[HN Gopher] CDC panel recommends resuming use of Johnson and Joh...
       ___________________________________________________________________
        
       CDC panel recommends resuming use of Johnson and Johnson vaccine
        
       Author : rafaelc
       Score  : 114 points
       Date   : 2021-04-23 21:26 UTC (1 hours ago)
        
 (HTM) web link (www.axios.com)
 (TXT) w3m dump (www.axios.com)
        
       | mancerayder wrote:
       | Pausing like that causes, not prevents, vaccine skepticism. In an
       | era of declining public trust of institutions (across both
       | political aisles, even if unequally), I argue this pause was poor
       | politics. Science doesn't enter much into it, unfortunately.
        
         | jrochkind1 wrote:
         | I think either pausing _or_ not pausing _could_ increase _or_
         | decrease vaccine confidence.
         | 
         | One could imagine pausing: "oh, they are being careful, great,
         | and NOW after looking at it, they've determined it is safe."
         | (The pausing is actually a consequence of the sped-up approval;
         | the sped-up approval process comes with a requirement to pay
         | extra extra scrutiny to any side effects reported) OR "See,
         | they admit it's not safe, they paused it!"
         | 
         | Same with not pausing: "See they rushed the approval, and now
         | they are ignoring side effects" OR just nobody hears about the
         | side effects without the publicity, or figures they must not be
         | a big deal if they didn't even bother pausig it or whatever.
         | 
         | Could go either way. The difference in either case is probably
         | determined by building up trust over time, by transparency, and
         | by having an effective communications/education/marketing plan
         | (specifically for communications around the side
         | effects/pause).
         | 
         | In the USA, of course, we have none of that. So it was probably
         | going to decrease confidence either way. What a country!
        
         | Fomite wrote:
         | Personally, I prefer drug safety protocols be based on science,
         | not what people feel, or whether or not it's "good politics".
        
           | mancerayder wrote:
           | This is what I am arguing above. In light of this, would you
           | say the pause was good science and not politics?
        
             | Fomite wrote:
             | Yes. The pause was exactly what should have been done, and
             | every single vaccine specialist I know was both supportive
             | and unsurprised.
        
           | creddit wrote:
           | > Personally, I prefer drug safety protocols be based on
           | science, not what people feel, or whether or not it's "good
           | politics".
           | 
           | Implicit to this point is that what the CDC/FDA did was "good
           | science" and not bad science.
        
         | nickff wrote:
         | There have been some studies which demonstrated that experts
         | gain credibility when they express uncertainty. Amateurs on the
         | other hand lose credibility when they express uncertainty. I
         | don't have a citation handy, but I thought you might find the
         | perspective useful.
        
           | mancerayder wrote:
           | Does the citation include the recent major skepticism of
           | Astra? There are French polls that backed major skepticism of
           | Astra specifically after the pause.
           | 
           | The downvotes are puzzling. Are people capable of countering
           | with reason, or is a downvote a proxy vote for how they wish
           | reality to be?
        
             | jrochkind1 wrote:
             | They're perhaps downvoting because what was described was
             | "studies" (not "the citation"), that were about credibility
             | and uncertainly generally, and it's safe to assume they
             | weren't conducted in the past 4 months and have nothing to
             | do with covid vaccines, but you jump in with "well your
             | study means nothing to me unless it was conducted in the
             | past two months and already peer reviewed and published"
             | which is not how it works.
        
         | notatoad wrote:
         | pausing causes vaccine hesitance, but finding out that the
         | authorities knew about potential risks like this and _didn 't_
         | pause the rollout to assess those risks _also_ causes vaccine
         | hesitance, and is also poor politics.
         | 
         | they did the safe thing, regardless of the politics. if you're
         | skeptical about vaccines you should be reassured by that. and
         | if a person is skeptical about vaccines but somehow isn't
         | reassured by the authorities taking responsible safety
         | precautions, they're probably not coming from a place of reason
         | and there's not much point worrying what they think.
        
       | passivate wrote:
       | This is great news! I'm holding out for the J&J shot myself :) I
       | find it to be a better product than the others.
        
         | decafninja wrote:
         | I'm the opposite. I was sort of resigned to getting the J&J but
         | was hoping for the Pfizer. My wife got an appointment before I
         | did and did get the J&J.
         | 
         | Then this clotting news happened, and I subsequently got my
         | appointment - Pfizer. So I guess I got what I wanted.
         | 
         | My wife is perfectly fine though, no side effects. If given the
         | J&J vaccine, I would have taken it too.
        
