AlanSubie4Life
Efficiency Obsessed Member
Sigh…I added a wink emoji. I figured my phrasing would make it clear I understood that!It's The Onion, sadly it's satire.
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Sigh…I added a wink emoji. I figured my phrasing would make it clear I understood that!It's The Onion, sadly it's satire.
No it is not reasonable. There has been no vaccine in history with long term effects that were not immediately (first few weeks to couple months) obvious.So how long did it take to find out that there were problems with those vaccines? Many people today are saying these new ones were not researched enough and they are afraid of what "may" come out later. Is that a reasonable fear? And if so how long should they wait?
1/3/2022 we blew through 1M new daily cases for the first time. Sourceit doesn't look like the US will quite get to the 1million/day 7da of cases.
So how long did it take to find out that there were problems with those vaccines? Many people today are saying these new ones were not researched enough and they are afraid of what "may" come out later. Is that a reasonable fear? And if so how long should they wait?
No it is not reasonable. There has been no vaccine in history with long term effects that were not immediately (first few weeks to couple months) obvious.
That includes ADE (the RSV issue, kind of a special case but also known very quickly - just took an infection a few weeks after vaccination) - but these vaccines were specifically made to avoid that. And we would definitely know about that at this point.
The mRNA vaccines are fantastically safe and there will be no long term effects other than beneficial immunity.
It was extremely reasonable to not want to be the first in line for the vaccine in late 2020 (I personally would have waited for two months just to be sure, if I had somehow been able to get it early). Now, we know they are safe.
Note with the J&J we knew about the safety issues within a month or two of wide rollout.
“ Shortly after it was licensed, some infants developed intussusception (rare type of bowel obstruction that occurs when the bowel folds in on itself) after being vaccinated.” I guess I am assuming this occurred in a month or two. I can’t see “shortly after” referring to a period of years, though please correct me if I am wrong.Things are not quite as black and white as you are stating them.
Problems do happen with vaccines, although they are rare. The last major recall that I was around for was the Rotavirus vaccine, and it was found to cause problems discovered in Phase 4 data collection, years after it was on the market.
Historical Safety Concerns | Vaccine Safety | CDC
Read more about past vaccine safety concerns, how they have been resolved, and what we have learned.www.cdc.gov
“ Shortly after it was licensed, some infants developed intussusception (rare type of bowel obstruction that occurs when the bowel folds in on itself) after being vaccinated.” I guess I am assuming this occurred in a month or two. I can’t see “shortly after” referring to a period of years, though please correct me if I am wrong.
So, this acute life-threatening (fun fact: my very healthy and fit younger brother had one in his 20s - very rare - thankfully modern medicine saved him) adverse event occurred just shortly after administration of the vaccine AFAICT. Attribution took longer, perhaps years, but that was not something my statement ruled out. My statement stands without modification, unless I need correction on the timeline here.
Nothing in my statement suggested that there were not problems with vaccines on occasion. Problems with vaccines are not rare at all. J&J is the most recent example.
My point is they make themselves known early. How quickly they are noticed and acted upon is dependent on the systems in place to catch rare events. I think it is clear that those are working well at this point, though perhaps for the rotavirus vaccine they were not.
A lot of the anti-vaxxers focus on nebulous “long-term” effects which do not show up right away. These do not exist nor have they ever in all of vaccination history, AFAIK. That’s my point - not that vaccines are somehow inherently safe (definitely not true in general, though tradeoffs may still be in their favor).
We’re very lucky that the mRNA vaccines are fantastically safe with no serious adverse events known to exist (unless someone is allergic to the ingredients of course). And at this point we know we will not “discover” anything long-term. It just does not happen.
The time frame for the intussusception after vaccine administration was up to 1 year, AND it was not common.
So, my point is that I don't agree with your statement that side effects always make themselves known early.
Biological effects, especially subtle ones, can take years and sometimes even decades to fully present themselves and be associated with a cause. Biological systems are infinitely more complex than just about anything else we know, cause and effect relationships are very difficult to tease out in many cases.
I don't agree with your statement that side effects always make themselves known early
Perhaps up to 1 year, but it sounds like usually 1-2 weeks (which would validate my statement). It's also not very rare! 1/20k - 1/100k is actually pretty common:
[snip]
No, I actually am just looking for a counter-example. My original statement remains valid, AFAIK. I agree that a casual reader could misinterpret it, but the meaning is clear. It does NOT claim that vaccines can't cause side-effects with long-term consequences. It simply is a claim that injuries from vaccines occur in the short-term, even if they are not immediately causally tied to the vaccine. This is important for countering most of the anti-vax propaganda, because they prey on fear, uncertainty & doubt.ow you are just wanting to argue, to "save face" or something I guess.
