They were not using 40,000 people trials in 2015 for mRNA based technologies. That was the point. Just because something was in its infancy in the lab doesn't mean you can say its been around almost 7 years already. The concern that there is no long term data is a valid one. Adenovirus vector formulations do have a longer history but have caused leukemia's in the past that manifest 4 years later for single gene mutation correction trials.
It really depends on disease prevalence, technological capability and urgency. For example during ebola epidemic RVSV-ZEBOV vaccine was administered to infected people prior any previous human testing. H1N1 vaccine was developed in number of months (3rd phase trial size was 2200 persons) but sufficient and timely mass production failed.
But there are effects that are so rare that do not come out unless the medicine is administered to larger group of people.
This is the reason why every approved medicine is kept under extended surveillance.