         | servercobra wrote:
         | Can you explain why you think it's a better product? Genuinely
         | curious as I haven't done much comparison myself.
        
           | raphlinus wrote:
           | Speaking for myself (team J&J), single dose is definitely
           | more convenient. Anecdotally, reactions seem to be less
           | severe than for the mRNA vaccines. And, while it's only a
           | minor speed bump to our gold-plated healthcare delivery
           | system, the fact that it doesn't need an extreme cold chain
           | means it's logistically much easier to handle.
        
           | passivate wrote:
           | Because of their confidence (and the FDAs confidence) in
           | their single-dose immunogenicity data, and also the fact that
           | they ran trials in regions (brazil, SA, US) at times when new
           | variants were prevalent.
        
           | dmitrygr wrote:
           | Adenovirus-based vaccines have existed a while, so it is not
           | as new-and-untested as mRNA vaccines are.
        
         | neither_color wrote:
         | I was holding out too but the opportunity to get Pfizer part 1
         | came up this week and I figured "this indefinite suspension
         | could take months might as well get this out of the way now."
         | Oh well. Im always wrong about these things. Either way in
         | three more weeks I'll be done doing the "needful."
         | 
         | No side effects for me besides my arm sore to the touch the day
         | after, but not painful. Similar to the day after a
         | weightlifting workout.
        
           | aaronbrethorst wrote:
           | Same for me on Monday. Oh well.
        
       | LatteLazy wrote:
       | I got confused as the same thing was reported in Oxford
       | Astrozenica vaccine recipients. I wasn't sure if they're the same
       | vaccine (they're not). So I read up a bit.
       | 
       | The same sort of clots occur in people who have been given
       | heparin (a blood thinner). It's even called "heparin induced" in
       | people using heparin.
       | 
       | https://en.wikipedia.org/wiki/Post-vaccination_embolic_and_t...
       | 
       | People on either vaccine have been found to have an immune
       | response to "platelet factor 4" (PF4). PF4s job is to moderate
       | substances like heparin.
       | 
       | I wonder if PF4 is similar to spike protein somehow?
       | 
       | I wonder how long the immune response lasts?
       | 
       | I guess it's not super useful as it wouldn't make sense to give
       | people a blood thickener (a coagulant?) prophylacticly. Maybe we
       | need to consider whether this is appropriate for people on
       | Heparin or similar medications? I'm no doctor so don't take this
       | as discouragment, I'm just musing. I have Oxford AZ (1 dose so
       | far) and it was fine.
        
       | loceng wrote:
       | In-depth talk with a virologist who believes that all of these
       | vaccines currently be dangerous - and that we should perhaps stop
       | all of them, please watch it before you assume you understand the
       | reasoning:
       | 
       | https://www.youtube.com/watch?v=BNyAovuUxro - DarkHorse Podcast
       | with Geert Vanden Bossche & Bret Weinstein
        
         | Igelau wrote:
         | I googled him to see if I could find the gist of his claims. I
         | can't find a single thing from him, but I can find a ton of
         | takedown pieces tearing apart this episode.
         | 
         | (Bret Weinstein is leaning hard into the IDW thing. DarkHorse?
         | Really?)
        
         | seriousquestion wrote:
         | It's worth listening to. Bret Weinstein was early on the lab
         | leak hypothesis, when it was taboo to even ask the question.
        
         | graton wrote:
         | Counter point to Geert Vanden Bossche
         | 
         | https://www.snopes.com/news/2021/03/26/geert-vanden-bossche/
         | 
         | Seems like he has financial interest in claiming the vaccines
         | are dangerous.
        
         | root_axis wrote:
         | Can you summarize the argument? The video is almost 2 hours.
        
       | grej wrote:
       | Both my wife and I got the J&J shot before it was cancelled. We
       | both had a period about 12 hours afterwards where we felt like we
       | had a mild flu for about another 12 hours, then it was over and
       | we've felt fine. Very happy with this decision.
        
         | hcurtiss wrote:
         | If we're doing anecdata, I too had the J&J shot right before it
         | was cancelled. Literally no symptoms whatsoever. Very happy
         | with the "one and done" relative to my wife who will go in next
         | week for the second Pfizer shot.
        
