The vaccines | vaxxed boosted unvaxxed? New poll

How's your immunity looking? Had covid - vote twice - vax status and then again for infection status

  • Vaxxed but no booster

  • Boostered

  • Still waiting in queue for first vaccine dose

  • Won't get vaxxed (unless I have to for travel/work etc)

  • Past infection with covid + I've been vaccinated

  • Past infection with covid - I've not been vaccinated


Results are only viewable after voting.

JJ12

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Oh man, you had your vaccines right? Hopefully shouldn’t be too bad. Stay home and rest up buddy.
Double vaxxed - I feel rough as shit but I’m sure I’ll be fine. Thanks man!
 

Berbasbullet

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Been a real crappy week with regards to covid.

Have two friends. One had the AZ a while back and has been in hospital with suspected stroke. Months since he had the AZ. Don't know if linked. He is in early 40's. Being investigated for blood clots etc.

Another friend early 30's hospitalized due to covid. Seemed to be pulling through now in coma and critical. Don't think will pull through. Absolutely brilliant lad. Very fit and active. No underlying conditions.
That’s a real shame buddy. Very sorry to hear that.
 

Heardy

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Been a real crappy week with regards to covid.

Have two friends. One had the AZ a while back and has been in hospital with suspected stroke. Months since he had the AZ. Don't know if linked. He is in early 40's. Being investigated for blood clots etc.

Another friend early 30's hospitalized due to covid. Seemed to be pulling through now in coma and critical. Don't think will pull through. Absolutely brilliant lad. Very fit and active. No underlying conditions.
Sorry to hear this - had the second lad been vaccinated? This is what’s so scary, you just dont know how bad its going to hit you.

Ever so slightly relieved to get a negative PCR test result through this morning having been pinged on Sunday.
 

Roane

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Sorry to hear this - had the second lad been vaccinated? This is what’s so scary, you just dont know how bad its going to hit you.

Ever so slightly relieved to get a negative PCR test result through this morning having been pinged on Sunday.
Not 100% sure if he was vaccinated. Early thirties with no underlying conditions so not sure if the timetable for vaccines had caught him in time.

It's just such a unpredictable virus. My dad (80 years old), me (50 next year) siblings younger than me had it and truth be told we've had flu that was worse in terms of how bad we felt. Dad's younger brother (lives abroad) had it and was very ill but no hospitalisation and recovered.

Dad had the AZ few days before he got tested positive. I had mine after (but Pfizer). Had to wait due to contracting it.

Mum had AZ and had a stroke climbing stairs and died. No covid but was vulnerable (diabetes and ling issue) and had to be talked into getting the vaccine. This was about 5 months ago. We don't know if the vaccine lead to the stroke or not. But I don't think I would have had the AZ if offered.

Strange thing is it's only in the last few months where people close to me have had the virus and I've known locals who have died from it. In the first year and half or so I saw the figures but didn't really know anyone getting or certainly dying from it. Now all of a sudden have known many who are close friends and family. Would say in the last 7 months or so.

It's strange because although it's still here, we seem to have the vaccine roll out going well and figures are not as bad as they were say a year ago. Certainly locally.
 

mav_9me

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Of the 30 covid patients in my hospital, 2 are vaccinated, one is fine barely on any O2. Other guy is intubated, sicker but I think that's due to bacterial pneumonia.
 

jojojo

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Another argument against boosters

Yep, the idea of recommending boosters this early bothers me. If we can find some way of determining who needs a third dose, to get optimum impact from the vaccine - which seems to be the case with organ transplant patients and some others on immune-suppressants, for example - then great. If it's chasing the dream of herd immunity via infection prevention I don't see it.

I think it risks discouraging the unvaxxed and part vaxxed from taking highly effective vaccines, which will make it worse than pointless. Plus, those vaccine doses are needed to save lives in other countries.

If we had a sterilising vaccine, then the calculation might be different, but these vaccines had disease prevention as their goal (and were and are good at it). Maybe a next generation vaccine will offer something more, but that's a different calculation again.
 

jojojo

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Strange thing is it's only in the last few months where people close to me have had the virus and I've known locals who have died from it. In the first year and half or so I saw the figures but didn't really know anyone getting or certainly dying from it. Now all of a sudden have known many who are close friends and family. Would say in the last 7 months or so.