THIS IS NOT SOMETHING THAT WAS IMMEDIATELY OBVIOUS TO ANYONE
Best estimates are these coronaviruses are centuries to millennia old. So no know knows the answer to that definitively.
It's The Onion, sadly it's satire.
No, it was not 1-2 months, it took years to tease out the association of this vaccine with the side effect. It was rare, and not observed in the Phase 3 clinical data. The time frame for the intussusception after vaccine administration was up to 1 year, AND it was not common.
So, my point is that I don't agree with your statement that side effects always make themselves known early. They do not, and often they can be hard to distinguish from statistical noise until your data set is orders of magnitude larger.
I would also not come to the same conclusions about mRNA vaccines that you are coming to (and I do not know any physician that would either). Biological effects, especially subtle ones, can take years and sometimes even decades to fully present themselves and be associated with a cause. Biological systems are infinitely more complex than just about anything else we know, cause and effect relationships are very difficult to tease out in many cases.
I would also not come to the same conclusions about mRNA vaccines that you are coming to (and I do not know any physician that would either).
New Zealand was unable to send a military surveillance flight over Tonga on Sunday because the ash cloud was 63,000 feet (19,000 meters) high but they hoped to send the flight on Monday, followed by supply planes and navy ships.
One complicating factor to any international aid effort is that Tonga has so far managed to avoid any outbreaks of COVID-19. Ardern said New Zealand’s military staff were all fully vaccinated and willing to follow any protocols established by Tonga.
I'm not suggesting that level of destruction this year, but it might be enough to lower temps in North America and Europe again and keep people indoors sharing viruses longer into spring, or even summer, and then keep us indoors earlier in the fall like one or two giant super long winter(s).Mount Tambora, or Tomboro erupted on the 5th of April, 1815. The eruption contributed to global climate anomalies in the following years, while 1816 became known as the "year without a summer" because of the impact on North American and European weather. In the Northern Hemisphere, crops failed and livestock died, resulting in the worst famine of the century.
Thanks, for the in depth reply. I am a math and science guy and want to know expert opinions. Is "natural" immunity i.e getting Covid, a better "immunity" than getting vaccinated? Some people have not wanted to get the "booster" because they do not want to keep putting "stuff" in their bodies and figure if they get Covid they will be okay because they are otherwise young and healthy and they are already vaccinated. My argument has been that is a hard way to get extra immunity.There was no real governance of vaccine development back in the 1960s, and in fact it was these early mistakes which led to the Phase 1/2/3 clinical trial system. Not to mince words: the Phase 1/2/3 clinical trial system is EXCELLENT. If anything, it always errs on the side of an overabundance of caution with regards to safety.
The hardest part of vaccine trials in the modern age is getting enough DATA to run the proper statistics and have a large enough sample size to evaluate for side effects. The (incorrect) argument going around in anti-vax groups is that these vaccines were rushed into production, and therefore they cannot be safe. I'm going to lay out below exactly why that argument is wrong.
1) the bulk of the molecular research (pre-Phase 1) was already done, because 10+ years ago the original SARS scared the crap out of everyone in virology. There were lots of grants and lots of money poured into understanding that coronavirus, and that paid off in spades when it came to SARS-CoV-2. While there are differences in the viruses, they are close cousins and the bulk of all this prior research could be properly leveraged to understand the basic life cycle of SARS-CoV-2, how it bound to and infected cells, how it replicates it's DNA, etc.
2) Phase 1 clinical trials were already done or prepped in regards to molecular targets for SARS (see #1 above). The only thing that happened here was that the genetic sequence for the S-protein from the original SARS virus was swapped out for the one in SARS-CoV-2. Phase 1 trials then underwent at typical pace (which is quick - Phase 1 is just basically "toxicity" trials, to make sure there isn't something obvious in the formulation of the vaccine that will immediately kill test subjects). These were exceptional for the mRNA vaccines, and brought up zero concerns about toxicity. In fact, the limited side-effect profile data was better than traditional vaccines. From a molecular biology standpoint, this makes sense. There is less in the mRNA vaccines for a person to react to, far fewer components.
3) Phase 2/3 - in COVID-19 these were combined, which is what many people focus in on to say things were "rushed". This is a cherry-picked argument because they don't know how these things work. For vaccine trials, you MUST give the vaccine to a population, and it has to be an "at risk" population. What do I mean by that? I mean specifically that the virus must be present in the population. If it is not, you cannot collect the key end-points: how well the vaccine protects against A) mortality/death (goal #1), B) morbidity/hospitalization (i.e. severity of sickness, goal #2), and C) overall infection rate (goal #3).
