Personally, I am glad to see it. I definitely got vaccinated as soon as I could, but I was also still nervous as there did seem to be some level of reasonable doubt. I would be happy to see more studies confirm what many consider to be obvious.
> before aproving the vaccine, it has to pass a few trials to prove it's effective and safe
In case this comment has you temporarily hallucinate like it did me, I just looked and was able to confirm what I remembered: the vaccines did undergo trials for efficacy and safety before being approved.
I think the part that people doubt is the highly compressed timeline for approval. Hard to anticipate long term effects when something has only been tested for a short period of time. Also during this time the pitch degraded from “you won’t get sick or spread the disease” to “well I still got sick, but it probably would have been worse without the vaccine”. It is actually crazy to think about in retrospect.
> during this time the pitch degraded from “you won’t get sick or spread the disease” to “well I still got sick, but it probably would have been worse without the vaccine”
This line of thinking is so odd to me. Would you have preferred communications to use inaccurate, outdated points for the sake of consistency?
When honest interlocutors learn more about something, they communicate details more accurately. What would you have suggested they do instead? Keep in mind that Covid-19 was as new to them as it was to the rest of the world, and they were also learning about it in real time.
> Hard to anticipate long term effects when something has only been tested for a short period of time
This also applies to Covid infections in immunologically naive people! The two choices were unvaccinated Covid exposure or vaccinated Covid exposure. It's folly to pretend an imagined third option of zero Covid exposure. Comparing to that fake third option does not make any sense.
I'd like accurate communication from the beginning.
>> “you won’t get sick or spread the disease”
I read that many times. It was a totally unrealistic promise, because not even all the other vaccines do that, even after years of research and improvements. (In particular, here is a big trade off in the inyectable vs oral vaccine for polio.)
Who is the highest ranking person that said it? I guess it was not one of the researchers. Perhaps it was a politician that is probably a lawyer and not a medical doctor, or perhaps a tv show host, or perhaps a random internet commenter. Who hallucinated that?
>> “well I still got sick, but it probably would have been worse without the vaccine”
Actually that was what the trials show before the vaccines were approved. I think they had like 50k persons each. The number of deaths was too small to have a statistical significative result in the death toll. It was enough to have a statistical significative reduction of hospitalizations, like a 60% reduction in old style inactivated virus vaccines to 95% in the new style mRNA vaccines. And remember that hospitalization+ventilator is really bad.
Unfortunately, this is an observational study and when you get to the confounding part, they kind of shrug their shoulders and say “well, we included a bunch of covariates that should reduce make the bias go away”, but there’s no causal diagram so we have no idea how they reasoned about this. If you’ve read even something layman friendly like Pearl’s Book of Why you should be feeling nervous about this.
> seems to work very well for a potentially lethal disease
not lethal for all age groups, we already knew it well before the vaccine was introduced. People may have short memories, the vaccine came almost a year after the disease was out, and we knew very well by then that it did not kill everyone, broadly.
> not lethal for all age groups, we already knew it well before the vaccine was introduced. People may have short memories, the vaccine came almost a year after the disease was out, and we knew very well by then that it did not kill everyone, broadly.
And the vaccine wasn't trialed or rolled out initially for all age groups. One major reason was because double-blind trials were done first.
This one was was 18-59: https://clinicaltrials.gov/study/NCT04582344 with two cohorts: "The first cohort will be healthcare workers in the high risk group (K-1) and the second cohort will be people at normal risk (K-2)"
If you look at case rates, hospitalization load, and death rates for summer/fall/winter 2020 pre-vaccine, and compare to the load on the system in summer-2021 and later when people were far more social and active, the economy was starting to recover, then the efficacy of the vaccine was pretty obvious in letting people get out of lockdown without killing hugely more people and overwhelming the healthcare system. And it was tested pre-rollout in double-blind fashion and rolled out in a phased way to the most needy groups first, with monitoring and study of those groups.
What, concretely, are you proposing should have been done differently?
Did you even follow the link provided? It leads directly to an informed consent page for the study, which was voluntary. You're probably thinking about what happened _after_ these studies found the vaccine to be safe and effective. If you're a doctor or a nurse, you work in a special environment, and if you are turning down a safe and effective vaccine, you are putting your patients at risk. It means that you are unqualified for your job, so yes, you should be fired.
In the US at least, most people are employed "at will" [1], which means that you can be fired for reasons far less egregious than actually putting your patients at risk. Most of the libertarian types here cheer firings for lots of reasons, but for some reason being fired for actually being a health risk is not one of those things. That just makes no sense.
Besides, homeopathy has been studied for ages with tons and tons of quality studies.
Did it get rid of all the homeopathic quackery?
