2 Comments
author

Yes, an unusual choice to divide up vaccine groups in the final part of the study, and one wonders what the data would look like if this had not been done.

I was grateful that the authors decided to take a more straightforward (honest?) approach with their hospitalization analysis.

Expand full comment

This says it all: "There was no difference in composite severe outcomes comparing unvaccinated (25.6%) and vaccinated (25.9%) (p = 1.000). Likewise, the need for ICU-level care was similar among pediatric patients regardless of vaccination status..."

That being said, I wonder whether or not the control group has, once again, been obscured. In Wayne County, about 8% of the 5-19 age group who received a first dose did not continue the shots. If this subset were included in the 'immunized' category the results would look somewhat different. In other words, the comparison should be between 0 shots and 1 or more shots. not less than 2 vs 2 or more.

It's also noteworthy that 98.3% of these pediatric patients 'presenting with Covid' had comorbidities (4440/4517). Could it be more obvious, as Tokka has pointed out, that the vast majority of these are incidental?

Expand full comment