Phase 2/3 are always limited in speed by how fast you can collect data. So if you have VERY low incidence of a virus, it will take years or even decades to collect enough data to have statistical power to determine if the vaccine is effective for your 3 goals, and to what degree. If, however, you are in a pandemic and the virus is literally everywhere, that data collection goes incredibly rapidly. THIS KEY POINT is why these vaccines were able to come through Phases 2/3 very quickly. Their efficacy and safety data were quickly collected, and on a very large number of people, and proved to be excellent against the original Wuhan virus (waning some since as the new variants have mutations - but still excellent by historical standards).
Approval for use in the general population (i.e. FDA approval) happens based upon analysis of the data by a non-biased, experts-filled group at the FDA. Every person in this group must have no financial or other incentives tied to any company, university, or non-profit associated with the vaccine, it's basic research, and data collection. They truly aim for as unbiased as possible a group to comb through the data, and then make a recommendation. The reputation of these individuals is on the line, and they take their work very seriously. There is no evidence that anyone in the FDA groups that gave recommendation to approve these vaccines had anything but the best intentions, and no evidence that they cut any corners. The vaccines were approved by overwhelming majority votes (I believe they were unanimous for adult usage) by each FDA group for each vaccine, based upon strong efficacy and excellent safety data.
Phase 4 - this is the phase we are in now, after the medication or vaccine has been approved and is in use. Monitoring and statistical data collection and analysis continues. There are some side effects, like the rate blood clots with the adenoviral-based vaccines, which just don't show up until you have much larger numbers of people (millions, vs. the 10s of thousands in Phases2/3). In the past, drugs have been removed from the market after rare but life-threatening complications are noted from Phase 4 data.
The American Cancer Society also has a good write up on how a Trial is structured (since they are often at the forefront of new medications):
Types and Phases of Clinical Trials | What Are Clinical Trial Phases?
Clinical trials are usually conducted in distinct phases. Learn about each phase here.www.cancer.org
To answer your question: given where we are now, and the boatloads of data we have on these vaccines, I no longer believe anyone has a rational argument against being vaccinated in the 12 and older group. 5-12, I will support vaccinating that group given the R value of Omicron just to reduce transmission of the virus to more at-risk populations. 5 and under I DO NOT support vaccination in this group. The preliminary data in the 5 and under group is just very underwhelming. It's shown to be well-tolerated and safe, but doesn't appear to offer the same kind of protection it does in older children and adults. This group (5yo and under) is so low-risk from COVID-19 that the vaccine would have to offer pretty much perfect protection to meet the benefit to risk ratio needed to get approved.
Recent massive volcanic eruption of Hunga-Tonga-Hunga might be significant. It seems it's not done erupting and it might cause a cold summer (a year with no summer).
No certainty of that but as we've seen in past waves winter has been worse for the infection rates (higher rate of infection being worse, promoting infection).
The year 1816 is known as the Year Without a Summer because of severe climate abnormalities that caused average global temperatures to decrease by 0.4–0.7 °C (0.7–1 °F).
I'm not suggesting that level of destruction this year, but it might be enough to lower temps in North America and Europe again and keep people indoors sharing viruses longer into spring, or even summer, and then keep us indoors earlier in the fall like one or two giant super long winter(s).
Thanks, for the in depth reply. I am a math and science guy and want to know expert opinions. Is "natural" immunity i.e getting Covid, a better "immunity" than getting vaccinated? Some people have not wanted to get the "booster" because they do not want to keep putting "stuff" in their bodies and figure if they get Covid they will be okay because they are otherwise young and healthy and they are already vaccinated. My argument has been that is a hard way to get extra immunity.
We might see a small dip from Tonga-Hunga. But it will more likely be like it was in 1992 and 1993. A little cooler, but not dramatically so.
Sure you do:
“Dr. Fauci answered, “If you look at the history of vaccines, you know that virtually all long-term adverse effects of a vaccine occur between 15 and 30 days after you get the dose – 45 days at the most. When you get a vaccine allowed by the Food and Drug Administration (FDA), such as with the emergency use authorization, you have to wait 60 days from the time half the people in the trials got their last dose and observe safety before it can be used on the public. If almost all of the long-term adverse effects occur within 45 days, you’ve gone beyond that if you wait 60 days, so the chances of there being long-term effects are vanishingly small.””
Dr. Fauci weighs in on potential long-term side effects : Oregon Health News Blog
Some people in Oregon are hesitant to receive the new COVID-19 vaccines. Some don’t want to be “first in line” to receive a new vaccine and may be concerned about long-term side effects. These are …covidblog.oregon.gov
I wasn’t making any bold pronouncement, of something I came up with. It’s just generally accepted knowledge amongst experts on vaccines and I was repeating it. And it’s not hard to find many other medical doctors making the same statement.
Still, we should follow the science, and if there are verified counterexamples it would be interesting to review them. It sounds like the intussusceptions were definitely within 60 days of vaccination, before dropping to baseline rates of incidence. But if there is data to the contrary, it would be interesting.