         | [deleted]
        
       | ardit33 wrote:
       | Damage is done... NYC saw a drop in vaccine appointments right
       | after the original ban on J&J happen.
       | 
       | They could have issued a warning first, with the group ages/sex
       | that they were seeing the clots (it was mostly women). Now they
       | are scaring the 'indecisive' part of the population, and just
       | making sure the pandemic will keep going.
       | 
       | Both the CDC and the FDA have completely dropped the ball during
       | this pandemic. They are acting like typical bureaucrats, with the
       | 'you don't fired if you buy IBM' type of mentality, and instead
       | of being aggressive, they are just acting in a way so they don't
       | get fired.
       | 
       | They should have done challenge trials back in April last year,
       | and ask for military style of mobilization on productions,
       | instead of just doing the normal/usual trails.
       | 
       | It would have speedup the vaccine rollout even more, and perhaps
       | save at least 200k lives or more. (mask requirements on the
       | Federal level, would have saved another 100-200k people).
        
         | elliekelly wrote:
         | Doesn't a drop in vaccine appointments make sense given the
         | (presumably) reduced supply of total available vaccines when
         | J&J was paused?
        
         | Vecr wrote:
         | I think a mask mandate on the federal level would have required
         | using more emergency presidential powers than most people would
         | have been comfortable with. A president exercising martial law
         | or something similar that would allow increased power over the
         | states during a presidential election might not be helpful for
         | people's view of the procedures and result.
        
           | ghaff wrote:
           | It's unclear that federal mandates would even have been
           | constitutional and compliance, even in blue states in
           | situations like people walking at comfortable distances
           | outside are pretty spotty. There's a lot of faith in the idea
           | that different top-level policies would have made a big
           | difference short of truly sealing borders and having them
           | totally shut even now.
        
         | shadowofneptune wrote:
         | Vaccines take multiple years to develop normally. How much
         | faster can you get for vaccine development? I certainly did not
         | expect there to be more than one, or any, good options for
         | vaccination by the beginning of this year. The trials also
         | helped make it clear that the Pfizer-BionTech and Moderna
         | vaccines were safe, something that will help convince people to
         | take the vaccine in the long term.
        
           | thrower123 wrote:
           | The rapidity of vaccine development is one of those things
           | that makes me look at the lab-leak hypothesis and raise an
           | eyebrow exaggeratedly.
        
         | sp332 wrote:
         | Polling shows that pausing the J&J vaccine did not make people
         | more hesitant to get vaccinated.
         | https://arstechnica.com/science/2021/04/poll-shows-jj-pause-...
         | It might have made the locations and times less convenient, or
         | people might be waiting for a one-shot vaccine.
        
       | clarkevans wrote:
       | J&J is starting a 2-dose clinical study
       | (https://clinicaltrials.gov/ct2/show/NCT04614948), perhaps to see
       | if it could have comparable effectiveness as the 2-dose mRNA
       | Moderna and Pfizer protocols.
       | 
       | Unfortunately, the control arm for this study is a placabo
       | instead of a single dose, which I would expect to be the standard
       | of care.
        
       | nostromo wrote:
       | Now maybe the US can finally approve the AstraZeneca vaccine and
       | put our 20 million (!) doses on hand to good use.
       | 
       | Or not! But if we're not going to use them, we should send them
       | to another country like Canada or Mexico or Australia or the UK
       | or EU, all of which have approved it and administered millions of
       | doses.
       | 
       | Sitting on 10s of millions of vaccines during a pandemic is
       | inexcusable.
        
         | dawnerd wrote:
         | 100% agree we should send them elsewhere. It seems we've
         | reached the point where we're manufacturing enough to just
         | about meet demand and our neighbors are struggling.
        
       | joe_the_user wrote:
       | Excellent news.
       | 
       | The unfortunate thing is the level of ignorance today mistakes a
       | very careful effort make sure the vaccine is safe with a wanton
       | ignoring of some danger.
       | 
       | Beyond talking about the fact that they determined this was safe,
       | at some point educating people on danger in statistical terms is
       | going to be necessary. But I'm not sure how that happens -
       | addiction to headline-logic and single-heart-pulling-events is a
       | huge part of the news industry.
        