They will always have an excuse. If all else fails it'll just be a vague generic "oh yeah, it's just something deeper your science can't measure yet" or something along those lines. The Queen was an amateur hand-waver in comparison.
Never mind it was never very likely to work in the first place, on account of defying basic logic on several levels: like cures like, the whole water memory business, the more you dilute the stronger it becomes – nothing about this makes any sense.
I miss the days when worry about the adverse effects of homeopathy was the top concern...
most of the critics of this particular vaccine are the ones that took it. either the people who got covid anyway or were injured by it.
it was incredibly destructive for trust in the medical establishment to oversell / mandate it and market aggressively as "safe and effective". while most vaccine risks are in the 10s per 100k or 1M, nearly everybody knows somebody else who had an adverse reaction to one of the covid shots.
nearly everybody observed that you still get and spread covid anyway. that is disconnected from the aggressive messaging from the CDC and the fear and shame campaign from the last US administration.
criticism of a specific vaccine or policy does not make someone an anti-vaxxer that moves goalposts. the establishment is responsible for the skepticism it engendered against itself by its hubris
I took it in 2020, and have taken booster shots. I got COVID... This year. I felt like shit for two weeks, was fatigured for a month, and had a lingering cough for two.
Nobody's promised them that they won't get COVID after taking it. What is promised is that on the whole, they'd be less likely to get sick, get milder symptoms if they do get sick, and be less likely to require hospitalization or a mortician if those milder symptoms are still serious.
It was and is safe and effective. You're doing exactly what I'm talking about - moving the goalposts.
If you think they need to be moved some more, I'll point out that the vaccine didn't come with a free pony, either, and that airbags and seatbelts kill ~50 people/year, and that you might still get ran over by a bus even if you look both ways before crossing the street.
Perhaps any statement in that context should be assumed to be oversimplified; but I don't think I can fault someone for taking words to mean what they literally say. The COVID vaccines look great so far on balance, but they absolutely were oversold to the public. We'll pay the price in public confidence for at least a generation.
In a March 29 2021, MSNBC interview, Rochelle Walensky stated publicly that CDC data suggested "vaccinated people do not carry the virus" and "don't get sick". a knowingly false statement at the time and at best an inexcusable error from the head of that agency.
I also had covid this year, zero boosters, had a mild fever and sniffle for two days. not sure what you are demonstrating with this anecdote. or what goalposts you think I moved. the "milder symptom" stuff all came long after it was obvious that the covid shots were not doing what had been promised. that is what I would call moving the goalposts
“nearly everybody knows somebody else who had an adverse reaction to one of the covid shots.”
This is a straight up lie - because “adverse reaction” does not mean “I felt achy for a couple days and maybe had a little fever,” it’s actually a VERY specific term.
But you are trying to peddle falsehoods.
Most people know nobody who “had an adverse reaction to one of the covid shots”
respectfully it is not a lie, and more than a half a dozen people I know personally lost function of their hands, legs, were hospitalized with myocarditis, had local paralysis/palsy. I personally lost the use of my hand for two months and it took two more years to recover.
and when people like me say things like this, inevitably someone like you comes along to tell them they are dangerous for saying it out loud. In fact, the government was actively censoring people from being able to express this on social media.
I did read the book, and the takeaway is that causal disentaglement is hard and a high bar, with even the causal link between cigarette smoking an cancer hard to "prove" until recently
The case fatality ratio for measles infected children in high-income countries is also low. Nonetheless, we vaccinate children for this infectious disease because morbidity is also bad.
The Covid deaths were measured in thousands before they could find a single individual under 18 yrs old who died from it. The only reason to vaccinate kids was to try to prevent them from spreading it to adults. Right from the beginning (eg. With the cruise ship that was infected), it was extremely obvious that the main factor in survivability was age. The younger you were, the safer it was. Weight was also very important but we learned that later
Also, what's the overlap here between people who believe a) the unborn have a "right to life" (or forced birth as some others call it, where the parent has no choice but to take the pregnancy to term and give birth), and b) those who think the parents have every right to decide not to vaccinate their children? If you believe (a), shouldn't you believe (not b)? And if you believe (b), shouldn't you believe (not a)?
Indeed. A lot of antivaxxers mockingly say "my body, my choice" but they are highlighting their own hypocrisy, not anyone else's. One critical difference between the cases is that pregnancy is not contagious.
For a lot of people these aren't rational beliefs, they're beliefs based on appeals to emotion. They will only rationally re-evaluate those beliefs if you change the kind of media they consume.
Another thing that seemed to work is the unvaccinated getting sick themselves.
2/3 of the unvaccinated COVID patients who were admitted to hospital regretted their decision, declared they would promote the vaccine post-discharge, and declared they would get it post-discharge.
