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Plenary Session

Kids Vaccine For Under 5 years Old

Plenary Session

Vinay Prasad, MD MPH

Policy, Medicine, Health, Oncology, Science & Medicine

4.8798 Ratings

🗓️ 18 June 2022

⏱️ 43 minutes

🧾️ Download transcript

Summary

I take a deep dive into the data for the mRNA vaccines for kids under 5 years olds

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome back to the channel. By popular demand, today I'm going to walk through some thoughts,

0:05.2

some slides for vaccination under five. The ACHIP met this morning, the advisory committee of

0:10.5

immunologic practices for the U.S. CDC, and the Verback and FDA have been busy this week.

0:16.1

And so I have poured through the 200, 300 pages of documentation from the USFDA as they review the

0:25.5

Pfizer and the Moderna products.

0:27.2

I'm not going to talk about everything.

0:29.7

I'm going to focus on vaccination under five rather than on, you know, Moderna's bid to also

0:36.3

vaccinated adolescents.

0:41.0

And I think I'm going to view this through a policy lens. Every single one of my slides will come from the either Verback slides by the FDA,

0:48.9

by Moderna, or the packet of information that was distributed by the FDA. All right, with that

0:53.8

introduction, let's hit it, Vax Under 5.

0:57.4

This was a figure that I see was used in the introduction.

1:00.7

It was rates of monthly COVID-associated hospitalizations by vaccination status among

1:05.0

children and adolescents, five to 17 years old.

1:07.9

And what it shows you, the dotted lines are the troublesome. Those are the

1:12.5

adolescents, 12 to 17, who are unvaccinated and the children 5 to 11 were unvaccinated. And the

1:17.1

solid lines are the ones who have been vaccinated, at least with the primary series. And the

1:22.1

argument here is that these vaccines, even though the randomized control trials that led to

1:26.9

authorization weren't powered or suited to assess reductions in hospitalization, of course, they'd have to be mega trials, hundreds of thousands, perhaps even millions in each arm. You see here from observational data that there's a reduction. I want to put a bit of asterisk here. This is an observational data set. And of course, there are big problems with

1:44.9

observational data. One big problem, we have to admit, there is a difference between parents of

1:51.7

kids 5 to 11 who rushed out and were that one-third of parents who quickly got their kids vaccinated

1:57.6

and the 2-thirds of parents who didn't. They have differences not only

...

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