Safety
and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine has come out in the New England
Journal of Medicine. I was wrong again. I thought the 95% was a consequence of
confusion between oncology and epidemiology. The study was conducted by Pfizer.
I had thought it was fortuitous that an mRNA vaccine that avoids the issue of
white blood cell response was easier to develop.
The study:
“RESULTS
A total of
43,548 participants underwent randomization, of whom 43,448 received injections:
21,720 with BNT162b2 and 21,728 with placebo. There were 8 cases of Covid-19
with onset at least 7 days after the second dose among participants assigned to
receive BNT162b2 and 162 cases among those assigned to placebo; BNT162b2 was
95% effective in preventing Covid-19 (95% credible interval, 90.3 to 97.6).
Similar vaccine efficacy (generally 90 to 100%) was observed across subgroups
defined by age, sex, race, ethnicity, baseline body-mass index, and the
presence of coexisting conditions. Among 10 cases of severe Covid-19 with onset
after the first dose, 9 occurred in placebo recipients and 1 in a BNT162b2
recipient. The safety profile of BNT162b2 was characterized by short-term,
mild-to-moderate pain at the injection site, fatigue, and headache. The incidence
of serious adverse events was low and was similar in the vaccine and placebo
groups.”
Dropping the
statistical blessing they divided 8 by 162 and got 0.0493827160493827 or 5%.
100% - 5% gives 95%. Another way to say this is: 8 of 21,720 vaccinated
participants, or .037% reported sick. 162
of 21,728 placebo participants or .75% reported sick.
The study
was monitored by survey:
“With the
use of an interactive Web-based system,”
According to
the protocol, blood samples were taken. I see no record that positive results
were excluded. I see no reporting of the blood immune results at all. Swab
tests are unreliable.
“Overall,
BNT162b2 recipients reported more local reactions than placebo recipients.”
Participating
in the study is itself a selection factor. The participants knew by their
reactions whether they had received the placebo or the vaccine. Those who
thought they had received the vaccine were more likely to dismiss symptoms.
Those who thought they received the placebo were more likely to report them.
Everyone
vaccinated should then show a positive blood test, presence of antibodies. It
is more certain that a placebo candidate is sick. Vaccinated candidates who
report sick have to report and get accurately swabbed within four days.
This is a busted study.
At this
point you may wail:
-OK, forget
the study! Look at the science!
The research
money was sucked up by the drug companies. There is no science. All we have is
your recipe.
Speculation:
(This is where I will be wrong again.)
1. I speculate that our infection by
Sars-Cov-2 of our symbiotic or pathogenic cells creates the virus that provokes
our immune response. I am trying to explain how a glycan coated virus triggers
immunity. Do mRNA vaccines communicate to our foreign cells?
2. Are the adverse reactions a
consequence of prior infection? I bet that the 8 infected vaccinated
participants did not have adverse reactions. I am sure that they had prior
negative blood tests. This study may have been an expensive survey of prior
infection.
3. Does the vaccine treat existing
illness? Obviously not, or it would have been reported. Why not? Does it make
the illness worse? I predict this question will be the source of most
resistance to vaccination. Please don’t compare to existing vaccines. Creating
mRNA should be palliative.
Recommendations:
1. Proficiency in Statistics must be a
requirement for the medical profession.
2. Reported blood immune tests before
and after such studies. I expect that all vaccinated participants will have a
positive test. This would be a good audit.
3. Disaster that all the research money
was given to drug companies. First look at the problem, then examine the
problem, when you are done – study the problem.
I am a courteous person. I won’t refuse a vaccine. I have little hope for them.
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