As for VAERS, let me explain it. Then it will no longer be "unexplained."

Why might the number of reports in VAERS be higher than typical for other vaccines?

First: PUBLICITY. Anyone can report anything to VAERS.
There's a well-established link between media reports about a vaccine and AE reports in VAERS: sciencedirect.com/science/articl…

(There's also a relationship to "litigation." pubmed.ncbi.nlm.nih.gov/16452357/)

But neither of these are related to "safety." Image
Given the massive amount of media attention to the pandemic and these vaccines, it's actually surprising that the rates of reported adverse effects are so low.

Second, DEMOGRAPHICS. The population that received these vaccines is very different from the usual vaccine recipients.
Typically, we give children vaccines: HepB, rotavirus, DTaP, Hib, PCV13, PPSV23, polio, flu (Type B, IIV and LAIV4), MMR, VAR, meningitis A and B are all given before 15 months, w/ 2nd, 3rd, 4th and 5th doses all before the age of 6.
This is why, thank God, American children no longer die of these diseases.

But Covid19 vaccines were distributed in reverse chronological order. First they went to people over 90 with multiple comorbidities; then to people over 90;
then to people over 80 with multiple comorbidities, etc. Covid19 vaccine uptake has by comparison been very low among younger people, who think “only old people get Covid.” (They’re quite wrong.) reuters.com/world/europe/m…
In no other vaccine rollout have we ever prioritized the eldest and sickest this way. So yes, we would expect many more reports to VAERS, for the following reasons:
a) Compared to 90-year-olds with serious comorbidities, healthy two-year-olds enjoy very low morbidity and mortality.
b) The recipients are mostly not yet verbal, so their feelings about vaccines are apt to be confined to “ouch.”
c) The recipients usually aren’t old enough to understand “vaccine side effects,” so they’re not apt to have psychosomatic symptoms owing to all the fearsome things they’ve read in the news about vaccines.
d) They’re also not old enough to type.
e) Their parents, too, are less likely to file reports on their behalf, because unless you live in Marin County, you think childhood vaccines are routine.
The media has paid 10,000, maybe a 100,000 times more attention to C19 vaccinations than, say, diphtheria vaccines.
So you'd *expect* reports in VAERS to skyrocket after C19 vaccine rollout, especially thanks to the diligent efforts of anti-vaxxers to publicize it and persuade people to file false or spurious reports.
THIRD: We're in the middle of a pandemic that's lopped 1.5 years off our national life expectancy! Of course people are reporting more adverse effects. Not everyone is lucky enough to get two doses and then wait two weeks before being exposed to the disease.
FOURTH: This is perhaps the most important of all.
THE REPORTING REQUIREMENTS ARE DIFFERENT.
Look at the change in the CDC guidelines, and remember, healthcare workers are *required by law* to report what the CDC tells them to report.
vaers.hhs.gov/faq.html

Covid19: Image
The requirements for other vaccinations, like typical childhood vaccinations: Image
With other vaccines, the CDC “strongly encourages” healthcare workers to report adverse effects.

Most pediatricians have a lot of experience with vaccines—and worried mothers—and know that if a 2-year-old runs a fever after getting his Tdap, it doesn’t need to be reported.
They also know that if the same kid starts wetting the bed two months later, that doesn't need to be reported, either.

***NB The specified time period for reporting VAEs is usually very short: vaers.hhs.gov/docs/VAERS_Tab…
A day, or at most a month. For tetanus, the reporting period is 7 days. The time period is short because we *know* that none of these vaccines cause long-term AEs. This has been studied and studied and studied. These vaccines have no long-term effects except keeping you alive.
If a vaccine has an adverse effect, you'll know it in minutes, usually. Or days. At the very most, two months. sciencedirect.com/science/articl…) (There's no reason to think mRNA vaccines would be any different.)***
To be on the (safest imaginable) side, the CDC issued different rules for reporting Covid19 vax AEs.

So now healthcare providers are *required by law* to report "any important medical event that might jeopardize the patient" if it occurs after getting a C19 vaccination.
Even if the doctor thinks the effect couldn’t possibly have been caused by the vaccine. Even if there's no plausible biological mechanism. Even if the cause of death is a gunshot wound.
So if you’re a vaccinated 90-year-old double-heart-lung transplant patient with diabetes and high blood pressure and you have a heart attack, *by law,* the doctor must report this to VAERS. The doctor isn't just "strongly encouraged" to report it. He or she is obligated.
Unlike our other vaccines, the period during which it's "strongly encouraged" or mandatory to report adverse events isn't a week, or a month.

The period is the *entire time during which the vaccine is authorized under the EUA.*
So if there were 10 times the number of reports in VAERS (and there aren't), it wouldn't be surprising.

Over a period of months, many people will have significant medical problems whether or not they've been vaccinated.