         | andrew_v4 wrote:
         | I think it's a direct consequence of media and government
         | trying to remove free will from the equation and present taking
         | the vaccine as the only choice people have. If you're going to
         | essentially force people to do it, a statistically meaningless
         | side-effect becomes more important as reason for people to push
         | back (and the media to drum up false fears).
         | 
         | If you treat people like adults and let them consult their
         | doctors and make their own decisions, the bar is much lower for
         | safety (by lower I mean from impossibly high to reasonable).
         | People willingly take much more risky medicines and treatments
         | all the time and are fine with it. But if you try and force
         | something in them, it's not surprising they push back on
         | anything that isn't guaranteed to be perfect.
         | 
         | (So my point is, I think demand would be higher and concerns
         | lower if you just made it available and let people make their
         | own choice. But the whole pandemic has been more about forcing
         | people to do things than about trying to do things that
         | actually solve the problem)
         | 
         | [Edit- it's funny how any presence of giving people control
         | over their bodies evaporates in a situation like this. And re
         | the strawman that "nobody is forcing you" - if the consequence
         | is severe limits on what you are allowed to do, that doesnt
         | really hold up]
        
           | jdavis703 wrote:
           | No one is being forced to take vaccines. It's already
           | announced there will be no federal vaccine passport, and many
           | states are banning passports.
        
             | option wrote:
             | at least here, in California, you can not chose which one
             | you get when making the appointment or when arriving at the
             | vaccination site. Also CSU and UC will require vaccinations
             | for return to on-campus. (Though I'm not sure that they
             | will be able to do so until vaccines are under "emergency
             | use" authorization, not a regular one)
        
               | void_mint wrote:
               | It's true that you can't choose, but lots of places are
               | listing what vaccines they're doing on specific days. You
               | can "choose" by booking an appointment at a location that
               | has the one you want, or by avoiding locations that have
               | ones you don't want.
               | 
               | As an example, I booked my appointment specifically at a
               | location that only carried Pfizer.
        
               | option wrote:
               | yeah, when I went (and got Moderna), I saw many people
               | (who booked the appointment) asking staff "Is it Pfizer"
               | and leaving when the answer was No.
        
               | void_mint wrote:
               | My personal take was just to avoid J&J in favor of mRNA
               | vaccines, but only because of my vague obsessive anxiety.
        
               | arsome wrote:
               | That seems like a really weird decision because both
               | Moderna and Pfizer are using very similar technologies
               | and haven't had much negative press coverage.
        
               | option wrote:
               | yes, and a waste of appointment slot
        
               | tzs wrote:
               | Here in Western Washington, I've not seen any site mixing
               | vaccines. One Walgreens might have Moderna and another
               | Pfizer, but any given day any particular store will only
               | have one of them.
               | 
               | Most places say when you sign up which they will have for
               | your appointment, but if they do not you can often tell
               | by looking at the eligibility. If they are offering
               | appointments to people age 16+, they are using Pfizer. If
               | 18+, Moderna.
               | 
               | Most places here also tell you on the signup form that
               | your second appointment will be the same time and place
               | exactly N weeks after the first. If N = 3, they are using
               | Pfizer. If N = 4, Moderna.
        
             | neither_color wrote:
             | Domestically that's the case but if you have(had) to travel
             | abroad often for work or family reasons that won't be the
             | case. I regularly(used to) visit and have family ties to a
             | country that allows vaccine records in lieu of negative
             | tests for entry. I'd say that's reasonable.
             | 
             | https://www.traveloffpath.com/countries-open-for-
             | vaccinated-...
        
               | void_mint wrote:
               | Right, but are you seeing how allowing vaccine records in
               | lieu of other documentation is not the same as requiring
               | vaccination?
        
               | neither_color wrote:
               | None of this has made sense for months I'm just going
               | with the flow. We get x-ray scanned through our clothes
               | every time we fly what's dignity? It's just another
               | airport document as far as Im concerned.
        
               | void_mint wrote:
               | I'm sorry, I can't really tell how your comment is
               | related to my comment? What does verifying that you took
               | precaution to prevent the spread of covid have to do with
               | dignity?
        
               | neither_color wrote:
               | My mistake. I misread your response as requiring one or
               | the other being the same as forcing. Some people find
               | having to show a negative test or vaccination record for
               | international travel as invasive, and to them I'd say
               | that the real violation of privacy happens at the TSA
               | line.
        
               | ForHackernews wrote:
               | You mean you'll have to fulfil certain legal requirements
               | in order to be permitted entry to a foreign country?
               | Surely that's unprecedented!
        