Although from this study the global vaccine output is positive, the personal one seems negative for a lot of people.
Many still got COVID19 and the bleeding issue, but they can't compare to what would have happened without the vaccine.
Notably many for whom the basic understanding of "25% lower risk of all-cause mortality" doesn't mean anything.
- "What is it ? I had 1 chance to 1 million to die but with the vaccine it's 0.75 to 1 million ?"
- "No, out of 22 million vaccinated, 0.4% died but out of 6 million unvaccinated, 0.6% died !"
> The availability of COVID-19 vaccination was not associated with a change in incidence of medically attended abnormal uterine bleeding in our population of over 79,000 female patients of reproductive age. Additionally, among 2,717 patients with abnormal uterine bleeding diagnoses in the period following COVID-19 vaccine availability, receipt of the vaccine was not associated with greater bleeding severity.
I think people throw these accusations around way too broadly.
There is a small subset of weirdos who think the Covid/mRNA vaccines contain microchips or were designed kill off some percentage of the population.
But I think there's another, much larger group who might care a lot about their health to the point where they don't even drink from plastic bottles, and who when presented with a novel vaccine which was developed and rolled very quickly were hesitant...
Rightly or wrongly, I think these health-conscious people were concerned during Covid by mainstream media orgs frequently broadcasting what can only be described as pro-vax "propaganda"[1], and in some cases state compelled vaccination.
I'm very pro-vax, but I remember at the time (2021) being a bit torn on what I should do. I was in my twenties and already contracted Covid. Did it really make sense for me to take a vaccine when my risk was so low and there were some reports that young men were suffering from myocarditis post-vaccination?
I guess what I'm saying is that I think most reasonable people who may have initially been nervous about the vaccine can look at data like this and feel much more comfortable with the risk profile today. This is exactly the kind of data a lot of people (including myself) wanted when their governments were trying to force them to take these newly developed vaccines.
In my mind it's those on the extreme pro-vaccine and extreme anti-vaccine side in 2021-2022 that were the ones lacking critical thought. The reality was that as a society given the absence of long-term data like this, we were taking a calculated risk. Because even if mRNA vaccines slightly increased all-cause mortality that wouldn't mean the vaccine rollout was a bad thing... Similarly chemo probably great for you either and I'm sure people who undergo chemo unnecessarily suffer from increased morality risk. But if you have cancer or if you're in the middle of a pandemic risk calculations change a little.
The problem with the myocarditis risk in young men is that they undergo exactly the same risk from the actual covid infection. And given the fact that it was already obviously going to be endemic it really wasn't much of a calculation. It was basically: You either roll the dice now or you roll the dice when you inevitably get covid.
I assume that you mean "censored" and not "censured" (different thing), but it was not, in fact, censored. It was entirely in the open.
However, the information was definitely not distilled effectively for the average layperson. I remember thinking at the time that the CDC was seriously ham-handed when it came to communicating with the general public. I even initially blamed the Trump administration, but when the Biden administration took over, they did not improve communication either. My conclusion since then is that the CDC is dominated by academic types--which is largely appropriate given their mission--but that they also put academic types in PR roles, which was a disaster.
Hardly. I heard this “questioning the dominant narrative” over and over again. Disagreement is not censure. As far as I am aware, the only people who faced any penalties at all were doctors who went so far outside the realm of evidence-based medicine that they caused demonstrable harm and therefore had their licenses revoked. Which is good.
I believed in the lab leak theory so for me getting the vaccine was a no brainer. I could get infected by one of two things developed in a lab, only one of which had clinical trails on humans. I went with the clinically tested option.
It seems like the antivaxxers, and many people in general, seem to just think that whatever they hear from their friends and family and favorite TV talking heads, whether it has any research behind it or not, is automatically and magically true. So that even if the only real research that exists contradicts it, they just assume that the research must be the result of some kind of error or conspiracy.
I find that incredibly frustrating and dangerous, but as far as I can see, it's the way it is.
"bUT wE StILl DoN't KnoW tHe LOnG TeRM EffECts oF ThE VacCInES."
I swear these folks will be on their death beds 50 years in the future claiming this. There will be no amount of evidence or time that matters to them.
Someone can prove me wrong, and tell me exactly what evidence would convince them that the vaccines are safer than the alternative.
This is the wrong attitude to take to the problem.
While I grant there were many who were disposed to be irrational skeptics, lots of skepticism was generated by dishonest messaging, coercive mandates, and punitive limitations on dissenting speech. Institutions took an end-justifies-the-means strategy, and many smelled a rat.
Even now, online, you see right wing users continuing to lament over vaccine injuries, and on the left, long COVID. Ironically the injuries are often similar. They are, of course, both right.