Correlation is not=causation.
The longer the period in question, the more reports.

These reports are meaningless until they're investigated, confirmed by medical records, and compared against baseline risk--which shows the vaccines' risks are nugatory, almost infinitesimally small, compared to Covid19.
These things--media attention, the age and ill-health of the recipients, an overall rise in morbidity and mortality due to the pandemic, and changed reporting requirements--ensure that the "adverse event signal" in VAERS will be *extremely* high.

But this is not unexplained.

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More from @ClaireBerlinski

28 Jul
"All the evidence needed to debunk these tropes can be found online within five seconds by anybody with an inquiring mind." Yes, and that's a point worth taking seriously. What does it suggest? quillette.com/2021/07/28/vac…
Why do certain people have such an enormous psychological need to believe things that are so implausible and preposterous on their face? What emotional agenda does it serve? I don't quite know. Any insight, anyone?
In any case, I enjoyed this until the last paragraphs, with which I disagree. The risk of long Covid, and especially the attendant cognitive damage and drop in IQ, entails a strong argument for vaccinating children.
Read 5 tweets
28 Jul
I dream that I am trying to pilot a huge cruise ship through Puget Sound, which is crowded with other vessels. I realize that this is a hospital ship. My friend @GCharing, who in fact died last year (RIP, Gaby) is on the ship. And dying.
She's still alive, but man is she furious with me for the way I'm piloting the ship. I'm doing everything wrong, apparently. The steering wheel is too heavy. I can't move it.

I'm aware that she's not being fair--and she's also dying, so I shouldn't take it personally--
but I'm still stung by the criticism.

Somehow the ship is full of graceful, Asian hospital orderlies/ship stewards who do everything right. I realize I forgot my mask. They hand me a fresh one with disdain.
Read 6 tweets
26 Jul
1. There is no "unexplained adverse event signal in VAERS." I'll return to this in the next thread.

2. IVM does not "address escape variants." There is scant evidence it does anything at all, no less address these variants. What's more, the reasoning is backward:
Even if it were effective, it's therapeutics, *not* vaccines, that should cause us to worry about escape variants. See:
assets.publishing.service.gov.uk/government/upl… The way to avoid those variants is to get as many people vaccinated, with both doses, as possible. As fast as possible.
It's especially important to prevent the spread of the disease to the immunoincompetent, which for obvious reasons requires *the whole community* be vaccinated.

3. There have been *no* reports of ADE from the vaccines. They've looked for it in animal studies: None.
Read 15 tweets
25 Jul
This column by @davidfrum gets at something I sense, too. He asks, "Will Blue America ever decide it’s had enough of being put medically at risk by people and places whose bills it pays?" Then concludes rhetorically: "Check yourself: Have you?"
Still, theatlantic.com/ideas/archive/…
Then what? Yes, this is different, somehow, different even than realizing a large minority of the country voted for Trump--twice. This is a far more personal and physical assault. People are sick of the pandemic. Sick of fearing for the people they love. Sick of lockdowns.
Sick of cripplied economies. Sick of the burden on the healthcare system and above all the healthcare workers. And everyone understands that the obstacle to returning to normalcy is the anti-vaxxers--a danger to themselves, their families, their communities, and their countries.
Read 8 tweets
25 Jul
It is inexcusable, unacceptable that @US_FDA is stalling on this. They're slowing a vaccination campaign and fueling hesitancy amid the most deadly pandemic since 1918. Hard to imagine greater fecklessness. @FrankYiannasFDA @FDACDERDirector @FDA_Drug_Info @DrWoodcockFDA @FDACBER
@FDACBER, Peter Marks is dead wrong and @EricTopol is entirely right. nytimes.com/2021/07/09/opi… Public trust in FDA being damaged *by the delay,* which is *assuredly* contributing to vaccine hesitancy and thus to needless suffering and death.
In your opinion piece, you say, "get vaccinated right now." Yet by foot-dragging, your own agency is doing more to undermine this message than any other part of our government. @SenatorBaldwin, can you get on the phone with @DrWoodcockFDA and say, "This is unacceptable?"
Read 4 tweets
24 Jul
I wandered lonely as a cloud
That floats on high o'er vales and hills,
When all at once I saw a crowd,
A host, of golden imbeciles;
Beside the lake, beneath the trees,
Fluttering and dancing in the breeze.
Continuous as the stars that shine
And twinkle on the milky way,
They stretched in never-ending line
Along the margin of a bay:
Ten thousand saw I at a glance,
Tossing their heads in sprightly dance.
The waves beside them danced; but they
Out-did the sparkling waves in glee:
A poet could not but be gay,
In such a jocund company:
I gazed—and gazed—but little thought
What wealth the show to me had brought:
Read 4 tweets

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