               | ghaff wrote:
               | Yellow Fever vaccinations in particular have been
               | commonly required for a variety of countries, hence WHO
               | yellow vaccination book.
        
           | elliekelly wrote:
           | > So my point is, I think demand would be higher and concerns
           | lower if you just made it available and let people make their
           | own choice.
           | 
           | That's already how it works, though. Everyone is free to
           | decide for themselves whether or not they'd like to be
           | vaccinated.
        
             | ibejoeb wrote:
             | To an extent. Presently, you won't be thrown in jail if you
             | don't get it. But you can't go to NYU. You can't go to a
             | wedding. You can't go to a concert, or a football game, you
             | can't fly Qantas...
        
               | histriosum wrote:
               | Yes. You are free to make a choice, not free from the
               | consequences of that choice.
        
               | chillacy wrote:
               | How does one balance that with the counter desire to not
               | want to go to a wedding, concert, football game, or plane
               | with unvaccinated people?
        
               | ibejoeb wrote:
               | That's a strange desire because what does it matter? If
               | you were worried, you would have gotten vaccinated, and
               | unless you don't believe the vaccine works, you would be
               | protected.
               | 
               | It's also something that is impossible to know because
               | you don't have the right to inspect someone's medical
               | records.
        
               | andrew_v4 wrote:
               | It's a big shift because we have never as a society
               | catered to the most cowardly before. Personal
               | responsibility used to mean if you cared about something
               | it was on you, now its shifted to forcing it on other
               | people. This is really antithetical to western values.
        
               | aphextron wrote:
               | >"Presently, you won't be thrown in jail if you don't get
               | it. But you can't go to NYU."
               | 
               | You also can't go to NYU if you've never had an MMR.
               | What's your point?
        
         | jonplackett wrote:
         | I made a website recently to try and do what I think you're
         | talking about.
         | 
         | http://whatoneinamillionmeans.com
         | 
         | The idea is to compare the risk of death from the AZ vaccine
         | from blood clots (1 in a million so far) with the risks we take
         | all the time without worrying.
         | 
         | For there J+J vaccine, it's also a 1 in a million risk, but
         | just of getting the clots, not dying.
         | 
         | The point is to show the fallacy of comparing the risk of the
         | vaccine with a perceived current zero risk - you are not at
         | zero risk ever, there's a base-risk we as society and
         | individuals have decided we are OK with, because without it we
         | can't even get out of bed in the morning, let alone get into a
         | car or do anything else interesting, and the risk from these
         | vaccines is a lot lower than that.
        
           | alderz wrote:
           | I am not sure why you got downvoted. The website makes the
           | point well.
        
           | eloff wrote:
           | I fully agree, and made this point many times to my vaccine
           | skeptical parents. Thankfully they've come around and got the
           | vaccine since.
        
           | jrochkind1 wrote:
           | The most important comparison is the risk of getting severe
           | covid and/or dying from it if _unvaccinated_.
           | 
           | It's tricky cause it depends on what you _do_ (you get to do
           | more once you are vaccinated), as well as the ever-changing
           | rate of infection in the community where you are (which will
           | change as more people get vaccinated among other things).
           | 
           | But in general, your risk of having severe complications from
           | covid if unvaccinated is far more than your risk of
           | complications from the vaccine.
           | 
           | And on the population level, we can say if say 1 million
           | people get the vaccine, X will have blood clot complications
           | (about 1)... if 1 million people go two months without being
           | vaccinated, how many will get covid and have severe
           | complications? (more than X). So if using the J&J gets a
           | million people vaccinated two months earlier, it's a win.
           | 
           | Of course, ALL of this is an embaressment of riches when the
           | USA has access to large quantities of _three_ effective and
           | safe vaccines, when much of the planet still has _zero_.
        
         | zamalek wrote:
         | Medications (not necessarily vaccines) are universally risky,
         | even a Tylenol. Doctors weight the risk of you dying or
         | suffering from symptoms against the risks involved with taking
         | the medication. Chemotherapy is a good example: the risks and
         | side effects are horrific, but on the other hand it's dealing
         | with cancer.
         | 
         | > Beyond talking about the fact that they determined this was
         | safe
         | 
         | And so there is a miniscule risk associated with J&J - that is
         | the truth, or the half-truth. The whole truth is that your odds
         | of catching and dying from COVID-19 are significantly higher
         | than an adverse reaction to the J&J vaccine.
         | 
         | So, even with the blot clot risk (which can be caught/treated),
         | you should absolutely have the J&J vaccine if you have the
         | chance to.
        
