2021, displayed an unusual number of lineage-defining mutations in the
S protein (
L18F,
T20N,
P26S,
D138Y,
R190S,
K417T,
E484K,
N501Y,
H655Y,
T1027I) and its emergence was associated with a second
COVID-19 epidemic wave in the Amazonas state.