It's strange because although it's still here, we seem to have the vaccine roll out going well and figures are not as bad as they were say a year ago. Certainly locally.
I think that's been a common theme. People have seen the pandemic at different times. My family/friends were hit in the March 2020 wave - 4 people I knew died. In terms of my local area it was the winter 2020 peak that I saw kill a neighbour and hospitalise others before the vax reached their age group. Since the Delta wave started I've seen other family members catch covid (vaxxed 40-something parents/unvaxxed teens) but fortunately with no lasting damage.

It's that local and unpredictable thing that makes it hard for us as individuals to understand what's happening. Which means we have to keep going back to the numbers and the statistical stuff - which can make us forget every number is an individual.
 

jojojo

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One for people who like graphs...

Vaccine take-up shown as a series of head to head comparisons across Europe. Click the link to go to the app and check them out. Germany don't publish take-up by age so they aren't included in the options.

Basically the more grey you see (particularly in the highest age bands) the bigger the problem the country is likely to hit if cases rise.


Hint: if you want to look at one of the smaller countries like Ireland v a large country, select the scale "different" option.
 

jojojo

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A techie one. But, to quote the author's own TLDR "immune memory looks great and improves over time (even against variants). Boosting existing immunity w/ vaccine significantly increases antibody in the short-term but w/o much effect on already durable memory B/T cells."


Another part of the booster debate and of the, "do you only need a single dose of vaccine if you've already had covid?" approach.
 

jojojo

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France was behind the UK in vaccine take-up for a long time - even once they had plenty of vaccine doses available. Then one day Macron said you can't go in a cafe if you've not been vaxxed...


Incidentally they also use single dose J&J vaccines and they have a policy of offering single dose mRNA vaccines to people who have previously tested positive for covid. Worth considering for the less enthusiastic and harder to reach groups perhaps?

Also a reminder that unanimity on what vaccine passports mean for travel could prove tricky.
 

jojojo

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Just a brief diversion into why the vaxxed keep wanting more people vaxxed. I'm going to (over) simplify the actual maths modelling dramatically but hopefully it will still make sense.
Disclaimer: Anyone who knows the epidemiology should exit now as you'll find my attempt to simplify it infuriating :lol:

First: let's assume that an infected person (on average) can spread it to two people. It could be more depending on your work and your social life, it could be less of you work from home, live alone, are cautious when you go out etc. But averages are just that, averages.

Second: let's assume the current worst case results reported on vaccine effectiveness. These suggest it could be around 50% effective at stopping you getting infected (to a level where you test positive on a PCR).

In unvaxxed land:
1 infects 2 (after about 10 days)
2 infects 4 (after about 20 days)
4 infects 8 (after about 30 days)
"R rate = 2" - actually if everyone was behaving completely like the old normal R would be closer to 6, and the cases stemming from that first person would be in their hundreds. But in the UK at least we're not really back to behaving as we did.

In vaxxed land:
1 infects 1(after about 10 days)
1 infects 1 (after about 20 days)
1 infects 1 (after about 30 days)
"R rate = 1" - actually it is probably better than this because the evidence is building that the infected but vaxxed are less likely to be infectious.

Stir the vaxxed and unvaxxed together and the maths gets complicated, and you have to make a lot of allowances for how much mixing happens between different groups of people. What's currently happening in the UK is that the R rate nationally is just above R=1 - cases are growing slowly by about 10% per week.

Some events (with mostly unvaxxed attendees and lots of close proximity like overnight tent parties, squashed on the shuttle bus, sharing supplies) are tripping big surges. Others (like mostly vaxxed football crowds) currently aren't.

The maths for the UK is currently "just about getting away with it" in terms of hospitalisations etc, but can easily turn nasty as people start to mix more for work or leisure. Basically the more people who are vaxxed the safer everyone becomes. The odds of meeting someone infectious will reduce, which means the fewer of the vulnerable (vaxxed or not) will catch it, and there will be less illness around and fewer deaths.
 