       | hn_throwaway_99 wrote:
       | I just read the linked Axios article, so perhaps there is more in
       | the CDC decision, but seems like it would make the most sense to
       | just recommend against the J&J vaccine for anyone at higher risk
       | of clot (e.g. all 6 of the people who had clots were women of
       | childbearing age). With 3 good vaccines available, seems like
       | there is plenty (or shortly will be plenty) to go around even if
       | the J&J vaccine only goes to those at low clot risk.
        
         | InitialLastName wrote:
         | It's worth noting that young-to-middle-aged women are also
         | over=represented (relative to the general public) among
         | healthcare workers, who have been a primary target for the
         | early rounds of vaccination.
        
         | bpodgursky wrote:
         | God the downvotes on this site piss me off so much. They are SO
         | mindless.
         | 
         | This is what the UK is doing with AstraZeneca, for the exact
         | same problem! Only suggesting it to people over 30! Stop
         | downvoting the suggestion which is literally expert advice!
        
         | sp332 wrote:
         | I don't think the usual risk factors for clotting apply here.
         | These cases were rare enough to stand out at just 1 per
         | million. The clotting seems to be a specific immune response
         | similar to some people who clot when given heparin.
        
       | medicineman wrote:
       | .03%
        
       | sjm wrote:
       | Just makes sense. The benefits far outweigh the risks at six
       | cases of blood clots out of over 6.8 million doses, especially
       | when there's a high risk of blood clots following COVID-19
       | hospitalization. Not to mention rates of blood clots caused by
       | the pill are more like 1 in 3000.
       | 
       | Hopefully if anything the pause has shown anti-vax folks that the
       | safety of these vaccines is being taken seriously.
        
         | sp332 wrote:
         | It was 6 cases when the pause was announced, but it's up to 15
         | cases (plus one that J&J went back and found in the phase III
         | data) now that we've had an extra week for cases to develop and
         | reports to come in. I expect that cases will continue to
         | happen, but hopefully patients and doctors will be more
         | prepared to deal with it.
        
         | barbazoo wrote:
         | I agree with you that the risk of getting Covid-19 far outweigh
         | the risk of blood clots associated with some vaccines, however,
         | I've read this comparison with birth control related blood
         | clots many times and it just doesn't seem to be comparable.
         | 
         | https://www.marketwatch.com/story/why-comparing-blood-clot-r...
         | 
         | > Indeed, government health officials are investigating a type
         | of blood clot called a cerebral venous sinus thrombosis (CVST)
         | among the J&J recipients. These clots formed in the draining
         | veins of the brain, combined with a low platelet count,
         | essentially causing a stroke. Hormonal birth control pills, on
         | the other hand, raise the risk of blood clots in the leg that
         | can break off and travel to the lung, causing a pulmonary
         | embolism that blocks blood flow to part of the lung. The latter
         | clots can be treated with anticoagulants, while the J&J clots
         | cannot.
         | 
         | One seems to be far more deadly than the other.
        
           | passivate wrote:
           | There is the potential for (rare) harmful side-effects from
           | taking many pharmaceuticals. Its all the stuff that they
           | speak at 2x speed after the ad. People (especially the media)
           | are understandably hyper-focused on COVID.
        
         | void_mint wrote:
         | > Hopefully if anything the pause has shown anti-vax folks that
         | the safety of these vaccines is being taken seriously.
         | 
         | The anti vaxx community is uninterested in science. This won't
         | change anything.
        
           | InitialLastName wrote:
           | As ever, the thoroughly anti-vax community are going to be
           | unconvinceable, but there is real progress to be made on the
           | margins. There are a large number of people who are not
           | inherently opposed to vaccination who are hesitant (for a
           | wide variety of reasons) to take this vaccine.
           | 
           | I know people who have gone from "The US government has a
           | long history of medical experimentation on people with my
           | skin tone" to vaccination evangelists over the last few
           | months. This _isn 't_ yet quite one of those issues where
           | people are locked in to a narrow bimodal distribution.
        