Completely wrong about the facts. Long COVID is real and not restricted to those on the left. Right wingers constantly "lament" over all sorts of bogeymen, rarely anything from personal experience. Most talk about vaccine injuries is based on misuse of VAERS.
> lots of skepticism was generated by dishonest messaging
Yes, from right wing media ... which you are echoing. Dead bodies were overflowing and public health officials were acting in good faith to try to deal with it. Right wingers and good faith are complete strangers.
Worse it will be used to produce even more disinformation. Most of the stuff I've encountered takes studies like this, misrepresents or outright lies about the findings and includes a link (sometimes working) to the paper which nobody consuming the slop will ever check.
I respectfully disagree. VAERS can absolutely be used to establish causality when followed by proper expert investigation (which is exactly its purpose as a signal-detection system). The IOM has relied on VAERS data to confirm causal links in 158 vaccine-adverse event pairs, including rotavirus vaccine and intussusception.
Here, FDA career scientists conducted that follow-up: they reviewed 96 child death reports and concluded at least 10 were caused by COVID vaccine myocarditis. That expert finding, not politics, is what triggered the stricter protocols. Healthy skepticism means demanding the full data for review, not preemptively calling it invalid.
Assume you're right: VAERS is useless for causality and the 10 deaths are not real or not proven.
What possible benefits does RFK Jr. get from dramatically restricting a vaccine using data he knows is meaningless and will be shredded in 24 hours by every fact-checker and cardiologist on HN/Twitter/younameit?
If he just wanted to scare people for no reason, the rational move is to keep repeating “VAERS proves nothing” and change zero policy. That costs nothing and keeps everyone happy. Instead he’s taking massive heat, angering the entire medical establishment, and shrinking the childhood schedule.
Inventing a fake danger out of junk data brings him zero benefit and enormous political cost. That only makes sense if the internal FDA review actually found something real and alarming.
> Assume you're right: VAERS is useless for causality…
Don't assume. https://vaers.hhs.gov/data/dataguide.html "When evaluating data from VAERS, it is important to note that for any reported event, no cause-and-effect relationship has been established."
> What possible benefits does RFK Jr. get from dramatically restricting a vaccine using data he knows is meaningless and will be shredded in 24 hours by every fact-checker and cardiologist on HN/Twitter/younameit?
He gets to restrict vaccines, which is a thing he's wanted to do for decades.
> What possible benefits does RFK Jr. get from dramatically restricting a vaccine using data he knows is meaningless and will be shredded in 24 hours by every fact-checker and cardiologist on HN/Twitter/younameit?
That's never bothered him before. Vaccines cause autism. WiFi causes DNA changes and opens up the blood-brain barrier allowing toxins into the brain. Chemtrails. HIV is not a major cause of AIDS, with lifestyle and drugs (particularly amyl nitrate) being the major causes.
> Inventing a fake danger out of junk data brings him zero benefit and enormous political cost. That only makes sense if the internal FDA review actually found something real and alarming.
Making fake dangers out of junk data is why he has political power in the first place.
The political appointees pushing this new policy have not presented any evidence of these deaths beyond a vague assertion in a leaked internal email. They have not provided that evidence to career staffers either.
And that is precisely why not-yet-finalized health-related leaks should not be shared publicly by mainstream media, given that the reaction here seems shaped far more by political allegiance than by the facts themselves.
Pushing covid-19 vaccinations onto kids was always controversial. Covid isn't smallpox, people under 30 only get a serious case very rarely, and the vaccine isn't sterilizing anyway.
If we want to use medications responsibly and rationally, we must be careful about the cost/benefit analysis to the intended recipient groups. It makes great sense to vaccinate old people against Covid and teenagers against HPV. The other way round, much less so.
Of course the vendors will push for blanket use, as they make more money, but that is also the problem.
Both of these are true: 1) Vaccines kill people. 2) Vaccines save lives.
That's why we evaluate relative risk. The vaccines that we recommend are significantly safer than not being vaccinated at all, for the population as a whole.
This isn't limited to vaccines of course. Everything from antibiotics to defibrillators to car airbags can kill people too, but it's extremely rare compared to how often they save lives.
“Doesn’t kill you” is the absolute bare minimum and a very low bar. Because the vaccines were so rushed, it’s still reassuring, but not at all a testament to the safety of mRNA vaccines.
The more interesting studies will be about non-lethal adverse reactions. Changes to menstruation, heart problems, lymph node swelling to name just a few.
Fortunately doctors and medical organizations usually take these matters seriously, unlike the average techbro. A good example is how the vaccination recommendations were changed to avoid Moderna for young men to reduce the risk of heart problems.