McGrathsipan

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Of the 30 covid patients in my hospital, 2 are vaccinated, one is fine barely on any O2. Other guy is intubated, sicker but I think that's due to bacterial pneumonia.
Is the pneumonia connected to Covid?

Sorry I am clueless
 

Solius

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Surely some of the 309 'When it's approved for my age group' posters have had theirs now. Change your votes, people.
 

Kasper

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Surely some of the 309 'When it's approved for my age group' posters have had theirs now. Change your votes, people.
I think less than 10% of people who voted regulary check this thread so I doubt this poll is reflective of the current vaccination quota on the caf, even with the adapted thread title. Re-doing the whole poll would probably give a more accurate picture.
 

WI_Red

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No. Completely different. I cannot say for sure but it's my opinion that the bacterial pneumonia is the bigger issue rather than covid19.
Seeing as how we have an effective vaccine for COVID I would agree. I spent a decade studying Streptococcus pneumoniae and we were concerned about seroswitching back then. The pneumoccal vaccines are serotype specific and we were seeing continued infections, especially in children, but they were just different serotypes.
 

Cheimoon

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in case it's not been mentioned yet, here's a quote from today's Nature Briefing:
Nature Briefiing said:
Vaccines don’t affect fertility
There is no evidence that COVID-19 vaccines affect any aspect of reproduction or sexual functioning. Four experts in reproductive and sexual biology look at the facts about vaccines and pregnancy, menstruation and sperm and erectile function.
This abstract refers to the following article with further details and references: https://www.scientificamerican.com/...igns-of-harming-fertility-or-sexual-function/. Its title and subtitle are this:
COVID Vaccines Show No Signs of Harming Fertility or Sexual Function
The novel coronavirus, in contrast, can disrupt both things in unvaccinated men and women
In case anyone still woried about this aspect. :)
 

WI_Red

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Cheimoon

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They should check marriage next :wenger:
:lol:

Although I suspect you actually know couples that were affected by this, and then it rather turns into something like :annoyed:
 
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Stookie

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I’ve been working on ICU this week and we have 11 patients all of whom have COVID. The youngest 19 the eldest 70. The common denominator is that none have had the vaccine. 4 of them on end of life care. We have seen a huge rise in pregnant women with COVID as well- 3 of which are on ICU, 2 after delivery and 1 is going into theatre tomorrow. All on ICU for COVID reasons. It seems this disease is affecting the younger much more severe than when it first reared it’s head.
 

Pogue Mahone

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I’ve been working on ICU this week and we have 11 patients all of whom have COVID. The youngest 19 the eldest 70. The common denominator is that none have had the vaccine. 4 of them on end of life care. We have seen a huge rise in pregnant women with COVID as well- 3 of which are on ICU, 2 after delivery and 1 is going into theatre tomorrow. All on ICU for COVID reasons. It seems this disease is affecting the younger much more severe than when it first reared it’s head.
Worth bearing in mind that this isn’t because the virus is suddenly much more dangerous to young people. It’s because the older generations are much better protected with vaccines. Without vaccines you’d have at least 10 elderly admissions for each one of those youngsters.

It’s actually horrific to think what the hospitals would look like if society had opened up as much as it has without the incredible number of vaccines rolled out. Which highlights the insanity of those calling for everything to be opened up before any vaccines were available.
 

Sparky Rhiwabon

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Aren’t we getting close to the point where it’s as good as it’s going to be with regards to number of people vaccinated and, therefore, the Covid situation in general? Surely, soon, everyone who wants to be vaccinated will have been. In fact, as time goes on less people will probably renew them as it’s no longer a “novelty“.
 

Pogue Mahone

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@jojojo

Or anyone else who is deep into all this stuff. Is it just me or is all this “waning immunity” stuff not taking into account something really obvious?