             | void_mint wrote:
             | It may be splitting hairs, but I wouldn't really call most
             | vaccine skeptics "anti vaxxers". The legitimate "anti vaxx"
             | community are legitimately uninterested in science. These
             | people will never get vaccinated, regardless of data.
             | 
             | A much larger group of people is skeptical of the
             | government and vaccines. These people might get vaccinated,
             | and every piece of information that comes out in favor of
             | vaccination has the possibility to sway some of them.
             | 
             | My post was about the first group, not the second.
        
         | miked85 wrote:
         | I am not sure it is about "anti-vax" folks so much in this
         | case. Many are wary of getting a vaccine with < year of
         | testing, not to mention relatively new technology (mRNA). That
         | isn't entirely unreasonable, though I did end up getting the
         | Moderna shot.
        
           | dawnerd wrote:
           | JnJ isn't mRNA just in case that's what you were implying.
        
             | miked85 wrote:
             | Thanks for clarifying. I didn't mean to imply that.
        
           | GrifMD wrote:
           | That's fair, but I'd prefer to get the vaccine over something
           | developed by bats https://xkcd.com/2397/
        
         | Sebguer wrote:
         | >Hopefully if anything the pause has shown anti-vax folks that
         | the safety of these vaccines is being taken seriously.
         | 
         | The vast majority of skeptics will not be convinced by this,
         | because their skepticism is not rooted in the science.
        
           | tldrthelaw wrote:
           | Not targeting you on this, just an observation: we should be
           | careful with the terms we use. I don't think "skeptic" or
           | "skepticism" applies to anti-vaxxers.
        
             | Sebguer wrote:
             | I guess you can tell the AP to stop using it?
             | https://apnews.com/article/coronavirus-vaccine-skepticism-
             | wh...
        
           | passivate wrote:
           | I think it should fall under basic common sense, not science.
           | In reality, only a handful of people in the world understand
           | in detail all the intricacies of the various ways our body
           | interacts with drug substances. This group varies based on
           | the drug in question.
           | 
           | The rest of us are just parroting them. Yes you can try to be
           | informed and read-up but at the end of the day they're still
           | a layperson.
           | 
           | I work in biotech (vaccines), and outside of my little niche,
           | I'm just your average lay person, just slightly more
           | informed.
        
             | benchaney wrote:
             | > In reality, only a handful of people in the world
             | understand in detail all the intricacies of the various
             | ways our body interacts with drug substances.
             | 
             | That is not science, and it is not what is meant when
             | people talk about trusting the science. Science is
             | empiricism. The science that supports the efficacy of
             | vaccination is the data from the trials that shows a
             | reduction in cases. The science supporting safety is
             | similar. This data is something anyone can understand with
             | sufficient knowledge about probability and statistics. That
             | level of knowledge is somewhat rare, but nowhere near as
             | uncommon as the theoretical knowledge you are describing.
        
               | passivate wrote:
               | We're not really in disagreement. Let me explain a bit
               | more. Science is a process/methodology of
               | exploring/understanding our natural world/natural
               | phenomenon, Yes? And as such, there is good science,
               | there is average science, and there is junk science.
               | They're all under the same 'Science' umbrella.
               | 
               | >The science that supports the efficacy of vaccination is
               | the data from the trials that shows a reduction in cases.
               | This data is something anyone can understand with
               | sufficient knowledge about probability and statistics.
               | 
               | Yes you have a bunch of numbers, but this doesn't tell
               | you whether the study protocol was good, nor does it tell
               | you about the qualitative aspects like how well the study
               | protocol was adhered to, how tight the controls were,
               | etc. Naturally, this is not a new problem, and we have
               | various safeguards already in place at various levels.
               | You also need a third party like say the FDA to audit and
               | examine what was done.
               | 
               | >This data is something anyone can understand with
               | sufficient knowledge about probability and statistics.
               | 
               | Yes, but that is not all. People need to understand how
               | clinical trials are conducted, and how for e.g. efficacy
               | numbers can't simply be used to trivially compare two
               | vaccine candidates.
        
       | _wldu wrote:
       | I had Covid in March 2020. It almost did me in. Was in ICU for a
       | while.
       | 
       | Had the J&J shot three weeks ago. Did not feel a thing. My arm
       | was slightly sore at injection site. Nothing else. I guess my
       | body was used to it and just sort of shrugged it off.
       | 
       | Some of my friends who got J&J were sick for a few days, but
       | rebounded quickly after that.
        
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