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Even though it wasn't a conclusion of the study, if someone wants to make the point that they already had Covid, and therefore have at least the same immunity as a vaccinated person, that's a very reasonable position. They should not be restricted from anything a vaccinated person can do.


No, because covid tests are not 100% conclusive, so from a statistical point of view it will always be better to get a vaccine shot anyway.


You are trying to not trigger autoimmune disorders. Someone recovered from covid with potentially three additional shots is at greater risk for autoimmune reactions.


We really need to be careful making claims like that. There is no evidence this is true and there is evidence that getting a vaccine gives additional protections even if you already had COVID.

https://www.cdc.gov/media/releases/2021/s0806-vaccination-pr...


Considering the sars-1 and mers vaccine attempts had over-stimulated immune response problems, it absolutely should be a concern.

Vaccination induced immunity levels were sufficient, but now that natural immunity levels are higher, that's not good enough?

Since I've been told over and over that the vaccine reduces the severity of breakthrough infections, shouldn't we also demand vaccinated people intentionally catch covid and quarantine, since that will also boost their immunity and prevent public spread?

Where's the study that shows breakthrough cases are any greater of a risk than vaccine side-effects?

And if the risks are comparable, why wouldn't it be reasonable to demand vaccinated individuals intentionally catch the virus to also boost their immunity?


Due care is called for in both directions. My daughter's immune system took 13 years to decide that she didn't need insulin any more.

If anything comes from this particular pandemic I'm hoping that one of them is that we need to be honest and transparent about risk/benefit and knowns/unknowns rather that try to brush the long tails under the rug as if they don't exist.


How do you weigh that against the long tail of a COVID infection having long term effects? We already have evidence of that, and zero evidence of that with the vaccine.


You would weight them based on individual risk factors.

If you have a risk of autoimmune disorders because of genes or other factors you would weight it against other factors.

Maybe you have left the house 4 times in the last year and you have an autoimmune worries perhaps avoiding the vaccine makes sense. Your risk rises wheb even going to the place to get the vaccine.

Everyone wants one piece of advice to fit everyone. Everyone is different.

If you get the vaccine and go out three times to every one time an unvaccinated person goes out you both have the same risk profile. If you go out 4 times you are more likely to catch it.

If you really want to stop this, stay at home unless you must go out. The vaccine adds 3x the protection.. not 10x or 100x


I don’t think there’s a great answer to your question.

One has to weigh the guaranteed exposure to risks of the vaccine, which currently appear to be extremely low but not zero, versus the less certain exposure to the demonstrably greater short term and long-term risks of a covid infection.

Ultimately that wasn’t my point, my main point is that transparency and humility in communication will likely create less of a backlash than what we are seeing today.


There is evidence of possible "long COVID" symptoms in breakthrough infections.

https://www.nejm.org/doi/full/10.1056/NEJMoa2109072

In breakthrough cases where the individual has a high viral load and typical COVID symptoms (shortness of breath, fatigue, etc.) it's not unreasonable to assume that the person might suffer from the same course of illness as an unvaccinated person. While the vaccines clearly reduce the incidence of hospitalization and death, there are people whose breakthrough cases aren't exactly what the average person would call "mild".


The FDA has asked Pfizer to perform 5-year studies for known adverse side effects of vaccines, like myocarditis.

As of 2021, we do not have long term (e.g. five years) data on either vaccines or Covid.


This week, the FDA approval required Pfizer to perform multi-year studies to assess risks of adverse events, https://www.fda.gov/media/151710/download

> ... to evaluate the occurrence of myocarditis and pericarditis following administration of COMIRNATY ... substudy to describe the natural history of myocarditis and pericarditis following administration of COMIRNATY ... prospective cohort study with at least 5 years of follow-up for potential long-term sequelae of myocarditis after vaccination

Vaccine injuries are rare but nonzero. A German pathologist has been performing autopsies, https://translate.google.com/translate?sl=auto&tl=en&u=https...

> The doctor now wants to get to the bottom of rare, serious side effects of the vaccination - such as cerebral vein thrombosis or autoimmune diseases. The problem from his point of view: Vaccinated people usually do not die under clinical observation ... More than 40 people have already been autopsied who died within two weeks of being vaccinated. Schirmacher estimates that 30 to 40 percent of them died from the vaccination. In his opinion, the frequency of fatal consequences of vaccinations is underestimated

Self-reported VAERS lists 5,000+ US deaths after [does not imply causality] Covid vaccination, but such reports are much less informative than tissue samples from an expensive autopsy. Note that if someone develops Covid or dies within two weeks of being vaccinated, CDC statistics categorize that person as unvaccinated. It would be more accurate to create a new U.S. reporting category for those who are partly vaccinated.


"Note that if someone develops Covid or dies within two weeks of being vaccinated, CDC statistics categorize that person as unvaccinated." This is concerning and shows how much care is taken to sweep negative outcomes under the rug.


We need CDC to provide more granular data on partially vaccinated people, instead of bundling them with unvaccinated people, https://www.cdc.gov/vaccines/covid-19/health-departments/bre...

> For the purpose of this surveillance, a vaccine breakthrough infection is defined as the detection of SARS-CoV-2 RNA or antigen in a respiratory specimen collected from a person ≥14 days after they have completed all recommended doses of a U.S. Food and Drug Administration (FDA)-authorized COVID-19 vaccine.

Redline changes were made in April 2021, https://www.cms.gov/files/document/qso-20-38-nh.pdf

> Fully vaccinated” refers to a person who is ≥2 weeks following receipt of the second dose in a 2-dose series, or ≥2 weeks following receipt of one dose of a single-dose vaccine. “Unvaccinated” refers to a person who does not fit the definition of “fully vaccinated,” including people whose vaccination status is not known, for the purposes of this guidance




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