Meanwhile, data from the UK-based Zoe Covid Study app, where users can log whether they have been vaccinated, Covid test results and symptoms, has suggested protection against infection after two shots of the Pfizer/BioNTech jab decreased from 88% at one month to 74% at five to six months, while protection against infection after two Oxford/AstraZeneca jabs fell from 77% to 67% at four to five months.
Surely the proportion of cases due to Delta has increased massively between the first one or two months after vaccination and five to six months? It’s not like the vaccines have been out all that long. So most people hitting six months post jab are getting infected at a time when they’re catching Delta. While most of the earlier, much higher, efficacy stats were generated when alpha was the only show in town.

So couldn’t all these concerns about waning immunity be entirely down to vaccines being a bit less effective against delta than alpha? A trend that boosters might not reverse?
 
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jojojo

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@jojojo

Or anyone else who is deep into all this stuff. Is it just me or is all this “waning immunity” stuff not taking into account something really obvious?



Surely the proportion of cases due to Delta has increased massively between the first one or two months after vaccination and five to six months? It’s not like the vaccines have been out all that long. So most people hitting six months post jab are getting infected at a time when they’re catching Delta. While all the earlier, much higher, efficacy stats were generated when alpha was the only show in town.

So couldn’t all these concerns about waning immunity be entirely down to vaccines being a bit less effective against delta than alpha? A trend that boosters might not reverse?
Multiple effects at work I think. Pfizer is less effective against Delta than Alpha, and it was less effective against Alpha than against the Spring 2020 version (that the phase 3 data came from). The lab studies, the PHE surveillance etc all agree on those losses, but they're relatively small and protection against severe illness remains high.

It's also getting harder to obtain genuine matched control groups for doing effectiveness calculations. The higher the percentage vaccinated, the smaller the comparison group gets. Meanwhile, as more people catch covid, the number of actual immune-naive people is reduced, but we don't know by how much. Now throw in the fact that many of the unvaxxed will also be people who don't want to get tested and the confounding factors just keep rising.

Which brings us to Israel and the additional problem of moving the goalposts. The vaccine trials reported on symptomatic infection, with testing done in response to symptoms and efficacy reported against symptomatic infection. They weren't chasing data on asymptomatic infection. Once we talk about infection/transmission prevention we're asking the vaccines a different question.

Because of how good the vaccines are, people started expecting them to stop infections and it looks like while we're still flooded with the first flush of vaccine induced antibodies they do pretty well at it. Israel's data suggests that once those heavy antibody levels fall so does that inhibition on infection.

We also know that Delta has shorter delays from infection to symptom onset. Maybe the immune memory cells come in to antibody producing action too slowly to stop the infection before it gets a strong enough hold to test positive on PCR and show up as symptoms?

If we're chasing having high levels of covid neutralising antibodies all the time we will need boosters - but I must admit I'm not convinced that's a good or (for most of the population) necessary road to go down.
 
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WI_Red

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@jojojo

Or anyone else who is deep into all this stuff. Is it just me or is all this “waning immunity” stuff not taking into account something really obvious?



Surely the proportion of cases due to Delta has increased massively between the first one or two months after vaccination and five to six months? It’s not like the vaccines have been out all that long. So most people hitting six months post jab are getting infected at a time when they’re catching Delta. While most of the earlier, much higher, efficacy stats were generated when alpha was the only show in town.

So couldn’t all these concerns about waning immunity be entirely down to vaccines being a bit less effective against delta than alpha? A trend that boosters might not reverse?
I'm with you, sort of. I am not convinced the boosters are necessary. While antibodies are great and all what matters is memory cells. Our bodies don't keep high titers of antibodies floating around for everything we have ever encountered, that would just be stupid and is simply not how our immune systems work. As long as we are forming a long lasting, and robust, memory response to COVID we are fine. It is this response that, while it will most likely not prevent infection, will reduce the likelihood for severe symptoms and hospitalization. This is why the whole "OMG! I had the vaccine and I still got (asymptomatic) COVID! The vaccines don't work!" is so maddening. That is not how these things are supposed to work! Ugh. My (previous) profession is so bad a messaging and the general public is so bad a listening.
 

WI_Red

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Multiple effects at work I think. Pfizer is less effective against Delta than Alpha, and it was less effective against Alpha than against the Spring 2020 version (that the phase 3 data came from). The lab studies, the PHE surveillance etc all agree on those losses, but they're relatively small and protection against severe illness remains high.

It's also getting harder to obtain genuine matched control groups for doing effectiveness calculations. The higher the percentage vaccinated, the smaller the comparison group gets. Meanwhile, as more people catch covid, the number of actual immune-naive people is reduced, but we don't know by how much. Now throw in the fact that many of the unvaxxed will also be people who don't want to get tested and the confounding factors just keep rising.

Which brings us to Israel and the additional problem of moving the goalposts. The vaccine trials reported on symptomatic infection, with testing done in response to symptoms and efficacy reported against symptomatic infection. They weren't chasing data on asymptomatic infection. Once we talk about infection/transmission prevention we're asking the vaccines a different question.

Because of how good the vaccines are, people started expecting them to stop infections and it looks like while we're still flooded with the first flush of vaccine induced antibodies they do pretty well at it. Israel's data suggests that once those heavy antibody levels fall so does that inhibition on infection.

We also know that Delta has shorter delays from infection to symptom onset. Maybe the immune memory cells come in to antibody producing action too slowly to stop the infection before it gets a strong enough hold to test positive on PCR and show up as symptoms?

If we're chasing having high levels of covid neutralising antibodies all the time we will need boosters - but I must admit I'm not convinced that's a good or (for most of the population) necessary road to go down.
From a pure science perspective the difference in Pfizer/Moderna is fascinating. They are using the same protein sequence for their vaccine, with the only differences being in the leading and trailing portions of the mRNA strand and the carrier nanoparticles. There is so much to learn from this to optimize the next generation of mRNA vaccines!
 

mav_9me

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@jojojo

Or anyone else who is deep into all this stuff. Is it just me or is all this “waning immunity” stuff not taking into account something really obvious?



Surely the proportion of cases due to Delta has increased massively between the first one or two months after vaccination and five to six months? It’s not like the vaccines have been out all that long. So most people hitting six months post jab are getting infected at a time when they’re catching Delta. While most of the earlier, much higher, efficacy stats were generated when alpha was the only show in town.

So couldn’t all these concerns about waning immunity be entirely down to vaccines being a bit less effective against delta than alpha? A trend that boosters might not reverse?
I actually don't see the waning immunity. Lower levels of antibodies are not a problem as @WI_Red pointed out.

Protection against hospitalizations and deaths continues to be excellent. This is where it might be a touch lower with delta but still very very good.
 

mav_9me

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From a pure science perspective the difference in Pfizer/Moderna is fascinating. They are using the same protein sequence for their vaccine, with the only differences being in the leading and trailing portions of the mRNA strand and the carrier nanoparticles. There is so much to learn from this to optimize the next generation of mRNA vaccines!
I don't know much about biontech but I'm impressed with Moderna. Obviously I think mRNA technology is revolutionary for medicine. Question is which of these two companies is better? If one is better to begin with.

Ps. I need to read more regarding the differences in their technologies, and implications for future.
 

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https://www.timesofisrael.com/covid-booster-shots-raise-protection-against-severe-illness-to-97-tv/

After 16 days, a third coronavirus vaccine dose boosts protection against severe illness from the virus to 97 percent, according to Health Ministry figures cited by Channel 12 news on Wednesday night.

The network also said that 16 days after the booster shot is administered, protection against infection jumps to 95%. According to the report, while the level of antibodies is considerably higher within seven days of the shot, they appear to reach their peak after 16 days.

More than 1.7 million Israelis have received a booster dose since the shots first became available on August 1. As of Tuesday, the third doses are available to all Israelis over the age of 30. More than 70% of those over the age of 70 have already received a third dose of the vaccine.
In about a month or so I think we'll have more clearer evidence regarding booster shots possibly
 

Pogue Mahone

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Pexbo

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Obviously I’m no expert but it seems to be to be a zero sum game and with a finite production capacity it would make morse sense both ethically and strategically to focus on getting the rest of the world vaccinated to some degree than finessing a few extra percentage of efficacy for the richer, developed nations.